TY - JOUR
KW - Adolescent
KW - Adult
KW - Age Factors
KW - Aged
KW - Ambulatory Care
KW - Catchment Area (Health)
KW - Delivery of Health Care/statistics & numerical data
KW - Female
KW - Health Policy
KW - Hospitalization
KW - Humans
KW - Incidence
KW - Male
KW - Mental Disorders/epidemiology/therapy
KW - Mental Health Services/utilization
KW - Middle Aged
KW - National Health Programs
KW - Patient Acceptance of Health Care
KW - Prevalence
KW - Prospective Studies
KW - Recurrence
KW - Self-Help Groups/utilization
KW - Social Support
KW - Substance-Related Disorders/epidemiology/therapy
KW - United States/epidemiology
AU - D. A. Regier
AU - W. E. Narrow
AU - D. S. Rae
AU - R. W. Manderscheid
AU - B. Z. Locke
AU - F. K. Goodwin
A1 - 
AB - After initial interviews with 20,291 adults in the National Institute of Mental Health Epidemiologic Catchment Area Program, we estimated prospective 1-year prevalence and service use rates of mental and addictive disorders in the US population. An annual prevalence rate of 28.1% was found for these disorders, composed of a 1-month point prevalence of 15.7% (at wave 1) and a 1-year incidence of new or recurrent disorders identified in 12.3% of the population at wave 2. During the 1-year follow-up period, 6.6% of the total sample developed one or more new disorders after being assessed as having no previous lifetime diagnosis at wave 1. An additional 5.7% of the population, with a history of some previous disorder at wave 1, had an acute relapse or suffered from a new disorder in 1 year. Irrespective of diagnosis, 14.7% of the US population in 1 year reported use of services in one or more component sectors of the de facto US mental and addictive service system. With some overlap between sectors, specialists in mental and addictive disorders provided treatment to 5.9% of the US population, 6.4% sought such services from general medical physicians, 3.0% sought these services from other human service professionals, and 4.1% turned to the voluntary support sector for such care. Of those persons with any disorder, only 28.5% (8.0 per 100 population) sought mental health/addictive services. Persons with specific disorders varied in the proportion who used services, from a high of more than 60% for somatization, schizophrenia, and bipolar disorders to a low of less than 25% for addictive disorders and severe cognitive impairment. Applications of these descriptive data to US health care system reform options are considered in the context of other variables that will determine national health policy.
BT - Archives of General Psychiatry
C5 - Key & Foundational; Medically Unexplained Symptoms
CP - 2
CY - UNITED STATES
IS - 2
JF - Archives of General Psychiatry
N2 - After initial interviews with 20,291 adults in the National Institute of Mental Health Epidemiologic Catchment Area Program, we estimated prospective 1-year prevalence and service use rates of mental and addictive disorders in the US population. An annual prevalence rate of 28.1% was found for these disorders, composed of a 1-month point prevalence of 15.7% (at wave 1) and a 1-year incidence of new or recurrent disorders identified in 12.3% of the population at wave 2. During the 1-year follow-up period, 6.6% of the total sample developed one or more new disorders after being assessed as having no previous lifetime diagnosis at wave 1. An additional 5.7% of the population, with a history of some previous disorder at wave 1, had an acute relapse or suffered from a new disorder in 1 year. Irrespective of diagnosis, 14.7% of the US population in 1 year reported use of services in one or more component sectors of the de facto US mental and addictive service system. With some overlap between sectors, specialists in mental and addictive disorders provided treatment to 5.9% of the US population, 6.4% sought such services from general medical physicians, 3.0% sought these services from other human service professionals, and 4.1% turned to the voluntary support sector for such care. Of those persons with any disorder, only 28.5% (8.0 per 100 population) sought mental health/addictive services. Persons with specific disorders varied in the proportion who used services, from a high of more than 60% for somatization, schizophrenia, and bipolar disorders to a low of less than 25% for addictive disorders and severe cognitive impairment. Applications of these descriptive data to US health care system reform options are considered in the context of other variables that will determine national health policy.
PP - UNITED STATES
PY - 1993
SN - 0003-990X; 0003-990X
SP - 85
EP - 94
EP - 
T1 - The de facto US mental and addictive disorders service system. Epidemiologic catchment area prospective 1-year prevalence rates of disorders and services
T2 - Archives of General Psychiatry
TI - The de facto US mental and addictive disorders service system. Epidemiologic catchment area prospective 1-year prevalence rates of disorders and services
U1 - Key & Foundational; Medically Unexplained Symptoms
U2 - 8427558
VL - 50
VO - 0003-990X; 0003-990X
Y1 - 1993
ER -