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Wilson , Matthew J. This project in Guatemala was done in partnership with the United Nations Population Fund. Janssen I, Krabbendam L, Bak M, Hanssen M, Vollebergh W, de Graaf R, et al. Based on this overview of concepts, we used the following definitions in our review: SMI was defined as any mental disorder, other than a substance use disorder, with the following two dimensions: duration of mental illness and obvious dysfunction. I have been raising my chickens to kill them when the baby is born. Time Variants is the blog space of photographer Jeffrey Henson Scales. An empirical literature review of definition of severe and persistent mental illness. Actually, they don't exist apart from each other.