Mental Disorders
Conditions
Brief summary
This study is a cluster randomised controlled trial, which aims to examine the short-term strategy of addressing treatment gap through increasing primary mental health service capacity. This study aims to compare after 6 months and 12 months, the effectiveness of a specialist model of mental health care and an enhanced usual care (task-sharing) framework, in terms of reducing mental health symptoms, reducing disability, and improving quality of life, as well as the health services costs (and potentially societal costs) associated with these outcomes in 400 patients.
Detailed description
Two primary mental health service frameworks in Yogyakarta are compared: the specialist framework and the enhanced usual care framework. Both frameworks have not been evaluated in the Indonesian context, despite their potential to be the framework of choice for other provincial and district governments to adopt. Extension to existing services has been planned, which provides us with the opportunity to implement in a random manner the enhanced usual care framework in new areas. This study aims to compare after 6 months and 12 months, the effectiveness of a specialist model of mental health care and an enhanced usual care (task-sharing) framework, in terms of reducing mental health symptoms, reducing disability, and improving quality of life, as well as the health services costs (and potentially societal costs) associated with these outcomes in 400 patients. This study receives ground-level support from the Centre for Public Mental Health, Universitas Gadjah Mada, which manages the specialist primary mental health framework in Yogyakarta province, regional and national-level support from the Ministry of Health of Indonesia, and will be hopefully funded by the LPDP, Ministry of Finance of Indonesia.
Interventions
BEHAVIORALPsychotherapy
Behaviour Therapy or Cognitive Behaviour Therapy which forms service as usual in primary care centres in Indonesia.
Sponsors
Universita di Verona
Gadjah Mada University
University of Cambridge
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Participants are adults who meet the screening criteria for depression and anxiety on the self-report General Health Questionnaire (GHQ-12)
Exclusion criteria
* Potential participants who are currently receiving treatment for any mental health disorders will not be invited to participate in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Health of Nations Outcomes Scale (HoNOS) score from baseline | Baseline, 6 months and 12 months | Measures health and social functioning of participants |
| Change in Clinical Interview Schedule Revised (CIS-R) score from baseline | Baseline, 6 months and 12 months | Measures the presence and severity of psychiatric symptoms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) score from baseline | Baseline, 6 months and 12 months | Measures type and extent of disability of participants |
| Change in European Quality of Life Scale (EQ-5D) score from baseline | Baseline, 6 months and 12 months | Measures quality of life of participants |
| Utility of service as measured by Client Service Receipt Inventory (CSRI) | Baseline, 6 months and 12 months | Measures service utility within the time frame |
Countries
Indonesia
Outcome results
None listed