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Advances in Psychiatric Treatment (2005) 11: 133-139
© 2005 The Royal College of Psychiatrists

Shared care for people with mental illness: a GP’s perspective{dagger}

Helen Lester

Helen Lester is a reader in primary care in the Department of Primary Care at the University of Birmingham (Edgbaston, Birmingham B15 2TT, UK. Tel: 0121 414 2684; fax: 0121 414 6571; e-mail: H.E.Lester{at}bham.ac.uk) and has been a general practitioner in inner-city Birmingham for 15 years. She has a particular interest in primary care mental health policy and practice and in early intervention in first-episode psychosis.

Shared care in mental health is now a policy imperative in England and Wales, yet its meaning, form and function are still open to debate. In this article, I discuss the benefits of and barriers to a shared care approach, explain how policy is currently driving practice in this area, discuss recent shared care initiatives and highlight some of the tensions inherent in the approach, particularly from the viewpoint of patients. I also give some of the key factors that need to be in place within a ‘whole systems’ approach to ensure that shared care moves from the rhetoric of the statute book to everyday practice.


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British Journal of Psychiatry Psychiatric Bulletin All RCPsych Journals
Copyright © 2005 The Royal College of Psychiatrists.