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Achieving Parity of Esteem of Mental Healthcare in the UK

Published online by Cambridge University Press:  01 September 2022

Y. Sheikh ,
D. Gakhar ,
M.-H. Asunramu ,
H. Low ,
H. Yassin  and
K. Muthukumar
Y. Sheikh*
Affiliation:
King’s College London, Faculty Of Medicine & Life Sciences, London, United Kingdom
D. Gakhar
Affiliation:
Imperial College London, Imperial College Business School, London, United Kingdom
M.-H. Asunramu
Affiliation:
Imperial College London, Imperial College Business School, London, United Kingdom
H. Low
Affiliation:
Imperial College London, Imperial College Business School, London, United Kingdom
H. Yassin
Affiliation:
Imperial College London, Imperial College Business School, London, United Kingdom
K. Muthukumar
Affiliation:
Imperial College London, Imperial College Business School, London, United Kingdom
*
*Corresponding author.

Abstract

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Introduction

Mental illness is the single largest cause of disability in the UK, with one in four individuals suffering from a mental health problem. Despite this, only 13% of the NHS budget goes towards treatment of mental illness. It is thus unsurprising that addressing the parity of esteem of mental health has been highlighted as a major priority for the healthcare system, with the NHS Five Year Forward plan aiming to achieve this by 2020.

Objectives

To explore the barriers to achieving parity of esteem of mental healthcare in the UK and develop recommendations for implementation.

Methods

Narrative review of literature and synthesis of findings

Results

Three key barriers to achieving parity of esteem of mental health were identified: the current mental health investment standard (MHIS), medical sub-specialisation, and access to acute day units (ADU). The following recommendations were thus synthesised: to increase the time-period to measure MHIS increments, integrating mental health teaching into specialty training programmes, and increasing the availbility of ADUs to crisis referral teams.

Conclusions

Addressing the disparity between mental and physical health is a major priority for the NHS. This research provides an overview of current barriers and suggests recommendations for improvement. By prioritizing improvement in the MHIS, integrating mental health teaching into specialty training, and increasing access to ADUs, the NHS formulates an excellent founding to achieving the ultimate goal, parity of esteem of mental health.

Disclosure

No significant relationships.

Keywords

Parity of esteemMental Health Policymental healthUnited Kingdom
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S632
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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