@article{ref1,
title="Development and assessment of a community-based screening tool for mental health disorders among people who inject drugs",
journal="Drug and alcohol review",
year="2022",
author="Le, Sao M. and Trouiller, Philippe and Duong, Thi H. and Khuat, Thi H. O. and Pham, Minh K. and Vallo, Roselyne and Rapoud, Delphine and Quillet, Catherine and Nguyen, Thuy L. and Nguyen, Quang D. and Nham, Thi Tuyet T. and Hoang, Thi G. and Feelemyer, Jonathan and Vu, Hai V. and Moles, Jean-Pierre and Doan, Hong Q. and Laureillard, Didier and Des Jarlais, Don C. and Nagot, Nicolas and Michel, Laurent and DRIVE Study Team, ",
volume="41",
number="3",
pages="697-705",
abstract="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.<p /><p>Language: en</p>",
language="en",
issn="0959-5236",
doi="10.1111/dar.13402",
url="http://dx.doi.org/10.1111/dar.13402"
}