Panic_Disorders_in_Primary_Care

Panic_Disorders_in_Primary_Care - PANIC DISORDERS IN...

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Unformatted text preview: PANIC DISORDERS IN PRIMARY CARE ROBERT K. SCHNEIDER, MD Assistant Professor Departments of Psychiatry and Internal Medicine Medical College of Virginia Campus of the Virginia Commonwealth University Mental Health and Primary Care Mental Health Primary Care Primary Care and Mental Health Primary Care Mental Health Epidemiologic Catchment Area Study Five specific geographic areas Adults aged 18 years and older Structured interviews initially, at 6 and 12 months Defined areas of mental health services 70,000,000 people in the US have a Diagnosable Mental/Addictive Disorder Mental/ Addictive Disorder 28% No Mental/ Addictive Disorder 72% Reiger et al . 1993 40,000,000 people in the US receive services for Mental/Addictive Disorders Reiger et al . 1993 No Treatment 85% Treatment 15% Sectors Where Mental Health Services are Provided Specialty Mental /Addictive Sector Inpatient and Outpatient Psychiatric/Addictive General Medical Sector Nursing Home and Hospitals Outpatient (Primary Care Setting) Other Human Service Professionals (Clergy, Counselors) Voluntary support Network (Family, Friends, AA) Percentage of Patients per Sector PATIENTS SECTOR 21.5% Not in Treatment 15.0% Specialty Mental Health, Inpatient and Outpatient 6.0% Overlap 54.1% General Medical Sector Outpatient, Primary Care 3.4% General Medical Sector, Inpatient, including Nursing Homes de facto mental health system Regier,1978...
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Panic_Disorders_in_Primary_Care - PANIC DISORDERS IN...

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