TY - JOUR
T1 - Cultural validation of the structured clinical interview for diagnostic and statistical manual of mental disorders in Indigenous Australians
AU - Toombs, Maree
AU - Nasir, Bushra
AU - Kisely, Steve
AU - Ranmuthugala, Geetha
AU - Gill, Neeraj S.
AU - Beccaria, Gavin
AU - Hayman, Noel
AU - Kondalsamy-Chennakesavan, Srinivas N.
AU - Nicholson, Geoffrey C.
N1 - Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by a National Health and Medical Research Council grant #APP1061963.
Publisher Copyright:
© The Royal Australian and New Zealand College of Psychiatrists 2019.
PY - 2019/8/1
Y1 - 2019/8/1
N2 - 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.
AB - 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.
KW - cultural appropriateness
KW - indigenous
KW - mental health
KW - SCID-I
KW - validation
UR - http://www.scopus.com/inward/record.url?scp=85067821304&partnerID=8YFLogxK
U2 - 10.1177/1039856219852289
DO - 10.1177/1039856219852289
M3 - Article
C2 - 31165642
AN - SCOPUS:85067821304
VL - 27
SP - 362
EP - 365
JO - Australas Psychiatry
JF - Australas Psychiatry
SN - 1039-8562
IS - 4
ER -