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Panic_Disorders_in_Primary_Care

Panic_Disorders_in_Primary_Care - PANIC DISORDERS IN...

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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
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Mental Health and Primary Care Mental Health Primary Care
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Primary Care and Mental Health Primary Care Mental Health
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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
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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
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40,000,000 people in the US receive services for Mental/Addictive Disorders Reiger et al . 1993 No Treatment 85% Treatment 15%
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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)
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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
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“de facto mental health system” Regier,1978 54% of people with mental illness who seek
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