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Schizophrenia Bulletin Advance Access originally published online on June 5, 2009
Schizophrenia Bulletin 2009 35(4):677-678; doi:10.1093/schbul/sbp047
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© The Author 2009. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org.

The Science-to-Service Gap in Real-World Schizophrenia Treatment: The 95% Problem

Robert E. Drake1,2 and Susan M. Essock3
2 Department of Psychiatry, Dartmouth Medical School, Dartmouth Psychiatric Research Center, Lebanon, NH
3 Department of Psychiatry, Columbia University, New York State Psychiatric Institute, New York, NY

Keywords: mental health services / schizophrenia / services research

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One overwhelming, regrettable, and disheartening fact about the treatment of schizophrenia in the United States is that few people with this disorder receive well-recognized and highly effective treatments. This reality is known as the science-to-service gap: Intervention science has demonstrated with rigorous research methods that a number of interventions are effective, yet services research shows indisputably that people with this serious mental disorder are likely to receive few if any of these effective interventions. In this special theme issue, the authors review 3 aspects of this problem: first, the evidence . . . [Full Text of this Article]

1 To whom correspondence should be addressed; tel: 603-448-0263, fax: 603-448-3976, e-mail: Robert.E.Drake@dartmouth.edu.


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