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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The British Journal of Psychiatry
2015
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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 |
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Mental Disorders Nepal |
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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 |
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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 |
work_keys_str_mv |
AT jordansmarkj accuracyofproactivecasefindingformentaldisordersbycommunityinformantsinnepal AT kohrtbransona accuracyofproactivecasefindingformentaldisordersbycommunityinformantsinnepal AT luitelnagendrap accuracyofproactivecasefindingformentaldisordersbycommunityinformantsinnepal AT komproeivanh accuracyofproactivecasefindingformentaldisordersbycommunityinformantsinnepal AT lundcrick accuracyofproactivecasefindingformentaldisordersbycommunityinformantsinnepal |
_version_ |
1761501188005560320 |