Clarify the individual’s experience and regard for FULNESS OF HELP RECEIVED: previous help. What types of help or treatment were most useful? Not useful?
(Coping and Help Seeking, Religion and Spirituality, Older Adults, Psychosocial Stressors, Immi- grants and Refugees, Social Network, Clinician-Patient Relationship)
Clarify the role of social barriers to help seeking, 13. Has anything prevented you from getting access to care, and problems engaging in previous the help you need?
treatment. PROBE AS NEEDED:
Probe details as needed (e.g., ”What got in the 1:01- example, money, work or family com- way? ”)~ mitments, stigma or discrimination, or lack or background?
(Social Network, Caregivers, Religion and Spirituality, Older Adults, Coping and Help Seeking)
Clarify individual’s current perceived needs and Now let’s talk some more about the help expectations of help, broadly defined. you need.
Probe 1f individual lists only one source ofhelp (eg., 14‘ What kinds of help do you think would be “What other kinds of help would be useful to you most useful to you at this time for your at this time?”). [PROBLEM]?
Focus on the views of the social network regarding 15. Are there other kinds of help that your fam— help seeking. ily, friends, or other people have suggested would be helpful for you now?
(Clinician—Patient Relationship, Older Adults)
Elicit possible concerns about the clinic or the clini— Sometimes doctors and patients misunder- cian-patient relationship, including perceived rac- stand each other because they come from ism, language barriers, or cultural differences that different backgrounds or have different may undermine goodwill, communication, or care expectations.
delivery. 16. Have you been concerned about this and is
Probe details as needed (e.g., ”In what way?"). there anything that we can do to provide
Address possible barriers to care or concerns about You With the care You need?
the clinic and the clinician-patient relationship raised previously.
The CFI—Inforniant Version collects collateral information from an informant who is knowledgeable about the clinical problems and life circumstances of the identified indi- vidual. This version can be used to supplement information obtained from the core CFI or can be used instead of the core CFI when the individual is unable to provide information— as might occur, for example, with children or adolescents, ﬂoridly psychotic individuals, or persons with cognitive impairment.
GUIDE TO INTERVIEWER ITALICIZED.
The following questions aim to clarify key aspects of INTRODUCTION FOR THE INFORMANT: the presenting clinical problemfrom the infor- I would like to understand the problems that mant’s point ofview. This includes the problem’s bring your family member/friend here so meaning, potential sources ofhelp, “"d exaecta- that I can help you and him/her more effec- tions for services. tively. I want to know about your experience and ideas. I will ask some questions about what is going on and how you and your fam- ily member/friend are dealing with it. There are no right or wrong answers.
Clarify the informant’s relationship with the indi- 1. How would you describe your relationship vidual and/or the individual'sfamily. to [INDIVIDUAL OR TO FAMILY]?
PROBE IF NOT CLEAR:
How often do you see [INDIVIDUAL]?
Elicit the informant’s view of core problems and key 2. What brings your family member/friend concerns. here today?
Focus on the informant’s way of understanding the IF INFORMANT GIVES FEW DETAILS OR individual's problem. ONLY MENTIONS SYMPTOMS OR A