The British Journal of Psychiatry
The balanced care model: the case for both hospital- and community-based mental healthcare
Graham Thornicroft, Michele Tansella
  • Declaration of interest



The balanced care model proposes that a comprehensive mental health system needs to include both community- and hospital-based care. The model is based on a structured review of scientific evidence, and is also informed by the experience of experts active in mental health system change in many countries worldwide.


  • Funding

    G.T. is funded in relation to a National Institute for Health Research (NIHR) Applied Programme grant awarded to the South London and Maudsley NHS Foundation Trust, and in relation to the NIHR Specialist Mental Health Biomedical Research Centre at the Institute of Psychiatry, King's College London and the South London and Maudsley NHS Foundation Trust. All opinions expressed here are solely those of the authors.

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