Community Case Detection Tool

Millions of conflict-affected children with mental health problems are denied access to treatment

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Driving detection forward

Research Lead
“Two studies demonstrate that the tool is working. Community members accurately detected two out of three - or 70% of - children in need of mental health care. This is an important step towards improving access to mental health services in conflict-affected areas.”

Myrthe van den Broek, Researcher

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Want to learn more or ask a question? Contact Myrthe via email or LinkedIn.
(photo: Yvonne Compier)

Why

Barriers to care

  • The vast majority of children and youth in need of mental health care remain untreated - even when services are available
  • Common barriers include stigma and embarrassment, problems with recognising symptoms and a preference for self-reliance
  • Increasing the availability of mental health services will not necessarily lead to more uptake - especially if demand-side factors such as help-seeking behaviours are overlooked
What

Illustrated narratives

We've developed a tool to improve identification of mental health problems and promote help-seeking. The CCDT is made up of illustrated narratives depicting common examples of children experiencing emotional, behavioural and/or family problems. Each narrative is based on specific cultural idioms of distress to allow for simple identification – and can be adapted to the specific context in which it is used.

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This simple, innovative format is inexpensive – and allows for widespread distribution. For more information on the set-up and development of this intervention download our dedicated fact sheet now.

How

The page of illustrations is paired with a simple decision diagram - which allows trained community facilitators to identify children and families in need of support.

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Facilitators can then refer people in need to an in-depth assessment performed by a trained professional - allowing for care or further referral to available services. Download the tool here.

Who

Our partners

The 'low cost, high potential' model behind our Community Case Detection Tool simply wouldn't be possible without the support of a variety of local and international partners.

These partners include SOS Children's Villages, TPO Uganda, the Palestinian Counselling Center and ESCO.

Where

Countries

Two accuracy evaluations have been completed. One in schools in the occupied Palestinian territory and one in community settings in Sri Lanka. Further research into the effectiveness of the tool is ongoing in Uganda.

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Want to learn more about the two studies? Read the full academic publications:

  1. Accuracy study: occupied Palestinian territory
  2. Accuracy study: Sri Lanka
Impact

70%

The combined percentage of children who were accurately detected as in need of mental health care during our studies in Sri Lanka and the occupied Palestinian territory.

The need for care was determined following a clinical interview with a mental health professional.

In Practice

MMAP by UNICEF

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We’re delighted to have UNICEF adopt our Community Case Detection Tool into its new MMAP initiative. With the support of experts, the initiative sets out to develop a data collection tool to measure mental health among adolescents - primarily in low- and middle-income countries.

Current Research

Help-seeking

Thanks to key funding, we have started an exciting new partnership with TPO Uganda. Together we are conducting research to determine the effectiveness of proactive case detection and help-seeking encouragement using the Community Case Detection Tool. Specifically, we are looking at how many children and youth detected by the tool go on to seek mental health care at TPO.

Next steps

Promoting Help-Seeking

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Proactive case detection needs to be combined with strategies to overcome other intersecting barriers to mental health care. That's why we are developing additional strategies to further promote help-seeking behaviours among children and adolescents in conflict-affected settings.

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Meet our Research and Development Team

Myrthe is a PhD researcher at the University of Amsterdam with a Master of Science (MSc) in Anthropology. Myrthe is also a member of War Child’s Research and Development team where she leads our efforts to increase access to adequate services for children and adolescents in humanitarian settings.

Team members: Puvaneswary Ponniah, Sandra Agondeze, Rosco Kasujja, and Mark Jordans.