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Study found that mental health expertise exists in communities but needs to be nurtured; primary care is one point of access to high-quality mental health care; psychosocial interventions can be adapted to meet the needs of underserved groups; and a multilevel intervention to increase access to high-quality mental health care in primary care can be greater than the sum of its parts.

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C Dowrick,1,* C Chew-Graham,2,3 K Lovell,2 J Lamb,2 S Aseem,2 S Beatty,2 P Bower,2 H Burroughs,2,3 P Clarke,1 S Edwards,1,4 M Gabbay,1 K Gravenhorst,1 J Hammond,2 D Hibbert,1 M Kovandžić ,1 M Lloyd-Williams,1 W Waheed,2 L Gask,2 

1 Institute of Psychology, Health and Society, University of Liverpool, Liverpool, , UK
2 Institute of Population Health, University of Manchester, Manchester, , UK
3 Institute of Primary Care and Health Sciences, Keele University, Keele, , UK
4 College of Medicine, Swansea University, Swansea, , UK
* Corresponding author ; Email:

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