ArticleSocial psychiatry and psychiatric epidemiology2018
Patterns of concordances in mhGAP-IG screening and DSM-IV/ICD10 diagnoses by trained community service providers in Kenya: a pilot cross-sectional study.
Article in Social psychiatry and psychiatric epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 24 citations in OpenAlex.
- A scoping review exploring cancer survivorship in Africa: 2011 to 2024.Journal of cancer survivorship : research and practice · 2026Review
- Characterizing modifications to the mental health gap action programme (mhGAP) intervention guide during implementation in low- and middle-income countries using the framework for reporting adaptations and modifications to evidence-based interventions: a systematic review of reviews.International journal of mental health systems · 2025Review
- Characterising people who inject drugs, and association with HIV infection: A situation analysis in Kampala City, Uganda.PLOS global public health · 2025Article
- Characterising People who inject drugs, and association with HIV infection: A Situation Analysis in Kampala city, Uganda.medRxiv : the preprint server for health sciences · 2024Article
- Moving away from the scarcity fallacy: three strategies to reduce the mental health treatment gap in LMICs.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2023Article
- Feasibility and preliminary efficacy of training health workers in detecting Priority Mental Health Conditions among adolescents in rural South India.Pilot and feasibility studies · 2022Article
- The prevalance of binge eating disorder and associated psychiatric and substance use disorders in a student population in Kenya - towards a public health approach.BMC psychiatry · 2022Article
- Effectiveness of community health workers on identification and mobilization of persons living with epilepsy in rural Rwanda using a validated screening tool.Human resources for health · 2022Article
- Reassessing the Mental Health Treatment Gap: What Happens if We Include the Impact of Traditional Healing on Mental Illness?Community mental health journal · 2021Article
- Engaging culture and context in mhGAP implementation: fostering reflexive deliberation in practice.BMJ global health · 2020Review
- Using the WHO-AIMS to inform development of mental health systems: the case study of Makueni County, Kenya.BMC health services research · 2020Article
- Geographic distribution and determinants of mental health stigma in central Mozambique.Social psychiatry and psychiatric epidemiology · 2019Article
- Perceived impacts as narrated by service users and providers on practice, policy and mental health system following the implementation of the mhGAP-IG using the TEAM model in a rural setting in Makueni County, Kenya: a qualitative approach.International journal of mental health systems · 2019Article
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Authors and funding
7 authors at 3 institutions in 3 countries.
Funding
Abstract
purposeThe objective of this study was to determine the extent of concordance between positive screens for mental disorders by various trained community-based health workers using the WHO mental health Gap Action Programme Intervention Guide (mhGAP-IG) and independently confirmed DSM-IV/ICD-10 diagnoses.
methodsThis was a cross-sectional study conducted in Makueni County, Kenya. 40 nurses/clinical officers, 60 Community Health Workers (CHWs), 51 Faith Healers (FHs), and 59 Traditional Healers (THs) from 20 facilities were trained to screen and refer patients with eight priority mental health conditions using the mhGAP-IG. These referrals, as well as referrals from friends or family members, and self-referrals were assessed using the Mini International Neuropsychiatric Instrument (M.I.N.I.) Plus. Concordance between positive screens and M.I.N.I. Plus diagnoses was investigated.
results15,078 community members agreed to participate in screening. Of these 12,170 (81%) screened positive for a mental disorder and were referred to their local clinics/hospitals. 8333 (68.5%) of those who were referred went for independent diagnostic assessment at the nearest facility. Positive predictive values varied with different providers and for different conditions. There was over 80% concordance between the initial screen and the M.I.N.I. Plus diagnoses across the different health providers and across all diagnoses.
conclusionBoth formal and informal mental health providers can be trained to successfully and accurately screen for mental health disorders using the mhGAP-IG symptoms. This suggests that community-based non-specialist providers may play a key role in decreasing the mental health treatment gap. Further policy implications are discussed.
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