title: Accuracy of proactive case finding for mental disorders by community informants in Nepal.
abstract: 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.
  
  
  OBJECTIVE
  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.
  
  
  METHODS
  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.
authors.affiliation: Mark J. D. Jordans, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London UK; Brandon A. Kohrt, PhD, Duke Global Health Institute, Duke University, Durham, North Carolina, USA; Nagendra P. Luitel, MA, Research Department, Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal; Ivan H. Komproe, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, The Netherlands; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa mark.jordans@hntpo.org.
authors.forename: Mark J D
authors.initials: MJ
authors.lastname: Jordans
authors.affiliation: Mark J. D. Jordans, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London UK; Brandon A. Kohrt, PhD, Duke Global Health Institute, Duke University, Durham, North Carolina, USA; Nagendra P. Luitel, MA, Research Department, Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal; Ivan H. Komproe, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, The Netherlands; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
authors.forename: Brandon A
authors.initials: BA
authors.lastname: Kohrt
authors.affiliation: Mark J. D. Jordans, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London UK; Brandon A. Kohrt, PhD, Duke Global Health Institute, Duke University, Durham, North Carolina, USA; Nagendra P. Luitel, MA, Research Department, Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal; Ivan H. Komproe, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, The Netherlands; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
authors.forename: Nagendra P
authors.initials: NP
authors.lastname: Luitel
authors.affiliation: Mark J. D. Jordans, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London UK; Brandon A. Kohrt, PhD, Duke Global Health Institute, Duke University, Durham, North Carolina, USA; Nagendra P. Luitel, MA, Research Department, Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal; Ivan H. Komproe, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, The Netherlands; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
authors.forename: Ivan H
authors.initials: IH
authors.lastname: Komproe
authors.affiliation: Mark J. D. Jordans, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London UK; Brandon A. Kohrt, PhD, Duke Global Health Institute, Duke University, Durham, North Carolina, USA; Nagendra P. Luitel, MA, Research Department, Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal; Ivan H. Komproe, PhD, Research and Development Department, HealthNet TPO, Amsterdam, The Netherlands and Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, The Netherlands; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
authors.forename: Crick
authors.initials: C
authors.lastname: Lund
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology; D008605:Mental Health Services / Q000592:standards*; D008875:Middle Aged; D009390:Nepal; D011203:Poverty; D011569:Psychiatric Status Rating Scales / Q000592:standards*