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Type:
Story
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Resolution: Done
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Priority:
Medium
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Affects Version/s: None
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HWC Sprint 18, HWC Sprint 19
As a healthcare provider using the CPHC application I want relevant mental health screening tools to be automatically enabled based on patient responses so that appropriate screening and basic management of mental health ailments can be conducted efficiently and without missing critical conditions.
| S. No. | Data Field | Field Type | Value / Options | Validation / System Logic |
| 1 | Emotional or behavioural concerns present | Radio | Yes / No | Mandatory |
| System Behaviour | Auto | — | If Yes → Enable PHQ9 screening | |
| 2 | Substance use related concerns present | Radio | Yes / No | Mandatory |
| System Behaviour | Auto | — | If Yes → Enable Substance Use Screening & Brief Intervention | |
| 3 | Thoughts of self-harm or suicide present | Radio | Yes / No | Mandatory |
| System Behaviour | Auto | — | If Yes → Immediately enable PHQ 9 form and then Suicide Risk Screening | |
| 4 | Memory loss or confusion present | Radio | Yes / No | Mandatory |
| System Behaviour | Auto | — | If Yes → Enable Dementia Screening Checklist | |
| 5 | Seizures, fits, or loss of consciousness present | Radio | Yes / No | Mandatory |
| System Behaviour | Auto | — | If Yes → Enable Epilepsy Screening Checklist | |
| 6 | Post-partum woman (≤12 months after delivery) | Auto (from RMNCH+A) | Yes / No | Auto-derived |
| System Behaviour | Auto | — | If Yes → Auto-prompt Depression Screening (PHQ-9) for Post-partum Depression |
Mental Health – Chief Complaints (for Case Entry)
| Category | Condition | Chief Complaints |
| Common Mental Disorders (CMD) | Depression | Persistent sadness or low mood; Loss of interest in daily activities; Fatigue or low energy; Sleep disturbances; Poor appetite or overeating; Feelings of worthlessness or guilt; Difficulty concentrating |
| Anxiety / Panic Disorders | Excessive worry or fear; Restlessness; Palpitations; Shortness of breath; Chest tightness; Trembling or sweating; Sudden panic episodes | |
| Somatisation Disorders | Multiple body pains without clear cause; Headache; Back pain; Abdominal pain; Generalised weakness; Repeated physical complaints despite normal reports | |
| Severe Mental Disorders (SMD) (Screen & Refer) | Schizophrenia | Hearing voices; Seeing things others cannot see; Suspiciousness or fear without reason; Talking irrelevantly; Social withdrawal; Poor self-care |
| Bipolar Disorder | Episodes of extreme happiness or irritability; Reduced need for sleep; Excessive talking or activity; Risk-taking behaviour; Alternating low mood and high energy | |
| Severe Depression | Persistent low mood with inability to function; Marked withdrawal; Poor self-care; Hopelessness; Suicidal thoughts | |
| Substance Use Disorders (SUD) | Alcohol Use Disorder | Regular alcohol consumption; Loss of control over drinking; Morning drinking; Family or work problems due to alcohol; Tremors or withdrawal symptoms |
| Tobacco Use Disorder | Daily smoking or tobacco chewing; Craving for tobacco; Inability to quit despite advice; Health complaints linked to tobacco use | |
| Suicide Risk / Ideation | — | Thoughts of self-harm; Thoughts of ending life; Previous suicide attempt; Expressed hopelessness; Statements about being a burden |
| Neurological Conditions (Screen & Refer) | Epilepsy | Fits or seizures; Loss of consciousness; Jerky movements; Tongue bite or incontinence during episode; Confusion after episode |
| Dementia | Progressive memory loss; Forgetting recent events; Disorientation to time/place; Difficulty managing daily activities; Behavioural changes | |
| Maternal Mental Health | Post-partum Depression | Persistent sadness after childbirth; Excessive crying; Irritability; Difficulty bonding with baby; Sleep problems unrelated to infant care; Feelings of inadequacy |
