The National Institute of Mental Health epidemiologic study: implications for family practice.

The National Institute of Mental Health has begun a five-site epidemiologic study of the prevalence and incidence of common psychiatric illnesses. Preliminary results reveal a high prevalence of substance abuse disorders in men and a high prevalence of affective and anxiety disorders in women. Evaluation of health care provider utilization shows that women and elderly patients with mental health problems are more likely to visit primary care providers only for mental health problems. The results have important implications for the research and curriculum of family practice.