Screening and Assessment in TANF\Welfare-to-Work: Ten Important Questions TANF Agencies and Their Partners Should Consider. Primary Care Evaluation of Mental Disorders (PRIME - MD)

Barriers Identified
Mental Health - specifically mood, anxiety, alcohol, and eating disorders

Number and Types of Questions
Twenty-six 'yes' or 'no' questions and a 12-page clinical evaluation guide for physicians

Target Population
Not available

Methodological Information
The validity of the diagnoses was compared to that of mental health professionals who interviewed the same patients; the accuracy rate was 88 percent. Prevalence of psychiatric disorders detected by the PRIME-MD in the 1,000 patients was as follows: any mood disorder, 26 percent; any anxiety disorder 18 percent; any eating disorder, three percent; and probable alcohol abuse/dependence, five percent.¹²

Implementation
The patient completes the one-page questionnaire prior to meeting with the clinician. The clinician uses the 12-page clinical evaluation guide to follow up on the patient's positive responses to the patient questionnaire.

Cost
None

Source or Publisher
Pfizer Inc.
235 East 42nd Street
New York, NY 10017-5755

State(s) Believed to be Using
New Jersey

¹²  Baldwin, Joyce and Staff. Questionnaire Helps Primary Care Physicians Detect Mental Disorders. Psychiatric Times, Vol. XII, Issue 2, February 1995.

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