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Some internal mechanism is not performing, causes person or others significant distress, prevents person from functioning in daily life, Statistics Canada 2002 Canadian Community Health, 2002-2003 Hospital Mental Health Database3, 2004 Health Behaviours of School Children Survey, Depression (e.g., Major Depressive Episode), Substance Dependence (e.g., Alcohol Dependence), 1 out of every 10 Canadians aged 15 and over, or. 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