Still ‘being bothered about Billy’: managing the physical health of people with severe mental illness

People with severe mental illness (SMI) face a future not only limited by stigmatising psychiatric illness, but also a life shortened by 15–20 years through physical comorbidities. Social and behavioural determinants help explain why many of these comorbidities cluster together. Moreover, the experience of multiple conditions, sometimes with conflicting management requirements and multiple healthcare providers, creates a disproportionate...