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is available in two versions PC and FULL. These versions are
computerised clinical assessment tools developed to
assess and identify a wide range of mental health problems in
primary care. It generates a computer diagnosis, a symptom rating,
a self-harm risk assessment, and a referral letter. Patients from
primary care and community psychiatric outpatient clinics and a
small sample of inpatients were interviewed for a period of two
months using the GMHAT PC/FULL. A proportion of patients were
simultaneously rated by a psychiatrist and a general practitioner
for inter-rater reliability. All patients also completed the
Hospital Anxiety and Depression Scale (HAD). To conduct the
interview was easy in all settings and took 10-15 minutes in PC
version and half an hour in Full version for
patients who had psychiatric symptoms. Inter-rater agreement on
mental state symptom groups ranged from 0.49 to 1 (kappa). The
computer diagnosis correlated highly with the clinical diagnosis
and there was a good level of agreement between HAD ratings and
GMHAT PC/FULL ratings. These data suggest that the GMHAT PC/FULL
is an easy to administer computerised tool which can be used in
primary care for the standardised assessment of mental health
problems.
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