15
METHODS
A small pilot investigation indicated that about 40% of the war veterans attending the compensation clinic at Harare
Central Hospital scored positively on a psychiatric screening instrument. This was higher than comparable estimates for
primary care settings (46-47), and was more in line with those obtained in a refugee setting (3-4). This suggested
that the war veterans clinic was a prima facie "high-risk" group, and the clinic was a suitable setting for an examination
of the objectives indicated above.
A three-stage assessment procedure was used, which can be briefly described as follows:
1. Initial screening
- Self-Reporting Questionnaire (SRQ-20)
2. Assessment of Consequences of Torture and Organised
Violence Battery
- Present Health Status
- History of Experience of Violence
3. Clinical Assessment of PTSD
- Clinican Administered PTSD Scales(CAPS)
Patients were initially screened using the Self-Reporting Questionnaire(SRQ-20), a valid and reliable psychiatric
screening instrument that has had wide use within Zimbabwe. This group was then assessed in greater detail using a
structured interview, the Assessment of the Consequences of Torture and Organised Violence Battery. The Clinical
Administered PTSD Scale(CAPS), a recently developed clinical interview, was administered in order to determine
whether the patient was suffering from PTSD (48-50).
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