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C E Climent

Publications and source records attributed to C E Climent.

26 records · Page 2Linked to original sources
PubMed1975

A comparison of traditional and symptom-checklist-based histories.

The authors compared the results of independent evaluations of 96 patients, each of whom was given a traditional psychiatric interview, resulting in a narrative report, and a structured interview based on a self-report questionnaire, resulting in a standardized report. Although the latter method produced a higher frequency of report of all symptoms, the overall accuracy of diagnoses was similar for the two methods. The authors enumerate the potential benefits of the use of standardized histories.

Colombia↗
PubMedDate not supplied

[The symptoms questionnaire for problem detection in adults].

This questionnaire has been designed considering transcultural differences. Its validation includes an approximately 400-patient sample, with their relatives as control sample population. Such populations come from General Health Centers located in Colombia, India, the Philippines, and Sudan. In each area, different cut-off points were used on the calculation of sensitivity and specificity. This instrument is currently used in different parts of the world: It is demonstrating to be valuable and sensitive a tool for identifying mental disorders among individuals seeking treatment at General Health Services. At the same time, it is being used in a training manual for Psychiatry primary care workers. Even though the instrument does not diagnosticate, it nonetheless identifies individuals suffering from psychological disrupting symptoms. Both its simplicity and high sensitivity help in a practical approach to Psychiatry primary care strategies.

Adult↗
PubMedDate not supplied

[Primary mental health care in Latin America. The Cali program].

The paper describes the experience acquired during more than 8 years in carrying out primary mental health care in Cali, Colombia. It had already been shown that the use of trained paramedical personnel achieved some advantages to that of traditional approaches. The present programme is carried out in two different geographical areas (rural and urban) which provide care to about 10 per cent of their population. Although final clinical results are still not available, the basic approach entails the use of primary mental health agents (auxiliary nurses and health promotors) as the first step of assistance, ending in the top of the hierarchy, where a doctor and/or a trained nurse are responsible for the diagnoses. A trained psychiatrist acts only as a periodic consultant and as the main source for training. There is evidence to suggest that these primary mental health care agents have more time to talk to the patients and are more able to understand their local psycho-social circumstances. This system enables cheaper and more effective care services. Its advantages, risks and related problems are discussed, and mention is made for the need to maintain regular clinical assessment. The various training techniques are also discussed.

Adolescent↗