This report presents the results of an evidence review to inform the parameters of the planned refresh of mental health policy in Ireland ten years after the publication of the existing policy framework set out in A Vision for Change (AVFC). The approach encompassed a stock-take of mental health developments in Ireland and a review of international developments, innovation, evidence and good practice. The review had a broad brief covering the various dimensions of the mental health terrain that might have relevance for informing the parameters of a refresh of mental health policy in Ireland.

The review gave particular attention to good practice and innovation in mental healthcare services. This covered a number of aspects, including:
• Addressing the spectrum of conditions and needs
• Balance of care and delivery systems: primary and secondary care
• Recovery approaches in mental healthcare practice
• eMental health
• Inpatient and community residential settings
• Other themes - addiction/substance misuse; prisoners; non-nationals/minorities; carers.

Addiction and substance misuse:
Many commentators have suggested the need for better integration of addiction and substance misuse services within the mental healthcare system in Ireland. The HSE clinical programme on Dual Diagnosis should help improve the situation. The Netherlands provides an example of a country that has given a high importance to addiction and substance misuse within mental healthcare, with the scope encompassing addictions to nicotine, alcohol, drugs, and sedatives and tranquilisers.