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Psychiatric epidemiology has played a vital part in two ways in the process of achieving greater recognition for the needs of people with mental disorders. The use of epidemiological information for advocacy stands separately from scientific studies of what determines the onset and course of mental disorders. Clearly, epidemiology has done much to advance the care of the mentally ill by demonstrating both the extent of such morbidity and that it has received short shrift in most communities; but epidemiology has at the same time opened a Pandora's box of problems for providing adequate mental health services. This chapter presents information to allow the situation to be assessed from a global perspective. The problem of unmet need straddles both advocacy and science. Estimation of unmet need for services is one of the most important tasks of psychiatric epidemiology.
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