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We found that -5 cases detected and undetected by -11 criteria were similar in demographics, comorbid mental disorders, service use, and impairment variables with the exception that cases detected by -11 had a larger number of symptoms and were more likely to have probable drug dependence than undetected -5 cases. -5 cases detected by -11 are mostly similar to cases undetected by -11. By using -11 instead of -5, we may be leaving (similarly) affected people underserved. It is unlikely that purely epidemiological studies can solve this di