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Improving outcomes in depression

BMJ 2002; 324 doi: (Published 23 March 2002) Cite this as: BMJ 2002;324:737

Integrated solutions should not be provided at the expense of reduced participation of statutory sector

  1. Chris Manning, chief executive officer.
  1. Primary care Mental Health and Education (PriMHE), The Old Stables, 2A Laurel Avenue, Twickenham TW1 4JA
  2. Dudley Priority Health NHS Trust, Health Centre, Cross Street, Dudley, DY1 1RN

    EDITOR—An overview by experts in the field reasoning for and recommending the better quality and delivery of care to a substantial population is greatly to be welcomed.1 We need a person centred, whole system approach, with medical management being but a part of the best practice “prescription.” Early intervention and active management work for every other condition known to man and prevent the long term complications of potentially recurrent or chronic ill health, whether it be asthma, diabetes, hypertension, or depression. The cerebral dysfunction associated with depression (which is far more than a mood disorder) produces lost quality of life, disability, comorbidity, and somatisation—all of which cost the health, social, and employers' budgets billions of pounds a year and place a huge burden of work on practitioners of primary healthcare and social care.

    The …

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