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Part of the book series: Current Clinical Practice ((CCP))

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Abstract

Engel proposed the biopsychosocial model for patient care in 1977, which called on physicians to care for patients in an integrated manner. Despite the longstanding adaptation of this theory in the training of physicians, mental disorders remain underdiagnosed in primary care settings (13). Strategies to improve detection and treatment of mental disorders are imperative to the mental and physical health of a striking number of individuals worldwide. The World Health Organization’s (WHO) 2001 report on mental health revealed a significant “treatment gap,” claiming that, of the 450 million people suffering from a mental or behavioral disorder, only a small minority were receiving treatment. A Needs Study found that two-thirds to three-quarters of all people were identified as suffering from mental health symptoms, and did not report receiving treatment (4). This further highlights the gap between epidemiology and service use. An epidemic of untreated and poorly treated mental disorders exists in the United States, especially among vulnerable groups and the under-insured (5). Patients’ race, sex, and coexisting medical conditions affect physicians’ awareness of mental health issues. This calls for improved strategies of detection and intervention (6).

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Butler, B.J. (2008). Psychiatric Disorders in Women. In: Clouse, A.L., Sherif, K. (eds) Women’s Health in Clinical Practice. Current Clinical Practice. Humana Press. https://doi.org/10.1007/978-1-59745-469-8_16

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  • DOI: https://doi.org/10.1007/978-1-59745-469-8_16

  • Publisher Name: Humana Press

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