Psychiatric morbidity in primary health care. A two-stage screening procedure in developing countries: choice of instruments and cost-effectiveness.
The use in two developing countries of a two-stage psychiatric screening procedure with an emphasis on minor morbidity is described. This was the first use of the Self-Reporting Questionnaire and Clinical Interview Schedule in conjunction. Health auxiliaries with limited training administered the first-stage screening instrument. In comparison with other psychiatric screening techniques used in developing countries, the procedure described may prove to be more cost-effective in primary care and community surveys, and more appropriate for assessing the wide range of minor psychiatric morbidity commonly encountered in such settings.
D001938:Brazil; D003156:Community Mental Health Services / Q000191:economics; D003362:Cost-Benefit Analysis; D003906:Developing Countries; D006801:Humans; D007194:India; D008403:Mass Screening; D001523:Mental Disorders / Q000453:epidemiology / Q000517:prevention & control*; D011320:Primary Health Care / Q000191:economics / Q000379:methods*