Common mental health problems (depression, anxiety) Mental and Behavioural Disorders
Conditions
Interventions
Psychological therapists who carry out mental health assessments in routine primary care services will be randomly assigned to an experimental group (StratCare) or a usual care control group.
Therap
Sponsors
University of Sheffield
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Consenting psychological wellbeing practitioners and psychotherapists that carry out routine assessments in an IAPT service (Improving Access to Psychological Therapies programme in England) 2. Therapists who are employed by a participating IAPT service on a permanent contract, or temporary staff who have a contract that is at least as long as the expected timescale for the project (1 year) 3. All consenting patients who are assessed by participating therapists, who are deemed eligible for treatment in IAPT, and who attend at least one post-assessment therapy session
Exclusion criteria
Exclusion criteria: 1. Therapists whose contract is shorter than the expected timescale for the study (1 year) 2. Therapists currently in training, since they are not yet fully qualified to carry out routine assessments 3. Patients who are assessed as ineligible for treatment in IAPT (eg, those who are signposted to other services), or eligible patients who never attend any therapy sessions after an initial assessment contact
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Depression measured using PHQ-9 pre (initial assessment) and post-treatment (final therapy session) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Anxiety measured using GAD-7 pre (initial assessment) and post-treatment (final therapy session) 2. Treatment dropout rates, as recorded in routine clinical records 3. Therapists' adherence to the StratCare treatment recommendations, as measured by statistical reliability indices (hit rates, and treatment-matching precision scores) 4. Cost-effectiveness of the StratCare model by comparison to usual care, determined using a cost-effectiveness acceptability curve (CEAC) | — |
Countries
England, United Kingdom
Outcome results
None listed