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The Truth About the Treatment Gap and Unresistant Epilepsy About Unresistant Epilepsy (D.R.E.)* *Seizures that continue despite appropriate treatment with antiepileptic drugs3 Million people in the
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The median annual rate of treatment for schizophrenic disorders in mental health services was 128 cases per 100 000 population. The median treatment gap was 69% and was higher in participating low-income countries (89%) than in lower-middle-income and upper-middle-income countries (69% and 63%, respectively).
For all disorders regardless of severity the treatment gap in the Americas is 78.1%. The treatment gap in the United States for schizophrenia is 42.0%, whereas in LAC the treatment gap is 56.4%. ❖ The median treatment gap for the Americas for children and adolescents is 63.8% and 52.6% for severe mental disorders.
In the United States, the OCD treatment gap is 55%, greater than that for schizophrenia and nonaffective psychoses (36%) or bipolar disorder (39%).
The treatment gap represents the absolute difference between the true prevalence of a disorder and the treated proportion of individuals affected by the disorder. Alter- natively, the treatment gap may be expressed as the percentage of individuals who require care but do not receive treatment.
The result: a treatment gap of more than 20 million Americans. Lack of insurance, inadequate insurance coverage and insufficient public funds are the primary reasons for this treatment gap.
The key strategies for this delivery are implementing collaborative stepped care, strengthening human resources, and integrating mental health into general health care. Finally, it is not only important to improve access to health services for MNS disorders but also to focus on improving the quality of care delivered.
Our findings clearly indicate three strategies for reducing the treatment gap: increasing the numbers of psychiatrists and other mental health professionals; increasing the involvement of a range of appropriately trained non-specialist providers; and the active involvement of people affected by mental disorders.
A simple definition of the treatment gap is the number of people with an illness, disease, or disorder who need treatment but do not get it (expressed as a percentage).

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