TY - JOUR
KW - Adolescent
KW - Adult
KW - Comorbidity
KW - Complementary Therapies/statistics & numerical data/utilization
KW - Female
KW - Health Services Accessibility/statistics & numerical data
KW - Health Services Needs and Demand
KW - Health Services Research/statistics & numerical data
KW - Health Surveys
KW - Humans
KW - Internal Medicine/statistics & numerical data
KW - Male
KW - Mental Disorders/diagnosis/epidemiology/therapy
KW - Mental Health Services/statistics & numerical data/utilization
KW - Middle Aged
KW - Outcome Assessment (Health Care)
KW - Prevalence
KW - Psychiatric Status Rating Scales/statistics & numerical data
KW - Psychiatry/statistics & numerical data
KW - Quality of Health Care
KW - United States/epidemiology
AU - P. S. Wang
AU - M. Lane
AU - M. Olfson
AU - H. A. Pincus
AU - K. B. Wells
AU - R. C. Kessler
A1 - 
AB - BACKGROUND: Dramatic changes have occurred in mental health treatments during the past decade. Data on recent treatment patterns are needed to estimate the unmet need for services. OBJECTIVE: To provide data on patterns and predictors of 12-month mental health treatment in the United States from the recently completed National Comorbidity Survey Replication. DESIGN AND SETTING: Nationally representative face-to-face household survey using a fully structured diagnostic interview, the World Health Organization's World Mental Health Survey Initiative version of the Composite International Diagnostic Interview, carried out between February 5, 2001, and April 7, 2003. PARTICIPANTS: A total of 9282 English-speaking respondents 18 years and older. MAIN OUTCOME MEASURES: Proportions of respondents with 12-month DSM-IV anxiety, mood, impulse control, and substance disorders who received treatment in the 12 months before the interview in any of 4 service sectors (specialty mental health, general medical, human services, and complementary and alternative medicine). Number of visits and proportion of patients who received minimally adequate treatment were also assessed. RESULTS: Of 12-month cases, 41.1% received some treatment in the past 12 months, including 12.3% treated by a psychiatrist, 16.0% treated by a non-psychiatrist mental health specialist, 22.8% treated by a general medical provider, 8.1% treated by a human services provider, and 6.8% treated by a complementary and alternative medical provider (treatment could be received by >1 source). Overall, cases treated in the mental health specialty sector received more visits (median, 7.4) than those treated in the general medical sector (median, 1.7). More patients in specialty than general medical treatment also received treatment that exceeded a minimal threshold of adequacy (48.3% vs 12.7%). Unmet need for treatment is greatest in traditionally underserved groups, including elderly persons, racial-ethnic minorities, those with low incomes, those without insurance, and residents of rural areas. CONCLUSIONS: Most people with mental disorders in the United States remain either untreated or poorly treated. Interventions are needed to enhance treatment initiation and quality.
BT - Archives of General Psychiatry
C5 - Key & Foundational
CP - 6
CY - United States
DO - 10.1001/archpsyc.62.6.629
IS - 6
JF - Archives of General Psychiatry
N2 - BACKGROUND: Dramatic changes have occurred in mental health treatments during the past decade. Data on recent treatment patterns are needed to estimate the unmet need for services. OBJECTIVE: To provide data on patterns and predictors of 12-month mental health treatment in the United States from the recently completed National Comorbidity Survey Replication. DESIGN AND SETTING: Nationally representative face-to-face household survey using a fully structured diagnostic interview, the World Health Organization's World Mental Health Survey Initiative version of the Composite International Diagnostic Interview, carried out between February 5, 2001, and April 7, 2003. PARTICIPANTS: A total of 9282 English-speaking respondents 18 years and older. MAIN OUTCOME MEASURES: Proportions of respondents with 12-month DSM-IV anxiety, mood, impulse control, and substance disorders who received treatment in the 12 months before the interview in any of 4 service sectors (specialty mental health, general medical, human services, and complementary and alternative medicine). Number of visits and proportion of patients who received minimally adequate treatment were also assessed. RESULTS: Of 12-month cases, 41.1% received some treatment in the past 12 months, including 12.3% treated by a psychiatrist, 16.0% treated by a non-psychiatrist mental health specialist, 22.8% treated by a general medical provider, 8.1% treated by a human services provider, and 6.8% treated by a complementary and alternative medical provider (treatment could be received by >1 source). Overall, cases treated in the mental health specialty sector received more visits (median, 7.4) than those treated in the general medical sector (median, 1.7). More patients in specialty than general medical treatment also received treatment that exceeded a minimal threshold of adequacy (48.3% vs 12.7%). Unmet need for treatment is greatest in traditionally underserved groups, including elderly persons, racial-ethnic minorities, those with low incomes, those without insurance, and residents of rural areas. CONCLUSIONS: Most people with mental disorders in the United States remain either untreated or poorly treated. Interventions are needed to enhance treatment initiation and quality.
PP - United States
PY - 2005
SN - 0003-990X; 0003-990X
T1 - Twelve-month use of mental health services in the United States: Results from the National Comorbidity Survey Replication
T2 - Archives of General Psychiatry
TI - Twelve-month use of mental health services in the United States: Results from the National Comorbidity Survey Replication
U1 - Key & Foundational
U2 - 15939840
U3 - 10.1001/archpsyc.62.6.629
VL - 62
VO - 0003-990X; 0003-990X
Y1 - 2005
ER -