The prevalence of mental health problems in Rwandan and Burundese refugee camps

Objective: We examined the prevalence of mental health problems in refugees living in camps that emerged in Tanzania during the Rwanda crisis that sta rted in 1994. Method: Using the 28-item version of the General Health Questionnaire (GHQ- 28), we examined two samples: a random sample (n = 854) and a sample of cli ents of a psychosocial support programme in these camps (n = 23). Sensitivi ty, specificity and positive- and negative predictive values were estimated for several cut-off scores of the GHQ-28. Results: The prevalence of serious mental health problems was estimated at 50% (SE 12%). When using the GHQ-28 as a screener, a cut-off score of 14 is recommended. Conclusion: Given the high prevalence of mental health problems, psychosoci al programmes for large refugee populations should aim at strengthening com munity structures and supporting groups instead of focusing at individuals. The screening capacity of the GHQ-28 could be used to identify mentally vu lnerable groups.