Using MOVE! With Seriously Mentally Ill Veterans

Inclusion Criteria: * DSM- IV diagnosis of schizophrenia spectrum disorders OR a DSM-IV diagnosis of other severe mental disorder including bipolar disorder, major depression, or severe anxiety disorder; * Age between 18-64; * No psychiatric hospitalization in 3-month period prior to enrollment; * Community residency within 30 miles of either VA facility; * A BMI of 25 or higher; * Voluntary consent after receiving full information about the study; * English speaking; * Veteran of the armed forces Exclusion Criteria: * Active cancer other than non-melanoma skin cancer * end stage chronic obstructive pulmonary disease * end stage congestive heart failure * end-stage neurological disorder * problematic substance abuse as defined by provider * end stage renal disease * moderate to severe cognitive impairment (dementia, post-stroke) * HIV positive with a CD4 count less than or equal to 350 within the last 6 months * anorexia * current pregnancy, currently nursing or planning to become pregnant in the next 6 months * those living in long-term care facilities * use in past 3 months of prescription pharmacological agents for weight loss * no chart documented VA delivered medical primary care or general somatic care visit within the last 18 months * most recent chart documented hematocrit level obtained within last six months is at or below 30% * most recent chart documented creatinine level obtained within the last six months that is at or above 2.5 * most recent chart documented liver function tests obtained within the last six months exceeds twice the normal value for ALT, AST test in the Baltimore VA laboratory