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The relationship between the provision of health care and the needs of its consumers can be examined by looking at the three areas of demand, utilization, and need. Until recently, epidemiological studies in psychiatry produced two sorts of data relevant to these issues: the prevalence of various mental disorders and the extent to which people utilize services. The combination of prevalence and utilization data does at least give a feel for the extent to which treatment needs go unmet. This chapter presents data from the British National Survey of Psychiatric Morbidity. It evaluates more specifically the extent to which needs for psychiatric treatment are being met in the general population. The chapter focuses on depressive and anxiety disorders, since these were the commonest groups. Finally, it presents the needs status in relation to all the care episodes rated for depression and anxiety.
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