title: Gaps in service in the recognition and treatment of depression and suicidal ideation within a four-county area.
abstract: OBJECTIVE
  To examine gaps in service in the treatment of depression and suicidal ideation.
  
  
  METHODS
  A phenomenological investigation of clients' (n = 10) and service providers' (n = 40) perspectives.
  
  
  RESULTS
  Compartmentalized systems of care and lack of continuity between inpatient and outpatient treatment contributed to a sense of frustration in both groups. Receiving mental health care was likened to being given a broken-apart puzzle with individual pieces shuffling around in a box. Little bits of help are available, but none of them mesh.
  
  
  CONCLUSIONS
  Comprehensive solutions are needed if the human and social implications of depression are to be addressed.
authors.affiliation: Center for Health and Human Services Research, California State University, Sacramento, USA.
authors.forename: Bonnie
authors.initials: B
authors.lastname: Raingruber
mesh_terms: D003266:Continuity of Patient Care; D003865:Major Depressive Disorder / Q000628:therapy*; D006801:Humans; D010348:Patient Care Team; D013406:Suicide, Attempted / Q000517:prevention & control*