Inclusion Criteria:  Diagnosis of any SMI  Meeting any one of the following criteria as determined by a care co-ordinator:  Overweight At risk for or have type 2 diabetes mellitus In the clinician's view, have a sedentary lifestyle Smoke tobacco Ability to provide informed consent Ability to understand Italian  Exclusion Criteria:  under the age of 18 not having a diagnosis of SMI be unable to do exercises be unable to give informed consent