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<div class="mw-indicators"> </div> <div id="siteSub" class="noprint">From Wikipedia, the free encyclopedia</div> </div> <div id="contentSub"><div id="mw-content-subtitle"></div></div> <div id="mw-content-text" class="mw-body-content"><div class="mw-content-ltr mw-parser-output" lang="en" dir="ltr"><div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Equal value of mental and physical health care</div> <p>In <a href="/wiki/Health_care" title="Health care">health care</a>, establishing <b>parity of esteem</b> means assigning equal value to <a href="/wiki/Mental_health_care" class="mw-redirect" title="Mental health care">mental health care</a> and to physical health care. </p><p>In many <a href="/wiki/Healthcare_system" class="mw-redirect" title="Healthcare system">healthcare systems</a>, parity of esteem is unrealized because of the pervasive <a href="/wiki/Mental_disorder#Stigma_and_discrimination" title="Mental disorder">stigma of mental illness</a>. People with diagnosed mental illness die on average around 20 years earlier than those without such a diagnosis, some because of suicide, but mostly because of poorly treated physical illness. Mental illness has been assessed as constituting around a quarter of the <a href="/wiki/Disease_burden" title="Disease burden">disease burden</a> in developed countries. There is much bigger <a href="/wiki/Global_mental_health#Treatment_gap" title="Global mental health">treatment gap</a> for mental illness than for physical illness. </p><p>In the USA legislation was enacted in 2006 which attempted to achieve equality in health insurance coverage between surgical treatment and mental health treatments.<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> </p><p>In the UK, <a href="/wiki/Norman_Lamb" title="Norman Lamb">Norman Lamb</a> campaigned for mental health to be given parity of esteem with physical health.<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> The <a href="/wiki/Royal_College_of_Psychiatrists" title="Royal College of Psychiatrists">Royal College of Psychiatrists</a> proposed that parity of esteem should be defined as "Valuing mental health equally with physical health". In practice most arguments have been centred on levels of funding. Expenditure on mental health services provided by NHS trusts fell by around 8.25% between 2010 and 2015.<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup> According to Dr Phil Moore, chair of the Mental Health Commissioners Network at NHS Clinical Commissioners, discussions in 2016 had degenerated into a funding dispute. He wanted to see discussions about the degree to which mental health is embedded into other services, including the integration of psychological services with general practice<sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup> </p><p>It has also been raised as an issue when comparing pay and conditions in healthcare with social care, where pay is generally much lower.<sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Parity_of_esteem&action=edit&section=1" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li>Tom Hennessey and Robin Wilson, 1997, <i><a rel="nofollow" class="external text" href="http://cain.ulst.ac.uk/dd/report7/report7.htm">With All Due Respect: Pluralism and Parity of Esteem</a></i>, Democratic Dialogue, <style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/1-900281-06-6" title="Special:BookSources/1-900281-06-6">1-900281-06-6</a></li></ul> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap"><ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-1">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation news cs1"><a rel="nofollow" class="external text" href="http://researchbriefings.files.parliament.uk/documents/POST-PN-485/POST-PN-485.pdf">"Parity of Esteem for Mental Health"</a> <span class="cs1-format">(PDF)</span>. No. 485. Parliamentary Office of Science and Technology. January 2015<span class="reference-accessdate">. Retrieved <span class="nowrap">13 September</span> 2015</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Parity+of+Esteem+for+Mental+Health&rft.issue=485&rft.date=2015-01&rft_id=http%3A%2F%2Fresearchbriefings.files.parliament.uk%2Fdocuments%2FPOST-PN-485%2FPOST-PN-485.pdf&rfr_id=info%3Asid%2Fen.wikipedia.org%3AParity+of+esteem" class="Z3988"></span></span> </li> <li id="cite_note-2"><span class="mw-cite-backlink"><b><a href="#cite_ref-2">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation news cs1"><a rel="nofollow" class="external text" href="http://www.edp24.co.uk/news/politics/norfolk_mp_norman_lamb_defeated_by_tim_farron_in_his_bid_to_lead_the_liberal_democrats_1_4156211">"Norfolk MP Norman Lamb defeated by Tim Farron in his bid to lead the Liberal Democrats"</a>. Eastern Daily Press. 16 July 2015<span class="reference-accessdate">. Retrieved <span class="nowrap">13 September</span> 2015</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Norfolk+MP+Norman+Lamb+defeated+by+Tim+Farron+in+his+bid+to+lead+the+Liberal+Democrats&rft.date=2015-07-16&rft_id=http%3A%2F%2Fwww.edp24.co.uk%2Fnews%2Fpolitics%2Fnorfolk_mp_norman_lamb_defeated_by_tim_farron_in_his_bid_to_lead_the_liberal_democrats_1_4156211&rfr_id=info%3Asid%2Fen.wikipedia.org%3AParity+of+esteem" class="Z3988"></span></span> </li> <li id="cite_note-3"><span class="mw-cite-backlink"><b><a href="#cite_ref-3">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation news cs1"><a rel="nofollow" class="external text" href="http://www.communitycare.co.uk/2015/03/20/mental-health-trust-funding-8-since-2010-despite-coalitions-drive-parity-esteem/">"Mental health trust funding down 8% from 2010 despite coalition's drive for parity of esteem"</a>. Community Care. 20 March 2015<span class="reference-accessdate">. Retrieved <span class="nowrap">13 September</span> 2015</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Mental+health+trust+funding+down+8%25+from+2010+despite+coalition%27s+drive+for+parity+of+esteem&rft.date=2015-03-20&rft_id=http%3A%2F%2Fwww.communitycare.co.uk%2F2015%2F03%2F20%2Fmental-health-trust-funding-8-since-2010-despite-coalitions-drive-parity-esteem%2F&rfr_id=info%3Asid%2Fen.wikipedia.org%3AParity+of+esteem" class="Z3988"></span></span> </li> <li id="cite_note-4"><span class="mw-cite-backlink"><b><a href="#cite_ref-4">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation journal cs1">"CCG deputy chair urges commissioners to refocus 'parity of esteeem' talks". <i>Commissioning Review</i> (Summer 2016): 36–38.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Commissioning+Review&rft.atitle=CCG+deputy+chair+urges+commissioners+to+refocus+%27parity+of+esteeem%27+talks&rft.issue=Summer+2016&rft.pages=36-38&rfr_id=info%3Asid%2Fen.wikipedia.org%3AParity+of+esteem" class="Z3988"></span></span> </li> <li id="cite_note-5"><span class="mw-cite-backlink"><b><a href="#cite_ref-5">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation news cs1"><a rel="nofollow" class="external text" href="https://www.homecareinsight.co.uk/government-not-delivering-on-workforce-parity-of-esteem-says-care-england/">"Government not delivering on workforce parity of esteem, says Care England"</a>. Home Care Insight. 26 July 2021<span class="reference-accessdate">. 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