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.
Mental Health Services
Psychiatric Status Rating Scales
Published Version (Please cite this version)10.1192/bjp.bp.113.141077
Publication InfoJordans, Mark JD; Kohrt, Brandon A; Luitel, Nagendra P; Komproe, Ivan H; & Lund, Crick (2015). Accuracy of proactive case finding for mental disorders by community informants in Nepal. Br J Psychiatry, 207(6). pp. 501-506. 10.1192/bjp.bp.113.141077. Retrieved from https://hdl.handle.net/10161/10954.
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Adjunct Associate Professor in the Department of Psychiatry and Behavioral Sciences
Brandon Kohrt is a medical anthropologist and psychiatrist who completed his MD-PhD at Emory University in 2009. He is currently Assistant Professor of Psychiatry, Global Health, and Cultural Anthropology at Duke University. Dr. Kohrt has worked in Nepal since 1996 researching and aiding victims of war including child soldiers. Since 2006 has worked with Transcultural Psychosocial Organization (TPO) Nepal. Dr. Kohrt has been a consultant to The Carter Center Mental Health Program Liberia Init