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Janet R. Hankin, PhD; Donald M. Steinwachs, PhD; Darrel A. Regier, MD, MPH; Barbara J. Burns, PhD; Irving D. Goldberg, MPH; Edwin W. Hoeper, MD

Arch Gen Psychiatry. 1982;39(2):225-231.

Abstract
• Data are presented on the medical diagnoses and the type of general medical services used by persons with mental disorder diagnoses. This study is based on the 1975 experience of registrants in four medical programs contained in three organizational settings. The data on services were retrieved from each program's automated data system. The percent of patients seen in general medical departments receiving a mental disorder diagnosis ranged from 4.8% to 13.6% among the four programs. Patients with mental disorder diagnoses visit general medical departments from 11/2 to two times as frequently as patients without such diagnoses. Persons with a diagnosed mental disorder are likely to receive care for conditions in more International Classification of Diseases categories than other patients, and are more likely to receive a diagnosis for ill-defined conditions, signs, and symptoms.

Author Affiliations
From Johns Hopkins Health Services Research and Development Center, Baltimore (Drs Hankin and Steinwachs); Division of Biometry and Epidemiology, National Institute of Mental Health, Rockville, Md (Drs Regier and Burns and Mr Goldberg); and Marshfield (Wis) Clinic (Dr Hoeper).

Footnotes
Accepted for publication July 7, 1981.

An earlier version of this paper was presented at the annual meeting of the American Psychiatric Association, Atlanta, May 11, 1978.

Reprint requests to Johns Hopkins University, 34th and Charles streets, Shriver Hall, Baltimore, MD 21218 (Dr Hankin).

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