ArticleInternational journal of mental health systems2022
Accuracy of a community mental health education and detection (CMED) tool for common mental disorders in KwaZulu-Natal, South Africa.
Article in International journal of mental health systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The trial behind it
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Who cites it
5 citing papers in PubMed, 6 citations in OpenAlex.
- Community-based interventions for non-communicable diseases in Africa: a scoping review of scope, effectiveness, and implementation factors.BMC public health · 2026Article
- Helping to improve demand for mental health services: Reach and adoption of a community mental health education and detection tool by community health workers within routine care in South Africa.Global mental health (Cambridge, England) · 2026Article
- The feasibility of a Community Mental Health Education and Detection (CMED) tool in South Africa.SSM. Mental health · 2023Article
- Strengthening integrated depression services within routine primary health care using the RE-AIM framework in South Africa.PLOS global public health · 2023Article
- Community Specialist Teams for Older People Consensus Development: A Real-Time Delphi Approach.International journal of integrated careArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundScreening tools for mental health disorders improve detection at a primary health care (PHC) level. However, many people with mental health conditions do not seek care because of a lack of knowledge about mental health, stigma about mental illness and a lack of awareness of mental health services available at a PHC facility level. Interventions at a community level that raise awareness about mental health and improve detection of mental health conditions, are thus important in increasing demand and optimising the supply of available mental health services. This study sought to evaluate the accuracy of a Community Mental Health Education and Detection (CMED) Tool in identifying mental health conditions using pictorial vignettes.
methodsCommunity Health Workers (CHWs) administered the CMED tool to 198 participants on routine visits to households. Consenting family members provided basic biographical information prior to the administration of the tool. To determine the accuracy of the CMED in identifying individuals in households with possible mental health disorders, we compared the number of individuals identified using the CMED vignettes to the validated Brief Mental Health (BMH) screening tool.
resultsThe CMED performed at an acceptable level with an area under the curve (AUC) of 0.73 (95% CI 0.67-0.79), identifying 79% (sensitivity) of participants as having a possible mental health problem and 67% (specificity) of participants as not having a mental health problem. Overall, the CMED positively identified 55.2% of household members relative to 49.5% on the BMH.
conclusionThe CMED is acceptable as a mental health screening tool for use by CHWs at a household level.
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Registered trials
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