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The British Journal of Psychiatry (2004) 185: 318-327
© 2004 The Royal College of Psychiatrists

Needs for mental health treatment among general practice attenders

Jed Boardman, PhD, FRCPsych

Health Services Research Department, Institute of Psychiatry, London

Carol Henshaw, MD, MRCPsych

School of Medicine

Sasi Willmott, PhD

School of Computing and Mathematics, Keele University, Staffordshire, UK

Correspondence: Dr Jed Boardman, Chaucer Community Resource Centre, 13 Ann Moss Way, London SE16 2TH, UK. E-mail: jed.boardman{at}slam.nhs.uk

Declaration of interest None. Funding detailed in Acknowledgements.

Background No study has directly assessed the need for mental health care among those consulting in general practice.

Aims To make a direct assessment of the needs for mental health care in people with non-psychotic disorders consulting their general practitioner.

Method In a two-phase study design, consecutive general practice attenders aged 17–65 years were interviewed using the Structured Clinical Interview for DSM–IV Axis I Disorders. Needs for care were assessed using the community version of the Medical Research Council Needs for Care Assessment Schedule.

Results Three hundred and thirty-six people were interviewed. The overall prevalence of need was 27.3%. More than half of the consulters (59.6%) had unmet needs and a further 6.2% hadpartiallymet needs. Needs were met in 28.1% and unmeetable in 6.2%. The prevalence of unmet need in those with anxiety disorders was 13.9% and depressive disorders 9.5%.

Conclusions The unmet need for mental health treatment in primary care attenders is high.


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