Collaborative Care: Depression Initative in the Medical Setting.

• Conditions: The intervention group receives treatment based on a collaborative care approach. This intervention is compared with a control group who receive care as usual.

• Registration Number: NL-OMON20098
• Lead Sponsor: Trimbos-instituut (Netherlands institute of Mental Health and Addiction)

Brief Summary

/A

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 28 February 2024

Recruitment & Eligibility

• Status: Pending
• Sex: Not specified
• Target Recruitment: 126

Inclusion Criteria

All patients of the Onze Lieve Vrouwe Gasthuis visiting the participating outpatient clinics (diabetes, cardiology, HIV, and part of lung medicine [patients with COPD]) and who already have a diagnosis specified in their file. Patients are included in the study if a cut off score of 15 (moderate to severe depressive disorder) is reached on a the PHQ-9, which measures depression severity. The symptoms have to be present for at least six weeks or have to cause marked dysfunctioning (e.g. problems at work, housekeeping).

Exclusion Criteria

Suicidality (in case of a high risk for suicide, patients will be referred.)

(Concerning the following criteria a suggestion is given to the patients concerning a different kind of help:)
-Psychotic
-Suffering from dementia or delirium
-Insufficient knowledge of the Dutch language to fill in questionnaires
-Serious mental impairment
-Alcohol or drug addiction
-Already receiving psychiatric treatment
-Pregnancy
-Bipolar disorder

Concerning HIV patients:
-Organic psychosyndrome
-Personality change
-In terminal phase

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Severity of depressive symptoms.

Secondary Outcome Measures

Name	Time	Method
The cost-utility of collaborative care compared to CAU.