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Integrated Care for Mental Health Disorders (PARTNERs Trial)

N/A

Waitlist Available

Led By Benoit H Mulsant, MD

Research Sponsored by Centre for Addiction and Mental Health

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Be older than 18 years old

Timeline

Screening 3 weeks

Treatment Varies

Follow Up one year

Awards & highlights

No Placebo-Only Group

Summary

This trial will compare a new mental health care model to usual care to see if symptoms and quality of life improve.

Who is the study for?

This trial is for adults over 18 who are suspected of having depression, anxiety, or alcohol-related issues and are under the care of a primary care provider at participating organizations. They must be able to communicate in English by phone and give informed consent. People with certain mental health conditions, substance abuse (excluding alcohol), cognitive impairment, high suicide risk, physical instability requiring hospitalization, or expected to die within 6 months cannot join.

What is being tested?

The study tests an integrated care model where Mental Health Technicians use specialized software to help primary care providers manage mental health via telephone. It's compared against enhanced usual care to see if it better starts treatment, reduces symptom severity, and improves life quality/functioning.

What are the potential side effects?

Since this trial involves non-medical interventions like telephone-based support and computer-aided management rather than drugs or medical procedures, traditional side effects aren't applicable. However, participants may experience discomfort discussing personal issues.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ one year

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~one year

This trial's timeline: 3 weeks for screening, Varies for treatment, and one year for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Severity of depressive symptoms, as measured with PHQ-9 during phone interviews at 4, 8, and 12 months

Secondary study objectives

Initiation or change in antidepressant medication documented in the health record at the 4-, 8-, and 12-month follow up

Severity of anxiety symptoms during the past 2 weeks and number of drinks during the past week

Time to initiation of first specific treatment for depression by the primary care provider

Other study objectives

Changes on the Veterans Rand-12 (VR-12) Health Survey

Proportion of subjects receiving treatment for depression, anxiety, an alcohol use disorder or at-risk drinking

Rates of depression remission, depression response, anxiety remission, anxiety response, and decrease in alcohol use to the point where it meets the guidelines for safe drinking, remaining stable, or worsening.

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups

Experimental Treatment

Group I: Intervention: Mental Health TechnicianExperimental Treatment1 Intervention

The subject's Primary Care Provider will receive results of baseline, four, eight, and twelve month assessments examining the subject's symptoms of depression, anxiety, and other mental health problems, use of alcohol and illicit substances, physical pain, and quality of life and recommendations for treatment. Over a 3-12 months period, the Intervention group will receive a brief, telephone-based intervention by a Mental Health Technician that will focus on monitoring symptoms, treatment adherence, and providing psychoeducation.

Group II: Enhanced Usual CareExperimental Treatment1 Intervention

This group will receive Enhanced Usual Care. The subject's Primary Care Provider will receive results of baseline, four, eight, and twelve month assessments examining the subject's symptoms of depression, anxiety, and other mental health problems, use of alcohol and illicit substances, physical pain, and quality of life . If the subjects primary care provider chooses, they can use this information to construct the subject's treatment plan.

Do I qualify?Apply below to find out