How primary care can contribute to good mental health in adults

Sunjai Gupta^{1

2}, Rachel Jenkins³, John Spicer⁴, Marina Marks⁵, Nigel Mathers⁶, Lise Hertel⁷, Laura Calamos Nasir⁸, Fiona Wright⁹, Baljeet Ruprah-Shah¹⁰, Brian Fisher¹¹, David Morris¹², Kurt C Stange¹³, Robert White¹⁴, Gina Giotaki¹⁵, Tony Burch¹⁶, Catherine Millington-Sanders¹⁷, Steve Thomas¹⁸, Ricky Banarsee¹⁹, Paul Thomas²⁰

Affiliations

¹ Department of Health Services and Population Research, Institute of Psychology, Psychiatry and Neuroscience, Kings College, London, UK.
² Honorary Consultant Psychiatrist, South London and Maudsley NHS Trust, London, UK.
³ Epidemiology and Mental Health Policy, Kings College London, ETHICS, London, UK.
⁴ Primary Care Education, Health Education England, London, UK.
⁵ Educational Trust for Health Improvement through Cognitive Strategies (ETHICS), London, UK.
⁶ Primary Medical Care, University of Sheffield, Sheffield, UK.
⁷ Integrated Care University College London Hospitals NHS Foundation Trust, London, UK.
⁸ School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, USA.
⁹ Public Health Barking and Dagenham Council and Greater London Authority, London, UK.
¹⁰ Accomplish Consultancy, London, UK.
¹¹ Health Empowerment Leverage Project, New NHS Alliance, London, UK.
¹² Mental Health, Inclusion and Community, University of Central Lancashire, Preston, UK.
¹³ Family Medicine and Community Health, Epidemiology and Biostatistics, Oncology and Sociology, Center for Community Health Integration, Case Western Reserve University, Cleveland, OH, USA.
¹⁴ Primary Care Mental Health Services, West London Mental Health Trust, London, UK.
¹⁵ Dance Practices, Liverpool John Moores University, Liverpool, UK.
¹⁶ Health Education England North London, London, UK.
¹⁷ Marie Curie National Clinical End of Life Care Champion, London, UK.
¹⁸ Mental Health & Learning Disabilities NHS Sheffield Clinical Commissioning Group, Sheffield, UK.
¹⁹ Public Health England, London, UK.
²⁰ London Journal of Primary Care, London, UK.

PMID: 29449889
PMCID: PMC5810155
DOI: 10.1080/17571472.2017.1410043

Review

How primary care can contribute to good mental health in adults

Sunjai Gupta et al. London J Prim Care (Abingdon). 2017.

. 2017 Dec 13;10(1):3-7.

doi: 10.1080/17571472.2017.1410043. eCollection 2018 Jan.

Authors

Affiliations

¹ Department of Health Services and Population Research, Institute of Psychology, Psychiatry and Neuroscience, Kings College, London, UK.
² Honorary Consultant Psychiatrist, South London and Maudsley NHS Trust, London, UK.
³ Epidemiology and Mental Health Policy, Kings College London, ETHICS, London, UK.
⁴ Primary Care Education, Health Education England, London, UK.
⁵ Educational Trust for Health Improvement through Cognitive Strategies (ETHICS), London, UK.
⁶ Primary Medical Care, University of Sheffield, Sheffield, UK.
⁷ Integrated Care University College London Hospitals NHS Foundation Trust, London, UK.
⁸ School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, USA.
⁹ Public Health Barking and Dagenham Council and Greater London Authority, London, UK.
¹⁰ Accomplish Consultancy, London, UK.
¹¹ Health Empowerment Leverage Project, New NHS Alliance, London, UK.
¹² Mental Health, Inclusion and Community, University of Central Lancashire, Preston, UK.
¹³ Family Medicine and Community Health, Epidemiology and Biostatistics, Oncology and Sociology, Center for Community Health Integration, Case Western Reserve University, Cleveland, OH, USA.
¹⁴ Primary Care Mental Health Services, West London Mental Health Trust, London, UK.
¹⁵ Dance Practices, Liverpool John Moores University, Liverpool, UK.
¹⁶ Health Education England North London, London, UK.
¹⁷ Marie Curie National Clinical End of Life Care Champion, London, UK.
¹⁸ Mental Health & Learning Disabilities NHS Sheffield Clinical Commissioning Group, Sheffield, UK.
¹⁹ Public Health England, London, UK.
²⁰ London Journal of Primary Care, London, UK.

PMID: 29449889
PMCID: PMC5810155
DOI: 10.1080/17571472.2017.1410043

Abstract

The need for support for good mental health is enormous. General support for good mental health is needed for 100% of the population, and at all stages of life, from early childhood to end of life. Focused support is needed for the 17.6% of adults who have a mental disorder at any time, including those who also have a mental health problem amongst the 30% who report having a long-term condition of some kind. All sectors of society and all parts of the NHS need to play their part. Primary care cannot do this on its own. This paper describes how primary care practitioners can help stimulate such a grand alliance for health, by operating at four different levels - as individual practitioners, as organisations, as geographic clusters of organisations and as policy-makers.

Keywords: Accountable care organisations; Mental health; collaboration; primary care.

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Figures

**Figure 1.**
RCGP Recommendations as set out in Thomas et al. [2].

**Figure 2.**
Levels at which primary care can take action [1,9,10].

**Figure 3.**
Examples of actions that primary care can undertake to improve mental health.

See this image and copyright information in PMC

References

1. ETHICS Initiative for Integration of Mental Health Promotion into Primary Care. In collaboration with the London Journal of Primary Care and the Ionian University of Corfu The ETHICS/LJPC/RCGP Think Tank. Available from: https://ethicscharity.files.wordpress.com/2015/09/ethics-ljpc-thinktank-...
1. Thomas S, Jenkins R, Burch T, et al. . Promoting mental health and preventing mental illness in general practice. London J Prim Care. 2016;8:3–9.10.1080/17571472.2015.1135659 - DOI - PMC - PubMed
1. Investing in emotional and psychological wellbeing for patients with long-term conditions. Mental Health Network. NHS CONFEDERATION. Available from: http://www.nhsconfed.org/~/media/Confederation/Files/Publications/Docume...
1. McDonald JJ. Primary health care: medicine in its place. Abingdon: Earthscan; 1992.
1. World Health Organisation The World Health Report 2008- primary health care (now more than ever). Available from: www.who.int/whr/2008/

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How primary care can contribute to good mental health in adults

Affiliations

How primary care can contribute to good mental health in adults

Authors

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Abstract

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References

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