mental health



Bringing together physical and mental health

1 2 3 4

5 6 7

attempting to diagnose and treat medically unexplained symptoms (Bermingham

et al 2010). Much of this expenditure currently delivers limited value to patients; at

worst, it can be counterproductive or even harmful.

What does this report add?

The challenges described above are all part of the rationale for integration of mental

and physical health. These are well-recognised challenges that have been subject

to extensive research. Our intention in this report is to add to the evidence base

by providing:


an analysis of what integrated care for mental and physical health would look

like from a patient or service user perspective (Section 2)


an overview of 10 areas where integrated care is most needed, highlighting the

existing evidence available in relation to each (Section 3)


examples of innovative service models currently being developed and deployed

in England (Section 4)


an analysis of the barriers to change and suggestions as to how these can be

overcome (Section 5).

The report draws on a review of published research evidence, qualitative interviews

and focus groups with service users and carers, and case studies of 10 services in

England. We conclude by arguing that overcoming the longstanding barriers to

integration of mental and physical health should be a central component of efforts

to develop new models of care that bring together resources from across local

health systems.


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