Perceived Need and Help-Seeking in Adults With Mood, Anxiety, or Substance Use Disorders

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Abstract
PSYCHIATRIC epidemiological studies repeatedly find that most adults with mental disorders receive no treatment.1,2 This finding poses a conceptual problem concerning the relationship between disorder and need for care and a public health problem concerning the need to define and address psychological, social, and economic barriers to care. One commonly used descriptive model,3 which explains service use in terms of the combined effects of predisposing factors(eg, gender, education, and health beliefs), enabling factors (eg, income, insurance, and geographic access), and severity of illness, has only modest power to predict whether individuals with mental disorders will seek help.4-6