Use of Services by Persons With Mental and Addictive Disorders: Findings From the National Institute of Mental Health Epidemiologic Catchment Area Program

doi:10.1001/archpsyc.1993.01820140017002

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Vol. 50 No. 2, February 1993

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Use of Services by Persons With Mental and Addictive Disorders

Findings From the National Institute of Mental Health Epidemiologic Catchment Area Program

William E. Narrow, MD, MPH; Darrel A. Regier; Donald S. Rae, MA; Ronald W. Manderscheid, PhD; Ben Z. Locke, MSPH

Arch Gen Psychiatry. 1993;50(2):95-107.

Abstract

• The use of ambulatory and inpatient mental health andaddiction services in the United States was estimated by meansof data from the National Institute of Mental Health EpidemiologicCatchment Area Program standardized to the 1980 US census foradults 18 years of age and older. In a 1-year period, 22.8 millionpeople used ambulatory services for mental or addictive disordertreatment; 54% of them had a current Diagnostic Interview Schedule/DSM-IIImental disorder and another 37.4% had a history of psychiatricdisorder or significant psychiatric symptoms. A total of 325.9million ambulatory visits were made, and the average numberof visits per treated person per year was 14.3. There were 1.4million persons admitted to at least one inpatient mental healthor addiction setting during a 1-year period; 80% of them hada current DIS/DSM-III disorder, and the remainder had a historyof psychiatric disorder or significant psychiatric symptoms.Results were determined for specific mental and substance usediagnoses and service settings. Among treated persons with anymental or addictive disorder, the majority of visits were tomental and addictive disorders specialty settings (40.5% oftotal visits) and to support networks composed of friends, relatives,and self-help groups (37.0% of total visits). Although a largenumber of persons with mental and substance use disorders wereseen in the general medical sector for mental health or addictionproblems, they were seen less frequently and therefore madefewer visits to this sector (10.9% of total visits).

Author Affiliations

From the Epidemiology and Psychopathology Research Branch, Division of Epidemiology and Services Research, National Institute of Mental Health, National Institutes of Health, Rockville, Md (Dr Narrow and Messrs Rae and Locke); Office of the Director, Division of Epidemiology and Services Research, National Institute of Mental Health, National Institutes of Health (Dr Regier); and Office of the Director, Division of State and Community Systems Development, Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, Rockville, Md (Dr Manderscheid).

Footnotes

Accepted for publication October 7, 1992.

Reprint requests to Room 10C-05, 5600 Fishers Ln, Rockville,MD 20857 (Dr Narrow).

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