Accuracy of proactive case finding for mental disorders by community informants in Nepal

Mark J D Jordans, Brandon A Kohrt, Nagendra P Luitel, Ivan H Komproe, Crick Lund

Research output: Contribution to journalArticlepeer-review

55 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)501-6
Number of pages6
JournalThe British journal of psychiatry : the journal of mental science
Issue number6
Early online date1 Dec 2015
Publication statusE-pub ahead of print - 1 Dec 2015


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