PMID: 9429062Jan 16, 1998Paper

Mental health treatment in Ontario: selected comparisons between the primary care and specialty sectors

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
S V ParikhA D Lesage

Abstract

Epidemiologic research has demonstrated that the majority of mental illness in the community is not treated. Primary care physicians and the specialty mental health sector each have an important role in the provision of mental health services. Our goal is to clarify the extent of undertreatment of selected mental illnesses in Ontario and to examine how treatment is divided between the primary care and specialty sectors. In particular, we are interested in both the relative numbers and the types--based on sociodemographic and severity indicators--of patients found in each sector, as well as in confirming the key role of primary care in the provision of mental health services. Data were taken from the Mental Health Supplement to the Ontario Health Survey, a community survey of 9953 individuals. All subjects who met DSM-III-R criteria for a past year diagnosis of mood, anxiety, substance abuse, bulimic, or antisocial personality disorders were categorized by their use of mental health services in the preceding year--into nonusers, primary care only patients, specialty only patients, and both sector patients. The 3 groups utilizing services were then compared by demographic, clinical, and disability characteristics. Only 20.8% of s...Continue Reading

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Citations

May 7, 2004·Acta Psychiatrica Scandinavica. Supplementum·J AlonsoUNKNOWN ESEMeD/MHEDEA 2000 Investigators, European Study of the Epidemiology of Mental Disorders (ESEMeD) Project
Nov 25, 2004·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Mark A LauSagar V Parikh
Nov 10, 2005·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Helen-Maria VasiliadisRichard Boyer
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Oct 1, 2003·Journal of Medical Internet Research·Peter FarvoldenPaula Ravitz
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May 9, 2012·International Archives of Occupational and Environmental Health·Annukka IkonenKaj Husman
Oct 12, 2013·The International Journal of Social Psychiatry·Ora NakashItzhak Levav
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