this information gap will lead to poorer treatment options for patients and a lack of understanding for patients as primary care practitioners in a number of countries are being asked to do more and deliver a wider range of services for mildtomoderate mental illness many gps are being asked to delivery cognitive behavioural therapy for example see table levels of confidence in the ability to effectively care for patients will make the difference between poor average and excellent quality of care effective care at a primary care level includes appropriate diagnosis of disorders initiation and management of treatment referral and case management and the longterm management of some cases of mildtomoderate disorders using the principles of chronic disease management ford et al