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Redefining mental healthcare: going multidisciplinary to manage multimorbidity
  1. Simon Rosenbaum1,2,
  2. Grace McKeon1,
  3. Brendon Stubbs3,4,
  4. Megan Teychenne5,
  5. Alexandra Parker6,
  6. Robert Stanton7,8,
  7. Felipe Schuch9,
  8. Amit Mistry10,11,
  9. Zachary Steel1,2,
  10. Joseph Firth12,13
  1. 1 School of Psychiatry, UNSW Sydney, Sydney, New South Wales, Australia
  2. 2 Black Dog Institute, Randwick, New South Wales, Australia
  3. 3 Department of Psychological Medicine, King's College London, London, UK
  4. 4 Physiotherapy Department, South London and Maudsley National Health Services Foundation Trust, London, UK
  5. 5 Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia
  6. 6 Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia
  7. 7 School of Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia
  8. 8 Appleton Institute, Central Queensland University, Rockhampton, Queensland, Australia
  9. 9 Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, Brazil
  10. 10 Eating Disorders Service, Barnet Enfield and Haringey Mental Health NHS Trust, London, UK
  11. 11 Sport & Exercise Psychiatry Special Interest Group, Royal College of Psychiatrists, London, UK
  12. 12 NICM Health Research Institute, Western Sydney University, Westmead, New South Wales, Australia
  13. 13 Division of Psychology and Mental Health, The University of Manchester, Manchester, Manchester, UK
  1. Correspondence to A/Prof Simon Rosenbaum, School of Psychiatry, University of New South Wales, Sydney, NSW 2052, Australia; s.rosenbaum{at}

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People with mental illness are twice as likely to develop cardiovascular, respiratory, infectious and metabolic diseases compared with the general population.1This disparity in health occurs from the earliest presentation of mental ill health and affects people across the life span,1 reducing life expectancy by 15–30 years compared with the general population.2 This poor physical health, as well as the associated widening mortality gap,3 has been described as a ‘human rights scandal’.2 This problem led to a Lancet Psychiatry Commission1 on protecting the physical health of people living with mental illness, with a focus on prevention and early intervention across all levels of treatment. The Lancet Psychiatry Commission outlines advances in our understanding of the link between physical and mental health, summarising findings from over 100 systematic reviews and meta-analyses, providing a practical blueprint towards protecting the physical health of this vulnerable population.1 Importantly, the blueprint recommends that all people living with mental illness have access to exercise and dietary interventions as part of routine mental healthcare.

Relationship between mental and physical health

For people living with mental illness, higher rates of smoking, sleep disturbance, physical inactivity and …

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  • Twitter @simon_rosenbaum, @RobStanton2

  • Contributors SR and GMcK drafted the manuscript. All other authors provided critical review and approved the final version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors. SR is funded by an NHMRC Fellowship. GM is funded by a Suicide Prevention Australia PhD Scholarship.JF is currently supported by a University of Manchester Presidential Fellowship (P123958) and a UK Research and Innovation Future Leaders Fellowship (MR/T021780/1) and has received support from a NICM-Blackmores Institute Fellowship

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.