Nurse/midwife AUDTXNUR_ Pharmacist AUDTXPHARM_ General doctor AUDTXGEN_ Specialist doctor AUDTXSPEC_ Psychiatrist AUDTXPSY_ Another mental health worker AUDTXOMENT_ Someone else [specify]  AUDTXOTH_ AUDTXO Are you here today (at the clinic) because you are seeking help for problems with alcohol? No [read out instruction for NO] 0 AUDHERE Yes [read out instruction for YES] 1 Instruction for NO: I am going to tell you some reasons people have for not seeking professional help for problems with alcohol, even when they think they might need it. Just tell me “yes” or “no” whether each statement applies to you. Instruction for YES: I am going to tell you some concerns people have when deciding when to seek professional help for problems with alcohol. Just tell me “yes” or “no” whether each statement applies to you. See (Robins et al. 1988) Services (SR) module items 116b, c, d, f, g, h, i, j, l, m and (Clement et al. 2012) additional file BACE-3, items 1,2,4,5,6,7,8,11,12,13, 17,21, 22,25,29. [Read each statement] 0=No 1=Yes 888=Don’t know AUDAPPLY_ _BETTER _COST _WHO _FIND _TIME _SELF _HOSP _SATIS _PREV _BOTHER _LOGIST _TRANSP _NOTX _LESS _DIFFER _WORK _FAM I was concerned that it might harm my own or my family members’ chances of getting married if people found out I am seeking professional help for this problem _MARRY _SHAME _SFX Any other reasons or concerns [specify]  _OTHER AUDAPPLYO
PHQ-9 and treatment I am going to describe some feelings people have, and ask if you have felt any over the past two weeks. After those questions, I will ask if you have been bothered by any of the same problems for a period of two weeks or more at some other time in the past year. Over the last two weeks, how often have you been bothered by any of the following problems? See (Kroenke, Spitzer, and Williams 2001) 0 PHQ1 1 2 3 0 PHQ2 1 2 3 0 PHQ3 1 2 3 0 PHQ4 1 2 3 0 PHQ5 1 2 3 0 PHQ6 1 2 3 0 PHQ7 1 2 3 0 PHQ8 1 2 3 0 PHQ9 1 2 3 Today, will you talk to a health worker about any emotional problems you are experiencing? No 0 DDEM_ TALK Yes 1 DDEM_ ASK
How long ago did you first seek help for this most recent episode of problems?  Weeks ago  Months ago  Years ago [If here today for help go to B44] DDRECW DDRECM DDRECY Who did you first seek help from for this most recent episode of problems? Traditional healer 1 DDRECWHO DDRECWHOO Religious or spiritual advisor 2 Community health worker 3 Nurse/midwife 4 Pharmacist 5 General doctor 6 Specialist doctor 7 Psychiatrist 8 Another mental health worker 9 Someone else [specify]  77 How much did [person in B41] help you? Did not help at all 0 DDRECHOW Helped a bit 1 Helped a lot 2 Don’t know 888 In addition to the [person in B41] have you sought help from a [person listed below] since the problems most recently started? 0=No [next row] 1=Yes [next column] [Skip over person from B41] How much did the [person listed below] help you? 0=Did not help at all 1=Helped a bit 2=Helped a lot 888=Don’t know _SEEN _HELP Traditional healer DDTXTRAD_ Religious or spiritual advisor DDTXREL_ Community health worker DDTXCHW_ Nurse/midwife DDTXNUR_ Pharmacist DDTXPHARM_ General doctor DDTXGEN_ Specialist doctor DDTXSPEC_ Psychiatrist DDTXPSY_
Another mental health worker DDTXOMENT_ Someone else [specify]  DDTXOTH_ DDTXO Are you here today (at the clinic) because you are seeking help for these problems? No [read out instruction for NO] 0 Yes [read out instruction for YES] 1 Instruction for NO: I am going to tell you some reasons people have for not seeking professional help for problems such as feeling depressed or uninterested in most things, even when they think they might need it. Just tell me “yes” or “no” whether each statement applies to you. Instruction for YES: I am going to tell you some concerns people have when deciding when to seek professional help for problems such as feeling depressed or uninterested in most things. Just tell me “yes” or “no” whether each statement applies to you. See (Robins et al. 1988) Services (SR) module items 116b, c, d, f, g, h, i, j, l, m and (Clement et al. 2012) additional file BACE-3, items 1,2,4,5,6,7,8,11,12,13, 17,21, 22,25, 29. [Read each statement] 0=No 1=Yes 888=Don’t know DDAPPLY_ _BETTER _COST _WHO _FIND _TIME _SELF _HOSP _SATIS _PREV _BOTHER _LOGIST _TRANSP _NOTX _LESS _DIFFER _WORK _FAM I was concerned that it might harm my own or my family members’ chances of getting married if people found out I am seeking professional help for this problem _MARRY _SHAME _SFX Any other reasons or concerns [specify]  _OTHER AUDAPPLYO Suicidal ideation and action See (Robins et al. 1988) Suicidality (SD) module items SD16, SD18, SD23, SD25
Supervisor comments  Appendix A: Data collection form for audio recordings / 3rd party observation / existing clinic notes Consultation details Questionnaire ID QNO Research staff ID SID Respondent name / clinic identifier  Consultation date DD / MM / YY CCDATE Clinician name  CLINICIAN Clinician role GP 1 CLINROLE Psychiatrist 2 Nurse 3 Etc 4 Etc 5 Other [specify]  77
Was a diagnosis of depression given? No 0 CCDEP Yes 1 Unclear 888 Was a diagnosis of alcohol use disorder given? No 0 CCAUD Yes 1 Unclear 888 Was any other health condition diagnosed? No [go to F10] 0 CDXMH Yes 1 Unclear 888 Which condition(s)?  CDXMHO Is counselling recommended? No [go to F13] 0 CCOUNS Yes 1 Unclear 888 How many sessions are recommended?  CCOUNSNUM Were medications prescribed / dispensed? No [go to F15] 0 CCTX Yes 1 What medications did the clinician prescribe? Medication name Dose/day Duration CCTX# _NAME _DOSE _DAYS #1 #2 #3 Were there any referrals made? No / unclear [go to F17] 0 CCREF Yes 1 Unclear 888 Details of referrals  CCREFO Other notes  CNOTE
Appendix B: Purpose-build clinical consultation record Consultation details Respondent name / clinic identifier Consultation date DD / MM / YY CCDATE Clinician name CLINICIAN Diagnosis 1 DIAGNOSES Diagnosis 2 Diagnosis 3 Diagnosis 4 Advice for patient ADVICE Prescriptions Medication name Dose/day Duration CCTX# _NAME _DOSE _DAYS #1 #2 #3 Details of referrals CCREFO Other notes CNOTE
Appendix C: Quantitative interview with respondent re consultation Consultation details I have a few questions about your visit to the clinic today. What kind of health worker did you see today? Nurse / midwife 3 CLINICIAN General doctor 5 Specialist doctor 6 Psychiatrist 7 Other mental health worker 8 What symptoms did you report to the [health worker]? CSX After hearing about your symptoms and examining you, what did the [health worker] conclude? CDX Did the [health worker] give you a diagnosis of alcohol problems? No / Don’t know 0 CDX_AUD Yes 1 Did the [health worker] give you a diagnosis of depression? No / Don’t know 0 CDX_DEP Yes 1 Did the [health worker] prescribe medication to you? No [go to D8] 0 CMED Yes 1 What medications did the [health worker] suggest for you? What is the dose? How long is the prescription for? Can you show me the pills/prescription? Name Dose/day Duration CMED# _NAME _DOSE _DAYS #1    #2    #3    Did the [health worker] recommend counselling or therapy to you? No [go to D13] 0 CCOUN Yes 1 What kind of counselling or therapy did the [health worker] recommend? [If respondent has difficulty, probe with the given responses here, eg “Was it psychotherapy” etc] Psychotherapy 1 COUNSEL COUNSELO Cognitive behavioural therapy 2 Group therapy 3 Etc 4 Other [specify]  77 Community health worker 1 COUNSWHO