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The need for psychiatric treatment in the general population: the Camberwell Needs for Care Survey

Bebbington, PE; Marsden, L; Brewin, CR; (1997) The need for psychiatric treatment in the general population: the Camberwell Needs for Care Survey. PSYCHOL MED , 27 (4) 821 - 834. Green open access

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Abstract

Background, This paper presents the first results of a two-stage psychiatric population survey, which uses a new method of directly evaluating needs for specific psychiatric treatment and the extent to which they have been met.Method, The sample was drawn at random from the population of an area of inner south London with high levels of deprivation. Seven hundred and sixty subjects aged 18-65 completed the GHQ-28. All those scoring > 5 and half of the rest were invited to take part in the second stage, comprising measures of mental state (SCAN), social role performance (SRPS), life events and difficulties (LEDS) and a Treatment Inventory. This information was used to rate the community version of the Needs for Care Assessment (NFCAS-C).Results, In all, 408 subjects were interviewed in the second stage. The weighted 1 month prevalence of hierarchically ordered ICD-10 psychiatric disorders was 9.8 %, the 1 year prevalence 12.3 %. The equivalent prevalences for depressive episode were 3.1 % and 5.3 % respectively, while those for anxiety states were both 2.8 %. At interview nearly 10% of the population were identified as having a need for the treatment of a psychiatric condition. This rose to 10.4 % if the whole of the preceding year was assessed. Less than half of all potentially meetable needs were met. There was only partial overlap between diagnosis and an adjudged need for treatment.Conclusion. A majority of people with mental health problems do not have proper treatment; given more resources and greater public and medical awareness, most could be treated by family doctors.

Type: Article
Title: The need for psychiatric treatment in the general population: the Camberwell Needs for Care Survey
Open access status: An open access version is available from UCL Discovery
Keywords: MENTAL-HEALTH-SERVICES, DIAGNOSTIC INTERVIEW SCHEDULE, EASTERN BALTIMORE, EPIDEMIOLOGY, DEPRESSION, DISORDERS
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > IoN RLW Inst of Neurological Sci
URI: https://discovery.ucl.ac.uk/id/eprint/2147
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