Maree Toombs1, Bushra Nasir2, Steve Kisely3, Geetha Ranmuthugala4, Neeraj S Gill5, Gavin Beccaria6, Noel Hayman7, Srinivas N Kondalsamy-Chennakesavan8, Geoffrey C Nicholson9. 1. Associate Professor, Rural Clinical School, Faculty of Medicine, The University of Queensland, Toowoomba, QLD, Australia. 2. Research Fellow, Rural Clinical School, Faculty of Medicine, The University of Queensland, Toowoomba, QLD, Australia. 3. Professor of Psychiatry, Rural Clinical School, Faculty of Medicine, The University of Queensland, Toowoomba, QLD, Australia. 4. Head of School, Rural Clinical School, Faculty of Medicine, The University of Queensland, Toowoomba, QLD, and; School of Rural Medicine, The University of New England, Armidale, NSW, Australia. 5. Clinical-Academic Lead Mental Health, School of Medicine, The University of Queensland, Toowoomba, QLD, and; School of Medicine, Griffith University, Southport, QLD, Australia. 6. Associate Professor, School of Psychology and Counselling, University of Southern Queensland, Toowoomba, QLD, Australia. 7. Associate Professor, School of Medicine, The University of Queensland, Toowoomba, QLD, Australia. 8. Director Research, Rural Clinical School, Faculty of Medicine, The University of Queensland, Toowoomba, QLD, Australia. 9. Professor, Rural Clinical School, Faculty of Medicine, The University of Queensland, Toowoomba, QLD, Australia.
Abstract
OBJECTIVE: This study determined the cultural appropriateness of the Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID-I) as an acceptable tool for diagnosing mental illness among Indigenous people. METHODS: De-identified qualitative feedback from participants and psychologists regarding the cultural appropriateness of the SCID-I for Indigenous people using open-ended anonymous questionnaires was gathered. Aboriginal Medial Service staff and Indigenous Support Workers participated in a focus group. RESULTS: A total of 95.6% of participants felt comfortable during the 498 questionnaires completed. Psychologists also provided qualitative feedback for 502 (92.3%) interviews, of whom 40.4% established a good rapport with participants. Of the participants, 77.7% understood the SCID-I questions well, while 72.5% did not require any cultural allowances to reach a clinical diagnosis. CONCLUSION: When administered by a culturally safe trained psychologist, SCID-I is well tolerated in this group.
OBJECTIVE: This study determined the cultural appropriateness of the Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID-I) as an acceptable tool for diagnosing mental illness among Indigenous people. METHODS: De-identified qualitative feedback from participants and psychologists regarding the cultural appropriateness of the SCID-I for Indigenous people using open-ended anonymous questionnaires was gathered. Aboriginal Medial Service staff and Indigenous Support Workers participated in a focus group. RESULTS: A total of 95.6% of participants felt comfortable during the 498 questionnaires completed. Psychologists also provided qualitative feedback for 502 (92.3%) interviews, of whom 40.4% established a good rapport with participants. Of the participants, 77.7% understood the SCID-I questions well, while 72.5% did not require any cultural allowances to reach a clinical diagnosis. CONCLUSION: When administered by a culturally safe trained psychologist, SCID-I is well tolerated in this group.
Entities:
Keywords:
SCID-I; cultural appropriateness; indigenous; mental health; validation