Lancet Psychiatry: Integrated care for people with long-term mental and physical health conditions in LMICs

25 January, 2019

Dear HIFA colleagues,

Here is a new paper in The Lancet Psychiatry. The fulltext is freely available (after free registration) here:

In the article metrics I was interested to see a 'Repository URL' (below) that links to versions of the paper on the University of Sussex open-access repository. This is the first time I have noticed such a URL, pointing from the publisher's website to an open-access repository.

CITATION: Thornicroft, Graham; Ahuja, Shalini; Barber, Sarah; Chisholm, Daniel; Collins, Pamela Y; Docrat, Sumaiyah; Fairall, Lara; Lempp, Heidi; Niaz, Unaiza; Ngo, Vicky; Patel, Vikram; Petersen, Inge; Prince, Martin; Semrau, Maya; Unützer, Jürgen; Yueqin, Huang; Zhang, Shuo

Integrated care for people with long-term mental and physical health conditions in low-income and middle-income countries

Lancet Psychiatry, Volume 6, issue 2, p174-186, february 01, 2019

Repository URL

DOI 10.1016/s2215-0366(18)30298-0



SUMMARY: Integrated care is defined as health services that are managed and delivered such that people receive a continuum of health promotion, disease prevention, diagnosis, treatment, disease management, rehabilitation, and palliative care services, coordinated across the different levels and sites of care within and beyond the health sector and, according to their needs, throughout the life course. In this Review, we describe the most relevant concepts and models of integrated care for people with chronic (or recurring) mental illness and comorbid physical health conditions, provide a conceptual overview and a narrative review of the strength of the evidence base for these models in high-income countries and in low-income and middle-income countries, and identify opportunities to test the feasibility and effects of such integrated care models. We discuss the rationale for integrating care for people with mental disorders into chronic care; the models of integrated care; the evidence of the effects of integrating care in high-income countries and in low-income and middle-income countries; the key organisational challenges to implementing integrated chronic care in low-income and middle-income countries; and the practical steps to realising a vision of integrated care in the future.


Best wishes, Neil

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HIFA profile: Neil Pakenham-Walsh is coordinator of the HIFA global health campaign (Healthcare Information For All - ), a global community with more than 19,000 members in 177 countries, interacting on six global forums in four languages. Twitter: @hifa_org FB: