This article introduces the concept of spirituality in mental healthcare and its relevance to practice. It uses a short case study as an example from practice using Borton’s (1970) framework. After this, an analysis of recent literature discusses gaps in spiritual care provision from the perspectives of service users and nurses. The author offers recommendations to improve spiritual care at different levels of mental healthcare, with examples of successful implementation from different NHS trusts. Login using your SSSFT NHS OpenAthens details for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you requesting.