Evidence-based QUalIty Learning Initiative for Better Restorative & Integrated Universal Medicine
To fundamentally restructure medical education and primary care practice to balance pharmaceutical and holistic evidence-based interventions, creating a new generation of physicians equipped to address the root causes of mental health conditions.
- 23% of UK population prescribed antidepressants, yet disability from depression increasing
- Only 33% of SSRI prescriptions consistent with guidelines
- 50% of patients discontinue prematurely
- GPs feel they have no alternatives to prescribing
- Robust evidence for lifestyle/psychological interventions underutilized
10-year comprehensive transformation:
- Restructure medical education to include holistic evidence-based approaches
- Reform primary care pathways and payment models
- Train current practitioners in full range of interventions
- Rigorous evaluation proving effectiveness and cost-savings
- 50% reduction in inappropriate antidepressant prescribing
- 40% improvement in long-term mental health outcomes
- 30% reduction in mental health-related healthcare costs
- 80% of new medical graduates competent in holistic intervention delivery
- Full Implementation Plan
- Evidence Compendium
- Curriculum Overview
- Clinical Pathways
- Get Involved
- Governance
Current Phase: Year 1 - Foundation & Development
Timeline:
- ✅ Year 1 Q1: Steering Committee formed, funding secured
- 🔄 Year 1 Q2: Evidence review in progress (Current)
- ⏳ Year 1 Q3: Curriculum design
- ⏳ Year 1 Q4: Pilot site selection
- Executive Summary (5 min read)
- Evidence Brief (15 min read)
- FAQ
project-equilibrium/
├── docs/
│ ├── 00-executive-summary/ # Project overview, implementation plan, FAQ
│ ├── 01-evidence-base/ # Research evidence for interventions
│ ├── 02-curriculum/ # Educational framework documentation
│ ├── 03-clinical-pathways/ # Clinical pathway design and payment models
│ ├── 04-implementation/ # Timeline, rollout plans, change management
│ ├── 05-evaluation/ # Evaluation methodology and metrics
│ ├── 06-communications/ # Stakeholder engagement and messaging
│ └── 07-resources/ # Patient materials, references, tools
│
├── curriculum/
│ ├── year-1/ # Foundation: Understanding mental health
│ ├── year-2/ # Building skills: Psychological interventions
│ ├── year-3-4/ # Clinical integration: Holistic practice
│ ├── assessment/ # Competency assessments
│ └── faculty-training/ # Educator preparation
│
├── clinical-tools/
│ ├── pathways/ # Depression, anxiety, mixed presentation pathways
│ ├── assessment-tools/ # Validated screening and monitoring tools
│ ├── patient-materials/ # Treatment options, self-help resources
│ ├── decision-aids/ # Shared decision-making tools
│ └── ehr-templates/ # Electronic health record templates
│
├── research/
│ ├── protocols/ # Study designs and evaluation protocols
│ ├── data-collection/ # Data collection instruments
│ ├── analysis-scripts/ # Statistical analysis code
│ └── publications/ # Research outputs
│
├── implementation/
│ ├── pilot-sites/ # Pilot medical schools and GP practices
│ ├── medical-schools/ # Medical school implementation guides
│ ├── gp-practices/ # GP practice implementation guides
│ ├── training-materials/ # Training programs for practitioners
│ ├── scaling-guides/ # National rollout guidance
│ └── lessons-learned/ # Implementation insights
│
├── data/
│ ├── baseline/ # Pre-implementation data
│ ├── pilot-phase/ # Pilot phase outcomes
│ ├── scale-up/ # Scale-up phase data
│ └── outcomes/ # Long-term outcomes and impact
│
├── tools/
│ ├── calculators/ # Clinical calculators and risk tools
│ ├── dashboards/ # Implementation monitoring dashboards
│ └── apps/ # Patient-facing applications
│
└── community/
├── discussions/ # Community Q&A and discussions
├── working-groups/ # Collaborative working groups
└── events/ # Webinars, conferences, training events
→ Join as a pilot site → Access curriculum materials → Join educator network
→ Join as a pilot practice → Access clinical tools → Join GP network
→ Student ambassador program → Provide feedback on curriculum
→ Patient advisory group → Share your story
→ Collaborate on research → Access data
→ Policy briefings → Economic analysis
→ Contributing Guide → Open Issues
Project EQUILIBRIUM operates under a collaborative governance model with representation from medical education, primary care, mental health, research, and patient advocacy.
See GOVERNANCE.md for full details.
This work is licensed under Creative Commons Attribution-ShareAlike 4.0 International.
You are free to:
- Share — copy and redistribute the material
- Adapt — remix, transform, and build upon the material
Under the following terms:
- Attribution — You must give appropriate credit
- ShareAlike — If you remix, you must distribute under same license
- No pharmaceutical industry funding — Materials cannot be modified by entities receiving >10% revenue from pharmaceutical industry
See LICENSE for complete terms.
If you use materials from this project, please cite:
Project EQUILIBRIUM Contributors. (2025). Project EQUILIBRIUM: Evidence-based
Quality Learning Initiative for Better Restorative & Integrated Universal Medicine
[Educational and clinical resources]. https://github.com/FreespiritD/Project-equilibrium
For specific materials:
Project EQUILIBRIUM Contributors. (2025). [Specific resource title]. In Project
EQUILIBRIUM: Evidence-based Quality Learning Initiative for Better Restorative &
Integrated Universal Medicine. Retrieved [date] from [specific URL]
General Inquiries: info@projectequilibrium.org Steering Committee: steering@projectequilibrium.org Medical Schools: medschools@projectequilibrium.org GP Practices: gppractices@projectequilibrium.org Press Inquiries: press@projectequilibrium.org Technical Support: tech@projectequilibrium.org
Website: www.projectequilibrium.org Twitter: @ProjEquilibrium LinkedIn: Project EQUILIBRIUM GitHub Discussions: community/discussions
This project builds on decades of work by:
- Researchers documenting holistic intervention evidence
- Clinicians pioneering integrative approaches
- Patients advocating for better care
- Medical educators committed to reform
Special thanks to contributors (see CONTRIBUTORS.md)
- [Committee members to be listed as project progresses]
This project is funded by:
- NHS England
- Department of Health
- Wellcome Trust
- National Institute for Health Research (NIHR)
No pharmaceutical industry funding accepted.
Together, we can restore balance to medicine.
Status: Active Development Phase: Year 1 Q2 - Evidence Review Version: 0.1.0 Last Updated: October 2025