Accuracy of proactive case finding for mental disorders by community informants in Nepal.
Published
Journal Article
BACKGROUND: Accurate detection of persons in need of mental healthcare is crucial to reduce the treatment gap between psychiatric burden and service use in low- and middle-income (LAMI) countries. AIMS: To evaluate the accuracy of a community-based proactive case-finding strategy (Community Informant Detection Tool, CIDT), involving pictorial vignettes, designed to initiate pathways for mental health treatment in primary care settings. METHOD: Community informants using the CIDT identified screen positive (n = 110) and negative persons (n = 85). Participants were then administered the Composite International Diagnostic Interview (CIDI). RESULTS: The CIDT has a positive predictive value of 0.64 (0.68 for adults only) and a negative predictive value of 0.93 (0.91 for adults only). CONCLUSIONS: The CIDT has promising detection properties for psychiatric caseness. Further research should investigate its potential to increase demand for, and access to, mental health services.
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Duke Authors
Cited Authors
- Jordans, MJD; Kohrt, BA; Luitel, NP; Komproe, IH; Lund, C
Published Date
- December 2015
Published In
Volume / Issue
- 207 / 6
Start / End Page
- 501 - 506
PubMed ID
- 26450582
Pubmed Central ID
- 26450582
Electronic International Standard Serial Number (EISSN)
- 1472-1465
Digital Object Identifier (DOI)
- 10.1192/bjp.bp.113.141077
Language
- eng
Conference Location
- England