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Government of the tudors

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  • On the Cape Fear River, about thirty miles from the East coast of North Carolina rests the beautiful city of Wilmington. Wilmington is the metropolis; the most important city of the old North State, and in fact, is one of the chief seaports of the Atlantic coast. The city lies on the East bank of the river, extending mainly Northward and Southward.

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  • It demands of us that we attend to the enormous unmet needs in child and adolescent mental health, that we recognize the paucity of services precisely where needs are greatest, and that we insist on action to remedy the treatment gap. Some 30 years ago, Julian Tudor Hart, a primary care physician practicing in a low income community in Wales, proposed an inverse care law. It reads: “The availability of good medical care varies inversely with the need for it in the populations served.” Nothing better illustrates this proposition than the data in this Atlas on how few child psychiatrists.

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