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The Couch and the Cloth: The Need for Linkage
David B. Larson; Ann A. Hohmann; Larry G. Kessler; Keith G. Meador; Jeffrey H. Boyd; Elisabeth McSherry
Psychiatric Services 1988; doi:
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The Epidemiologic Catchment Area Program is a series of five epidemiologic research studies performed by independent research teams in collaboration with staff of the Division of Clinical Research of the National Institute of Mental Health. The NIMH principal collaborators are Darrel A. Regier, M.D., M.P.H., Ben Z. Locke, M.S.P.H., and Jack D. Burke, Jr., M.D., M.P.H.; William J. Huber is NIMH project officer. The principal investigators and coinvestigators from the five sites are Jerome K. Myers, Ph.D., Myrna M. Weissman, Ph.D., and Gary Tischler, M.D., Yale University, New Haven, Connecticut; Morton Kramer, Sc.D., Sam Shapiro, and Shepard Kellam, Ph.D., Johns Hopkins University, Baltimore; Lee N. Robins, Ph.D., and John Helzer, M.D., Washington University, St. Louis; Linda George, Ph.D., and Dan Blazer, M. D., Ph. D., Duke University, Durham, North Carolina; and Marvin Kamo, M.D., Richard L. Hough, Ph.D., Javier Escobar, M.D., Audrey Burnam, Ph.D., and Diane Timbers, Ph.D., University of California, Los Angeles.

The authors are most grateful to Barbara Burns, Kim Sherrill, Peter Benson, Jack D. Burke, Dan Blazer, Marvin Karno, Lee Robins, and Sam Shapiro for their helpful comments, and to Donald S. Rae for assistance with the data.

Biometric and clinical applications branch, Division of Biometry and Applied Sciences, National Institute of Mental Health, Room 18C-14, 5600 Fishers Lane, Rockville, Maryland 20857

Operations research branch, Division of Cancer Prevention and Control, National Cancer Institute, Bethesda, Maryland

Department of psychiatry and in the divinity school of Duke University

Ambulatory psychiatric services in the department of psychiatry at Waterbury (Conn.) Hospital

Department of health policy and management in the Harvard School of Public Health in Boston

American Psychiatric Association

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Abstract

Data from the Epidemiologic Catchment Area study were used to compare the demographic characteristics and psychiatric symptomatology of persons classified into four groups based on source of mental health services: clergy only, mental health specialists only, both clergy and mental health specialists, and neither source. Those receiving services from both clergy and mental health specialists were more likely to have major affective and panic disorders than those who sought services from clergy or mental health specialists only or who sought services from neither. Those in the care of mental health specialists were more likely to have substance abuse disorders. Those in the care of clergy only were as likely as those seeing mental health specialists only to have serious mental disorders. The data make clear the need for formal linkages between clergy and mental health professionals.

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