People with severe mental disorders such as schizophrenia and bipolar disease and people with alcohol addiction die 13 to 30 years earlier than the general population. Cardiovascular diseases are one of the most significant reasons to increased mortality. By now, interventions with the aim of reducing the mortality among the high-risk group has focused on lifestyle changes, but the effects are minor. Other studies experienced insufficient screening of risk factors and even when these are identified an inadequate treatment is launched.
Yet, there have not been developed and tested an intervention which reduces the incidence of cardiovascular diseases and hence the mortality in the high-risk group. One reason might be the missing involvement of the patients and their relatives in the selection and planning of the interventions. This might be solved by involving the patients, as they are able to contribute with their own experience and life circumstances when facing the healthcare system. PsyCaps use a participatory design, where representatives from the high-risk group is involved in the creating process.