Over recent decades an increasing amount of attention has been paid to identifying and meeting the individual support needs of mental health service users and people with physical impairments in the UK. However, the support needs of individuals who fall into both categories have largely been overlooked by social care and health service providers, practitioners, and organisations for whom the main focus is either mental health or physical impairment. Writing from her position as both a social worker and a service user, Julia Smith has written an innovative and important text which both discusses a neglected area of personal experience and makes an original contribution to knowledge with regard to both policy and practice.