ArticlePsychiatric services (Washington, D.C.)2021
Brief Screening Tool for Stepped-Care Management of Mental and Substance Use Disorders.
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Article in Psychiatric services (Washington, D.C.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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19citing papers in PubMed, 1 pooled it
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review and meta-analysis of diagnostic test accuracy of mental health screening tools applicable to adolescents in sub-Saharan Africa.Frontiers in psychiatry · 2026Pooled it
- Providers' perspectives of barriers and facilitators to scale-up of mental health care in the public health delivery system of Mozambique: a qualitative inquiry.BMC health services research · 2024Trial
- Technology and implementation science to forge the future of evidence-based psychotherapies: the PRIDE scale-up study.Evidence-based mental health · 2021Trial
- Global mental health and psychosocial support programming: An expert review of major implementation and funding challenges.Global mental health (Cambridge, England) · 2025Review
- Psychometric Evaluation of Screens for Common Mental Disorders, Severe Mental Disorders, Substance Use Disorders, and Suicide Risk in Mozambican Healthcare.Medical research archives · 2024Article
- Factors influencing integration of mental health screening and treatment at HIV clinic settings in Cameroon: a qualitative study of health providers' perspectives.BMC health services research · 2024Article
- Global Is Local: Leveraging Global Mental-Health Methods to Promote Equity and Address Disparities in the United States.Clinical psychological science : a journal of the Association for Psychological Science · 2024Article
- Leveraging a Digitized Mental Wellness (DIGImw) Program to Provide Mental Health Care for Internally Displaced People.Psychiatric services (Washington, D.C.) · 2024Article
- Validation of a brief screener for broad-spectrum mental and substance-use disorders in South Africa.Global mental health (Cambridge, England) · 2024Article
- World Mental Health Day 2023: We must leave no one behind in the response to HIV and mental health.Journal of the International AIDS Society · 2023Article
- An Ultra-Brief Proxy Measure for Early Mental and Substance Use Disorders and Suicide Risk Case Detection at the Community and Household Level: An Efficient and Feasible Clinical and Population-level Service Needs Screening Tool.Medical research archives · 2023Article
- Examination of the Factor Structure of Psychopathology in a Mozambican Sample.Clinical psychological science : a journal of the Association for Psychological Science · 2023Article
- Association between mental disorders and adherence to antiretroviral treatment in health facilities in two Mozambican provinces in 2018: a cross-sectional study.BMC psychiatry · 2023Article
- Does It Matter What Screener We Use? A Comparison of Ultra-brief PHQ-4 and E-mwTool-3 Screeners for Anxiety and Depression Among People With and Without HIV.AIDS and behavior · 2023Article
- The Electronic Mental Wellness Tool as a Self-Administered Brief Screening Instrument for Mental Disorders in the General Spanish Population during the Post-COVID-19 Era.International journal of environmental research and public health · 2023Article
- Psychometric evaluation of the psychosis screening questionnaire in South Africa with attention to overlap between symptoms and normative cultural beliefs.World cultural psychiatry research review : official journal of World Association of Cultural Psychiatry · 2023Article
- A Multi-Site Study of Mental Disorders in the Mozambican Health Care System.Administration and policy in mental health · 2023Article
- Validation of brief screening instruments for internalizing and externalizing disorders in Mozambican adolescents.BMC psychiatry · 2022Article
- Partnerships in Research to Implement and Disseminate Sustainable and Scalable Evidence-Based Practices (PRIDE) in Mozambique.Psychiatric services (Washington, D.C.) · 2021Article
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Authors and funding
18 authors.
Kathryn L LoveroDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Cale BasarabaDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Saida KhanDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Antonio SulemanDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Dirceu MabundaDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Paulino FelicianoDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Palmira Dos SantosDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Wilza FumoDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Flavio MandlateDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
M Claire GreeneDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Andre Fiks SalemDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Jennifer J MootzDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Ana Olga MocumbiDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Cristiane S DuarteDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Lidia GouveiaDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Maria A OquendoDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Melanie M WallDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Milton L WainbergDepartment of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York City (Lovero, Basaraba, Greene, Fiks Salem, Mootz, Duarte, Wall, Wainberg); Department of Biostatistics, Columbia University Mailman School of Public Health, New York City (Basaraba, Wall); Health Directorate of Maputo City, Ministry of Health, Maputo, Mozambique (Khan, Mabunda); Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique (Khan, Mabunda, dos Santos, Fumo, Mandlate, Mocumbi, Gouveia); Health Directorate of Nampula Province, Ministry of Health, Nampula, Mozambique (Suleman, Feliciano); Nampula Psychiatric Hospital, Nampula, Mozambique (Suleman, Feliciano); Department of Mental Health, Ministry of Health, Maputo, Mozambique (dos Santos, Fumo, Mandlate, Gouveia); National Institutes of Health, Marracuene, Mozambique (Mocumbi); Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia (Oquendo).
Funding
StepWell: Stepped Care Mental Health and Substance Use Telehealth Services for COVID-19 Affected PatientsU19MH113203 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI OQUENDO, MARIA A, WAINBERG, MILTON L · 2017 to 2021
$5.7MGlobal Mental Health Research Fellowship: Interventions That Make a DifferenceT32MH096724 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MILTON L WAINBERG · 2012 to 2026
$4.4MCommunity I-STAR Mozambique: Community Implementation of SBIRT using Technology for Alcohol use Reduction in MozambiqueR01AA025947 · NIAAA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI WAINBERG, MILTON L · 2018 to 2023
$3.4MPALOP MENTAL HEALTH IMPLEMENTATION RESEARCH TRAININGD43TW009675 · FIC · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Lidia Gouveia, Maria A Oquendo · 2014 to 2026
$3.2MYouth-PRIDES: Implementing integrated, mHealth care for adolescent depressionwithin primary care clinics of MozambiqueK01MH120258 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI LOVERO, KATHRYN LYNN · 2019 to 2023
$975kFIC NIH HHS D43 TW009675NIAAA NIH HHS R01 AA025947NIMH NIH HHS K01 MH120258NIMH NIH HHS T32 MH096724NIMH NIH HHS U19 MH113203
Abstract
objectiveStepped mental health care requires a rapid method for nonspecialists to detect illness. This study aimed to develop and validate a brief instrument, the Mental Wellness Tool (mwTool), for identification and classification.
methodsCross-sectional development and validation samples included adults at six health facilities in Mozambique. Mini International Neuropsychiatric Interview diagnoses were the criterion standard. Candidate items were from nine mental disorder and functioning assessments. Regression modeling and expert consultation determined best items for identifying any mental disorder and classifying positives into disorder categories (severe mental disorder, common mental disorder, substance use disorder, and suicide risk). For validation, sensitivity and specificity were calculated for any mental disorder (index and proxy respondents) and disorder categories (index).
resultsFrom the development sample (911 participants, mean±SD age=32.0±11 years, 63% female), 13 items were selected-three with 0.83 sensitivity (95% confidence interval [CI]=0.79-0.86) for any mental disorder and 10 additional items classifying participants with a specificity that ranged from 0.72 (severe mental disorder) to 0.90 (suicide risk). For validation (453 participants, age 31±11 years, 65% female), sensitivity for any mental disorder was 0.94 (95% CI=0.89-0.97) with index responses and 0.73 (95% CI=0.58-0.85) with family proxy responses. Specificity for categories ranged from 0.47 (severe mental disorder) to 0.93 (suicide risk). Removing one item increased severe mental disorder specificity to 0.63 (95% CI=0.58-0.68).
conclusionsThe mwTool performed well for identification of any mental disorder with index and proxy responses to three items and for classification into treatment categories with index responses to nine additional items.
Indexed as
Mental DisordersSubstance-Related DisordersAdultCross-Sectional StudiesFemaleHumansMaleMass ScreeningPsychiatric Status Rating ScalesSensitivity and SpecificityYoung AdultDiagnosis/classification (DSM)low-resourcescreeningStepped caretask-shifting
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