The DOI matches its Crossref record; 46 of the 47 references it cites were found in a registry or an index.
The Quality of Care for Depressive and Anxiety Disorders in the United States
Abstract
BACKGROUND: Depressive and anxiety disorders are prevalent and cause substantial morbidity. While effective treatments exist, little is known about the quality of care for these disorders nationally. We estimated the rate of appropriate treatment among the US population with these disorders, and the effect of insurance, provider type, and individual characteristics on receipt of appropriate care. METHODS: Data are from a cross-sectional telephone survey conducted during 1997 and 1998 with a national sample. Respondents consisted of 1636 adults with a probable 12-month depressive or anxiety disorder as determined by brief diagnostic interview. Appropriate treatment was defined as present if the respondent had used medication or counseling that was consistent with treatment guidelines. RESULTS: During a 1-year period, 83% of adults with a probable depressive or anxiety disorder saw a health care provider (95% confidence interval [CI], 81%-85%) and 30% received some appropriate treatment (95% CI, 28%-33%). Most visited primary care providers only. Appropriate care was received by 19% in this group (95% CI, 16%-23%) and by 90% of individuals visiting mental health specialists (95% CI, 85%-94%). Appropriate treatment was less likely for men and those who were black, less educated, or younger than 30 or older than 59 years (range, 19-97 years). Insurance and income had no effect on receipt of appropriate care. CONCLUSIONS: It is possible to evaluate mental health care quality on a national basis. Most adults with a probable depressive or anxiety disorder do not receive appropriate care for their disorder. While this holds across diverse groups, appropriate care is less common in certain demographic subgroups.
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“and to use mental health services [9,10]”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [9]
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“Recent research suggests that while a majority of the public identifies major depression as a mental illness, psychiatric disorders continue to be strongly stigmatized.(52) We found that people not receiving appropriate care were much less likely to have had their mental health problems evaluated, and much less likely…”
BackgroundAgency for Health Care Policy and Research
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Self-citationHow Good Is the Quality of Health Care in the United States?
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Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection
Kroenke, K., Spitzer, R. L., Williams, J. B. W., Monahan, P. O., & Löwe, B. (2007) · Annals of Internal Medicine · doi:10.7326/0003-4819-146-5-200703060-00004 · Cited by 4,741
An Ultra-Brief Screening Scale for Anxiety and Depression: The PHQ–4
Kroenke, K., Spitzer, R. L., Williams, J. B. W., & Löwe, B. (2009) · Psychosomatics · doi:10.1016/s0033-3182(09)70864-3 · Cited by 4,261
Improving Primary Care for Patients With Chronic Illness
Bodenheimer, T. (2002) · JAMA · doi:10.1001/jama.288.14.1775 · Cited by 2,961
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Self-citationUnützer, J., Katon, W., Callahan, C. M., Williams, Jr., Hunkeler, E., Harpole, L., Hoffing, M., Della Penna, R. D., Noël, P. H., Lin, E. H. B., et al. (2002) · JAMA · doi:10.1001/jama.288.22.2836 · Cited by 2,405
Metadata
- Authors
- Young, A. S., Klap, R., Sherbourne, C. D., & Wells, K. B.
- Affiliations
- University of California, Los Angeles (US)
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2001-01-01
- Volume
- 58
- Issue
- 1
- Pages
- 55
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2167477924
- Cited by
- 1,061
- References
- 47
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 12 · 2023: 17 · 2022: 13 · 2021: 24 · 2020: 24 · 2019: 28 · 2018: 36 · 2017: 29 · 2016: 41 · 2015: 41 · 2014: 47 · 2013: 61 · 2012: 55
- FWCI
- 98.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (P50-MH54623, P50MH054623)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Keywords
- depressive disorders, anxiety disorders, mental health care quality, treatment utilization, primary care, mental health professionals, health insurance, demographic disparities, access to mental health care, United States
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anxiety Disorders, Counseling, Cross-Sectional Studies, Depressive Disorder, Female, Health Services Research, Humans, Male, Mental Health Services, Middle Aged, Psychotropic Drugs, Quality of Health Care, United States, Dysthymic Disorder
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