The National Service Framework acknowledges the growing mental health needs of the adult population in the community and the alarming rise of mental health problems in the population.
The commonest problems have been recognised to be anxiety and depression; however, psychotic illnesses such as schizophrenia and manic depression are also not uncommon. Although there had been a service provision for these individuals for specialist mental health care units, unfortunately that did not serve well, and most these patients would be cared by the general practitioner or the primary care team, since most of these patients prefer care by the primary care team. If a specialist care team provides support to these patients while the care continued to be provided by the GPs and the primary team, it was contemplated, given the proportions of referrals to the specialist services, that an integrated care provision involving collaboration between care teams would best serve the purpose. However, it was soon evident that the problem of mental health care was not just specialist or primary treatment alone. It has social service implications since during the psychiatric or medical care, these patients needed support in terms of housing, employment, and training. There were problems with medication compliance, immediate crisis management facilities, continuous follow-up and earliest interventions, social support, and dual diagnosis. These problems would need the involvement of specialist community team including social care, but they cannot function effectively without the help from the primary care teams. While this paints the ideal picture, the reality must be different, since reviews still indicate that there are gaps in care provision in the mental health sector. Therefore, only evidence from literature can indicate the areas of the gaps, their reasons, and ways to avoid them so this framework can work most effectively in terms of outcome. To this end, a literature review should be undertaken through appropriate methodological rigour so the findings may be implemented in practice through recommendations.
This indicates there remained a gap in integration between the primary and secondary cares which need to be researched. In this review these questions will be reassessed from evidence in literature, and to this end, a focus question will be generated to guide the literature review.
Is there a need for collaborative working between primary and secondary care in community mental health
Methodology is important to fill in the intellectual vacuum that may be associated with a research question, and therefore, there is a need to pinpoint the context of a research within the existing knowledge base. Since there is a considerable body of existing literature depicting the studies in several areas of science and practice, while performing a literature review, it is pertinent and important to perform the review in a systematic and logical manner. A mapping and precise documentation of the systematic process ensure and indicate that the researcher had employed a comprehensive and systematic plan to undertake the review. This would also ensure reproducibility of the review, if some reader desires to perform it. A literature review that is approached