Topic: Mental Health, Primary Care
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adults aged 16 and above 2. Suitability for low-intensity services. This includes individuals with mild-moderate depression and anxiety that has emerged within the12 months prior to referral (i.e. the problem is not a chronic and enduring one). However, other mild to moderate problems can be addressed within this service context and clinical decision-making is according to stepped care models, i.e. other factors that are considered are level of suicidality (see exclusion criteria) and the extent to which problems impair functioning 3. Sufficient English language skills to understand material (i.e. verbal and written language abilities required to read and complete simple worksheets and understand verbal presentations)
Exclusion criteria
Exclusion criteria: 1. Clients under 16 2. Suitability for higher intensity services that is primarily determined after first assessment with the service; for example, clients with Post Traumatic Stress Disorder or severe Obsessive Compulsive Disorder; clients with persistent self-injury requiring clinical management or who were potentially intent on and/or planning suicide; clients who are currently experiencing psychotic symptoms; have current substance dependence; or have an organic brain impairment, such as dementia 3. Literacy or language difficulties that will preclude them from reading simple worksheets or from conversing with a healthcare professional
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Patient Health Questionnaire Depression Scale (PHQ9); Timepoint(s): Baseline, 6 months and 12 months post baseline 2. Generalised Anxiety Disorder Questionnaire (GAD7); Timepoint(s): Baseline, 6 months and 12 months post baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Adult Service Use Schedule (AD-SUS); Timepoint(s): Baseline, 6 months and 12 months post baseline 2. EQ5D; Timepoint(s): Baseline, 6 months and 12 months post baseline 3. PSYCHLOPS; Timepoint(s): Baseline, 6 months and 12 months post baseline 4. Work and Social Adjustment Scale (WSAS); Timepoint(s): Baseline, 6 months and 12 months post baseline | — |
Countries
United Kingdom