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LETTER |
The authors are with the New York City Department of Health and Mental Hygiene, New York, NY.
Correspondence: Requests for reprints should be sent to Katharine H. McVeigh, PhD, MPH, Bureau of Epidemiology Services, New York City Department of Health and Mental Hygiene, 125 Worth St, Room 315, CN-6, New York, NY 10013 (e-mail: tmcveigh@health.nyc.gov).
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Mojtabais article, "Trends in Contacts With Mental Health Professionals and Cost Barriers to Mental Health Care Among Adults With Significant Psychological Distress in the United States: 19972002,"1 is informative and provides policymakers with critical information regarding the national burden of significant psychological distress, as well as trends in potential unmet need for treatment. However, we recommend additional analyses that would make the findings more useful for mental health service planning.
First, urbanrural differences in both the prevalence of significant psychological distress and the treatment contact rate should be examined. Previous studies have shown that urban areas have a higher prevalence
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