TY - JOUR
T1 - Development and validation of the Client Diagnostic Questionnaire (CDQ)
T2 - A mental health screening tool for use in HIV/AIDS service settings
AU - Aidala, Angela
AU - Havens, J.
AU - Mellins, C. A.
AU - Dodds, S.
AU - Whetten, K.
AU - Martin, D.
AU - Gillis, L.
AU - Ko, P.
N1 - Funding Information:
[4] A CDQ Interviewers Training Manual and additional training resources were developed in collaboration with Cicatelli Associates, Inc. Development of training materials was supported by a grant from the US Health Resources and Services Administration (HRSA) through the New York City Department of Health to the Medical and Health Research Association of New York City, Inc. (#BRH890015-08-0). The CDQ instrument and training materials are available from the first author or from Cicatelli Associates, Inc. at http://www.cicatelli.org
Funding Information:
Funding for the validation study was provided by Health Resources and Services Administration, HIV/AIDS Bureau 1BRH 970181-01. Special thanks is due to Robert L. Spitzer, MD and Janet B. Williams, DSW who provided invaluable assistance in developing the CDQ screening instrument, designing the validation study, and preparation of this manuscript. Thanks also to Miriam Gibbon, MSW who helped train the clinician interviewers.
PY - 2004/8
Y1 - 2004/8
N2 - This study examines the validity, feasibility, and utility of the Client Diagnostic Questionnaire (CDQ), a brief diagnostic screening tool designed for use by non-mental health professionals and designed specifically to assess the range of psychiatric disorders known to be prevalent among persons infected with HIV or at high risk of infection: depression, anxiety, PTSD, substance abuse. Non-clinically trained personnel administered the CDQ to a diverse sample of 260 HIV infected individuals at six primary care or social service agencies; a second interview was conducted by an experienced mental health clinician. There was good agreement between positive screen on the CDQ and diagnosis made by an independent mental health professional. For the diagnosis of any disorder, sensitivity = 91%, specificity = 78%, and overall accuracy = 85%. Clients who screened positive for disorder based on the CDQ interview had significantly impaired mental health functioning compared to individuals without CDQ screening diagnosis. CDQ was well received by both clients and agency staff. Findings support the feasibility and utility of the CDQ. The CDQ can be used by providers in a range of service settings to identify persons in need of formal mental health assessment and treatment, to more effectively target scarce mental health resources, and to reduce the negative impact of unrecognized disorder on the health and well-being of individuals in their care.
AB - This study examines the validity, feasibility, and utility of the Client Diagnostic Questionnaire (CDQ), a brief diagnostic screening tool designed for use by non-mental health professionals and designed specifically to assess the range of psychiatric disorders known to be prevalent among persons infected with HIV or at high risk of infection: depression, anxiety, PTSD, substance abuse. Non-clinically trained personnel administered the CDQ to a diverse sample of 260 HIV infected individuals at six primary care or social service agencies; a second interview was conducted by an experienced mental health clinician. There was good agreement between positive screen on the CDQ and diagnosis made by an independent mental health professional. For the diagnosis of any disorder, sensitivity = 91%, specificity = 78%, and overall accuracy = 85%. Clients who screened positive for disorder based on the CDQ interview had significantly impaired mental health functioning compared to individuals without CDQ screening diagnosis. CDQ was well received by both clients and agency staff. Findings support the feasibility and utility of the CDQ. The CDQ can be used by providers in a range of service settings to identify persons in need of formal mental health assessment and treatment, to more effectively target scarce mental health resources, and to reduce the negative impact of unrecognized disorder on the health and well-being of individuals in their care.
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U2 - 10.1080/13548500410001721927
DO - 10.1080/13548500410001721927
M3 - Article
AN - SCOPUS:3342945038
SN - 1354-8506
VL - 9
SP - 362
EP - 380
JO - Psychology, Health and Medicine
JF - Psychology, Health and Medicine
IS - 3
ER -