New care delivery models and health information systems are needed to address diabetes care disparities in people with mental disorders

Implications for practice and research► New care delivery models, bringing together mental health and diabetes care, are essential to be able to provide less fragmented care and to build on the ethos of holistic care.► The evidence on what effective and cost-effective care models look like is needed. ContextMany people die early from the physical health problems linked to mental illness. 1 This is especially true for people with both diabetes and a mental health disorder, who face a higher risk of premature death compared with those living with diabetes alone. 2The reasons for this disparity are not fully understood.Wagner et al 3 ask an important question about the quality of diabetes care, especially access to monitoring and treatment, and whether it could be a contributing factor.They provide a much-needed review using evidence spanning Asia, North America, Europe and Australasia.