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H. Richard Lamb, MD

Arch Gen Psychiatry. 1989;46(8):743-744.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Dr Koran and his colleagues are to be congratulated for their article in this issue.¹ In a well-designed study, they have demonstrated that almost half the patients in a large state public mental health system had an important physical disease, and that almost half of these diseases had gone unrecognized by that mental health system. This included many diseases causing or exacerbating mental disorders. This study highlights a vitally important part of diagnostic screening that is too often neglected in public mental health systems. The study also provides an excellent example of the kinds of diagnostic screening that should be done with psychiatric patients. If careful medical evaluations were done on a routine basis, these extensive findings of undiagnosed illnesses would not be possible. In this era of inadequate funding and rationed health care in the public sector, including psychiatric care, it is unfortunate but typical that such a . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Psychiatry, University of Southern California School of Medicine, Los Angeles.

Footnotes
Accepted for publication November 16, 1988.

Reprint requests to Department of Psychiatry, University of Southern California School of Medicine, LAC/USC Medical Center, 1934 Hospital PI, Los Angeles, CA 90033 (Dr Lamb).

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