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Additional research suggests that factors such as patient attitudes and characteristics, clinician experience, and access to mental health services likely influence the referral process (Cooper-Patrick et al., 1999; Miller & McCrone, 2005; Slade et al., 2003; Trude & Stoddard, 2003; Waller et al., 2005).Depression is a chronic illness that most frequently is first observed in the primary care sett
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