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Psychiatric care
Social psychiatry and the beginning of community care
Arrangements for early treatment
Rates of psychiatric disorder in the community
How many affected persons seek help?
How many affected persons attend primary care?
Planning a psychiatric service
Identification of psychiatric disorders in primary care
Treatments provided by the primary care team
Work in primary care by the psychiatric team
Specialist services for acute psychiatric disorder
Assertive Community Treatment
Provisions for acute specialist care

How many affected persons seek help?

Among the adult population of the UK , between 260 and 315 per thousand are found, in community surveys, to have a psychiatric disorder. Not all these people seek medical advice. Some cope on their own, others are supported by family, friends, clergy, or non-medical counselors. People with substance misuse are particularly likely to consider that they do not need medical help.

In the UK ; where primary care services are well developed, about nine in ten people with a psychiatric disorder attend a general practitioner. The factors which determine whether a person seeks medical help for a psychiatric disorder include

•  The severity and duration of the disorder;

•  The person's attitude to psychiatric disorder; some people feel ashamed and embarrassed to ask for help;

•  Knowledge about possible help; if people do not know what help can be provided, they are less likely to seek help;

•  The person's perception of the doctor's attitude to psychiatric disorder; if the doctor is viewed as unsympathetic, the person is less likely to ask for help;

•  The attitudes and knowledge of family and friends; if these people are unsympathetic, the affected person may be less likely to seek help.




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