standing of the inherent interactions between the mind/brain and the rest of the body.

Applicability of the Quality Chasm Framework

As a result of its analyses (contained in the succeeding chapters), the committee made the following two overall findings:

Overall Finding. M/SU health care—like general health care—is often ineffective, not patient-centered, untimely, inefficient, inequitable, and at times unsafe. It, too, requires fundamental redesign.

Overall Finding. The Quality Chasm recommendations for the redesign of health care are as applicable to M/SU health care as they are to general health care.

In light of the above findings, the committee makes the following recommendation:

Overarching Recommendation 2. The aims, rules, and strategies for redesign set forth in Crossing the Quality Chasm should be applied throughout M/SU health care on a day-to-day operational basis, but tailored to reflect the characteristics that distinguish care for these problems and illnesses from general health care.

The following chapters describe how to implement these overarching recommendations.


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Bazelon Center for Mental Health Law. 2004. Get It Together: How to Integrate Physical and Mental Health Care for People With Serious Mental Disorders. Washington, DC: Judge David L. Bazelon Center for Mental Health Law.

Bell C, Mehta H. 1980. The misdiagnosis of black patients with manic depressive illness. Journal of the National Medical Association 73(2):141–145.

Bell CC, Mehta H. 1981. Misdiagnosis of black patients with manic depressive illness: Second in a series. Journal of the National Medical Association 73(2):101–1071.

Bergeson S. 2004, July 14. Testimony before the Institute of Medicine Committee on “Crossing the Quality Chasm: An Adaptation to Mental Health and Addictive Disorders.” Washington, DC.

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