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: Jordans, Mark J., Kohrt, Branson A., Luitel, Nagendra P., Komproe, Ivan H., Lund, Crick
Format: Article
Language:en_US
Published: The British Journal of Psychiatry 2015
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Online Access:http://103.69.126.140:8080/handle/123456789/816
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spelling oai:103.69.126.140:123456789-8162022-11-09T06:51:34Z Accuracy of proactive case finding for mental disorders by community informants in Nepal Jordans, Mark J. Kohrt, Branson A. Luitel, Nagendra P. Komproe, Ivan H. Lund, Crick Mental Disorders 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 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. 2015-12-16T16:57:23Z 2022-11-08T10:23:58Z 2015-12-16T16:57:23Z 2022-11-08T10:23:58Z 2015 Article @ The Royal College of Psychiatrists 2015. http://103.69.126.140:8080/handle/123456789/816 en_US application/pdf The British Journal of Psychiatry
institution My University
collection DSpace
language en_US
topic Mental Disorders
Nepal
spellingShingle Mental Disorders
Nepal
Jordans, Mark J.
Kohrt, Branson A.
Luitel, Nagendra P.
Komproe, Ivan H.
Lund, Crick
Accuracy of proactive case finding for mental disorders by community informants in Nepal
description 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.
format Article
author Jordans, Mark J.
Kohrt, Branson A.
Luitel, Nagendra P.
Komproe, Ivan H.
Lund, Crick
author_facet Jordans, Mark J.
Kohrt, Branson A.
Luitel, Nagendra P.
Komproe, Ivan H.
Lund, Crick
author_sort Jordans, Mark J.
title Accuracy of proactive case finding for mental disorders by community informants in Nepal
title_short Accuracy of proactive case finding for mental disorders by community informants in Nepal
title_full Accuracy of proactive case finding for mental disorders by community informants in Nepal
title_fullStr Accuracy of proactive case finding for mental disorders by community informants in Nepal
title_full_unstemmed Accuracy of proactive case finding for mental disorders by community informants in Nepal
title_sort accuracy of proactive case finding for mental disorders by community informants in nepal
publisher The British Journal of Psychiatry
publishDate 2015
url http://103.69.126.140:8080/handle/123456789/816
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AT komproeivanh accuracyofproactivecasefindingformentaldisordersbycommunityinformantsinnepal
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