FEB+9+EPI+PSYCH+FINAL

FEB+9+EPI+PSYCH+FINAL - HOW MEASURE M.I.? Psychiatric...

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HOW MEASURE M.I.? Psychiatric interviews very expensive, impractical, unreliable Lay administrators Need practical, standardized measures Standardized questions and answers
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MAJOR STUDY NCS – National Comorbidity Study (Kessler)
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FINDINGS All disorders – 1/3 of people in past year; ½ over lifetime DEPRESSION - 10% in past year; 17% over lifetime ANXIETY - 20% in past year; 30% over lifetime SUBSTANCE ABUSE - 15% past year; 25% over lifetime Much “ COMORBIDITY ” – more than one disorder
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USUAL CONCLUSIONS (KESSLER) Mental disorder widespread Tremendous unmet need for treatment Unmet need greatest among poor, minorities, men, older Must expand mental health services
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Problems No context Different than clinical No individual discretion No clinician discretion Result = false positives and overcounting
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USEFUL FOR RATES Compare groups – e.g. gender, social class, ethnicity, marital status, etc.
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CONCLUSION Mental illness is widespread
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This note was uploaded on 11/20/2011 for the course SOCIOLOGY 920:307 taught by Professor Horwitz during the Spring '10 term at Rutgers.

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FEB+9+EPI+PSYCH+FINAL - HOW MEASURE M.I.? Psychiatric...

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