Cardiac Rehabilitation for Cardiovascular Risk Reduction in People With Severe and Persistent Mental Illness

Inclusion Criteria: * Age ≥ 30 to 59 years old * Psychiatric diagnosis of schizophrenia, schizoaffective disorder, or bipolar I disorder * 2 or more cardiac risk behaviors or conditions: smoking, obese, hypertension, diabetes, metabolic syndrome, dyslipidemia, obstructive sleep apnea * 10-year Framingham cardiovascular risk score of ≥ 10% (intermediate risk) * Willing to participate in cardiac rehabilitation program Exclusion Criteria: * Psychiatric instability, as judged by treating psychiatrist * Distance from cardiac rehabilitation centre that would preclude participation * Unsafe to participate in the cardiac rehabilitation intervention, as judged by the cardiology assessment * Pregnant * Known coronary artery disease, cerebrovascular disease, or peripheral vascular disease * Court ordered mandatory or tutor