Development and assessment of a community‐based screening tool for mental health disorders among people who inject drugs

Autor: Le, Sao, Trouiller, Philippe, Duong, Thi, Khuat, Thi, Pham, Minh, Vallo, Roselyne, Rapoud, Delphine, Quillet, Catherine, Nguyen, Thuy, Nguyen, Quang, Nham, Thi Tuyet T, Hoang, Thi, Feelemyer, Jonathan, Vu, Hai, Moles, Jean-Pierre, Doan, Hong, Laureillard, Didier, Des Jarlais, Don, Nagot, Nicolas, Michel, Laurent, Team, Drive Study
Přispěvatelé: Hai Phong University of Medicine and Pharmacy [Hai Phong, Vietnam], Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, Centre Pierre Nicole [Paris], Supporting Community Development Initiatives [Hanoï, Vietnam], Pathogenesis and Control of Chronic and Emerging Infections (PCCEI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Université des Antilles (UA)-Etablissement français du don du sang [Montpellier], College of Global Public Health [New York], New York University [New York] (NYU), NYU System (NYU)-NYU System (NYU), Viet Tiep Hospital [Hai Phong, Vietnam], Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Drug and Alcohol Review
Drug and Alcohol Review, Wiley, 2022, 41 (3), pp.697-705. ⟨10.1111/dar.13402⟩
Drug Alcohol Rev
ISSN: 0959-5236
1465-3362
DOI: 10.1111/dar.13402⟩
Popis: International audience; Introduction: The prevalence of mental health disorders among people who use drugs is high and well documented. This hard-to-reach population faces a very low awareness and access to mental health care, especially in developing countries. The objectives of this study were to design and assess a quick screening tool (QST) that community-based organisations (CBO) could routinely apply to a Vietnamese population of people who inject drugs (PWID), in order to refer them appropriately to mental health specialists.Methods: We devised a tool that included nine questions covering anxiety, depression, suicide risk and psychotic symptomatology. Its use required no specific background and 2 h training. Specificity and sensitivity of the QST were assessed in a population of 418 PWID recruited via respondent driven sampling, using the Mini International Neuropsychiatric Interview questionnaire plus clinical evaluation as a reference standard. Acceptability was assessed using a self-administered anonymous questionnaire submitted to all CBO members who used the QST.Results: CBO members considered the QST easy to use, relevant and helpful to deal with mental health issues. Area under the curve for detection of any symptom using the QST was 0.770. The maximum sensitivity and specificity were reached with a cut-off of 2 [sensitivity was 71.1% (95% confidence interval 62.4, 78.8), specificity was 75.9% (70.5, 80.7)].Discussion and conclusions: The QST appeared to be both efficient and well accepted. Given the burden of mental health problems among hard-to-reach PWID in developing countries, community-based screenings such as this one could be a particularly appropriate response.
Databáze: OpenAIRE
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