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Second, a substantial increase in the rate of treatment occurred between 1990 to 1992 and 2001 to 2003 in the proportion of the population treated for emotional disorders, even though the majority of those with such disorders still received no treatment. The increased rate of treatment may have been due to Small Elsa Peretti Sevillana pendant, direct-to-consumer marketing of new psychotropic medications19; the development of new community programs to promote the awareness of mental disorders and provide screening and help in seeking care20; the expansion of primary care, managed care, and behavioral "carve-out" programs of mental health services21; and new legislation and policies to promote access to these services.22 Presumably, increased access played an independent role in the increase in the proportion of the population treated for emotional disorders.23 Insurance coverage expanded throughout the decade, whereas cost sharing by consumers declined.

Third, the increase in the rate of treatment varied among the sectors of mental Tiffany Nature Dragonfly disc pendant services, leading to a shift in the type of treatment, most notably an increase of more than 150 percent in the rate of treatment in the sector of general medical services. Despite the hope that mental disorders might be treated more efficiently owing to this shift, the data show that many patients receiving treatment in this sector of services did not complete the clinical assessment or receive treatment or the appropriate ongoing monitoring in accordance with accepted standards of care.18 In addition, a high proportion of patients continued to receive treatment provided in the sectors of human services and complementary-alternative medical services for which Paloma's Zellige pendant evidence of effectiveness is lacking.

Fourth, the increase in the rate of treatment was unrelated to sociodemographic variables. As a result, the increase did not reduce the sociodemographic differences shown in the baseline NCS.24 Indeed, in absolute terms, these inequalities increased. For example, in both the NCS and the NCS-R, among non-Hispanic Paloma's Crown of Hearts pendant and whites, blacks were only 50 percent as likely to receive psychiatric treatment as whites when both received a diagnosis of a disorder of the same severity, but the fact that the rate of psychiatric treatment increased by more than 100 percent suggests that this difference resulted in an absolute gap in the receipt of treatment between non-Hispanic blacks and whites that increased by more than 100 percent.

Fifth, although a small positive association was found in both surveys between the severity of the disorder and the receipt of treatment, severity did not interact with time in predicting receipt of treatment. Thus, the proportional increase in the rate of treatment was essentially the same for all levels of severity. The positive association between severity and treatment has been interpreted as evidence of rationality in the distribution of treatment resources.24 However, the fact that in roughly half the respondents who received treatment, the mental disorder Paloma's Crown of Hearts pendant not meet the criteria of the DSM for any disorder assessed in the NCS and NCS-R has led to controversy with regard to the relationship between severity and the need for treatment.25,26 Some commentators have argued that treatment resources should be focused on serious disorders.27 Others have argued that the treatment of mild disorders28 and subthreshold syndromes29 might be cost-effective and might prevent the onset of serious disorders in the future. No comparative data on cost-effectiveness are available to use in considering these contending views.