Repositioning community-based mental health care for people with psychosocial disabilities: a physical health equity-oriented whole-health recovery framework.

Community-based mental health care has expanded identification, treatment, continuity of care, and rehabilitation for people with psychosocial disabilities, yet physical health, functional capacity, and social participation remain insufficiently integrated into routine support. This Perspective proposes a physical health equity-oriented whole-health recovery framework that builds on existing community mental health services. The framework follows a single service logic in which routine contact identifies physical, functional, and participation needs; needs and support assessment considers clinical status, functional limitations, social barriers, preferences, and available resources; and needs-matched support facilitates participation, adaptation, and continued engagement. Its distinctive proposition is that disproportionate loss among people facing greater health or participation barriers should trigger further assessment, adaptation, or support with identifiable service responsibility. Equity is therefore examined across identification, assessment, matching, participation, retention, and benefit. Supported community participation provides one means of translating identified needs into everyday community life, with social prescribing representing one possible implementation mechanism. The proposed sequence is intended as a testable service proposition rather than a validated universal pathway, and its implementation should be examined across different service and policy contexts.