Accuracy of proactive case finding for mental disorders by community informants in Nepal
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 Informa...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | en_US |
| Published: |
The British Journal of Psychiatry
2015
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| Subjects: | |
| Online Access: | http://103.69.126.140:8080/handle/123456789/816 |
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| Summary: | 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. Declaration of interest None. |
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