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Mental Health and Wellbeing in England: Adult Psychiatric Morbidity Survey 2014

A survey carried out for NHS Digital by NatCen Social Research and the Department of Health Sciences, University of Leicester

Every seven years a rigorous assessment of the nation’s mental health is carried out. England has the longest running programme using consistent methods in the world.

The Adult Psychiatric Morbidity Survey (APMS) provides England’s National Statistics for the monitoring of mental illness and treatment access in the household population. The data series is unique and valuable because:

• A range of mental disorders, substance disorders and self-harm behaviours is covered.

• High quality screening and assessment tools are used and undiagnosed conditions identified. A two phase design is used.

• Surveys have been carried out in 1993, 2000, 2007 and 2014 using comparable methods so trends can be examined.

• A large representative sample of the household population was interviewed, 7,500 people aged 16 or more, including those who do not access services.

As with all surveys, it should be acknowledged that prevalence rates are only estimates. If everyone in the population had been assessed the rate found may be higher or lower than the survey estimate. 95% confidence intervals (CIs) are given for key estimates in the individual chapters and Chapter 14 (Methods). For low prevalence disorders, relatively few positive cases were identified. Particular attention should be given to uncertainty around these estimates and to subgroup analysis based on these small samples. Comparisons made in the text have been tested and only statistically significant differences are described.

This latest survey, with fieldwork carried out in 2014 and 2015, presents the most reliable profile available of mental health in England. It was commissioned by NHS Digital, funded by the Department of Health, and carried out by NatCen Social Research and the University of Leicester. The survey includes data on mental
health not available from any other source, and complements the range of statistics routinely published by NHS Digital. Reports on the use of Psychological Therapies can be found at www.digital.nhs.uk/iaptreports. Reports on the use of specialist Mental Health and Learning Disability health services can be found at
www.digital.nhs.uk/mhldsreports.