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The chronically mentally ill in primary care1

Published online by Cambridge University Press:  09 July 2009

Darrel A. Regier ,
Jack D. Burke Jr ,
Ronald W. Manderscheid  and
Barbara J. Burns
Darrel A. Regier*
Affiliation:
NIMH Division of Biometry and Epidemiology, Rockville, Maryland, USA
Jack D. Burke Jr
Affiliation:
NIMH Division of Biometry and Epidemiology, Rockville, Maryland, USA
Ronald W. Manderscheid
Affiliation:
NIMH Division of Biometry and Epidemiology, Rockville, Maryland, USA
Barbara J. Burns
Affiliation:
NIMH Division of Biometry and Epidemiology, Rockville, Maryland, USA
*
2Address for correspondence: Dr D. A. Regier, Room 18C-26, 5600 Fishers Lane, Rockville, MD 20857, USA.
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Synopsis

The role of primary care physicians in addressing the needs of chronically mentally ill patients is examined from three perspectives: (1) assessing community prevalence; (2) treating chronic medical problems in the context of other human service needs; and (3) treating specific types of chronic mental disorders. About 30% of primary care patients were found to have at least one Research Diagnostic Criteria mental disorder, five-sixths of which had a duration greater than 1 year. However, about 9% of patients had some impairment and 2% had severe impairment associated with a mental disorder. Although affective disorders have the highest overall rates, personality, psychotic, and anxiety disorders contribute the greatest proportion of severe disability.

Type
Research Article
Information
Psychological Medicine , Volume 15 , Issue 2 , May 1985 , pp. 265 - 273
Copyright
Copyright © Cambridge University Press 1985

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Footnotes

1

Based on a paper presented at the 1982 Symposium of the Section of Epidemiology and Community Psychiatry of the World Psychiatric Association, 1982.

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