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Evaluation of Proactive Community Case Detection to Increase Help Seeking for Mental Health Care: A Pragmatic Randomized Controlled Trial.

Publication ,  Journal Article
Jordans, MJD; Luitel, NP; Lund, C; Kohrt, BA
Published in: Psychiatr Serv
August 1, 2020

OBJECTIVE: The Community Informant Detection Tool (CIDT) is a vignette- and picture-based method of proactive case detection to promote help seeking for persons with depression, psychosis, alcohol use disorder, and epilepsy. The authors evaluated the effectiveness of the CIDT to increase help-seeking behavior in rural Nepal, where a district mental health care plan was being implemented. METHODS: Twenty-four health facilities were randomly assigned to one of two methods for training their all-female cadre of community health volunteers: standard training or standard training that included the CIDT. The authors compared the number of patients with depression, psychosis, alcohol use disorder, and epilepsy who were registered in the routine health information system prior to and 6 months after the training. RESULTS: At health facilities where volunteers received CIDT training, 309 patients were registered as having depression, psychosis, alcohol use disorder, or epilepsy, compared with 182 patients at facilities where volunteers received standard training. The median number of patients registered was 47% greater at facilities where CIDT training was included (24 patients) than at facilities with standard training (16 patients) (p=0.04, r=0.42). The difference in the number of registered patients remained significant when the analysis factored in the population catchment (N=18 patients [CIDT] versus N=14 [standard] per 10,000 population; p=0.05, r=0.40). CONCLUSIONS: The median number of patients registered as having a mental illness was 47% greater at primary care facilities in which community health volunteers used the CIDT than at facilities where volunteers received standard training. Proactive case finding holds promise for increasing help seeking for mental health care.

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Published In

Psychiatr Serv

DOI

EISSN

1557-9700

Publication Date

August 1, 2020

Volume

71

Issue

8

Start / End Page

810 / 815

Location

United States

Related Subject Headings

  • Rural Population
  • Psychotic Disorders
  • Psychiatry
  • Patient Acceptance of Health Care
  • Nepal
  • Mental Health Services
  • Mental Disorders
  • Humans
  • Help-Seeking Behavior
  • Female
 

Citation

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Jordans, M. J. D., Luitel, N. P., Lund, C., & Kohrt, B. A. (2020). Evaluation of Proactive Community Case Detection to Increase Help Seeking for Mental Health Care: A Pragmatic Randomized Controlled Trial. Psychiatr Serv, 71(8), 810–815. https://doi.org/10.1176/appi.ps.201900377
Jordans, Mark J. D., Nagendra P. Luitel, Crick Lund, and Brandon A. Kohrt. “Evaluation of Proactive Community Case Detection to Increase Help Seeking for Mental Health Care: A Pragmatic Randomized Controlled Trial.Psychiatr Serv 71, no. 8 (August 1, 2020): 810–15. https://doi.org/10.1176/appi.ps.201900377.
Jordans, Mark J. D., et al. “Evaluation of Proactive Community Case Detection to Increase Help Seeking for Mental Health Care: A Pragmatic Randomized Controlled Trial.Psychiatr Serv, vol. 71, no. 8, Aug. 2020, pp. 810–15. Pubmed, doi:10.1176/appi.ps.201900377.
Journal cover image

Published In

Psychiatr Serv

DOI

EISSN

1557-9700

Publication Date

August 1, 2020

Volume

71

Issue

8

Start / End Page

810 / 815

Location

United States

Related Subject Headings

  • Rural Population
  • Psychotic Disorders
  • Psychiatry
  • Patient Acceptance of Health Care
  • Nepal
  • Mental Health Services
  • Mental Disorders
  • Humans
  • Help-Seeking Behavior
  • Female