The intervention group receives treatment based on a collaborative care approach. This intervention is compared with a control group who receive care as usual.
Conditions
Interventions
A treatment of depression fit in the collaborative care model with problem solving treatment, an antidepressant algorithm, contracting, care management, and a manual guided self-help depression for ch
Sponsors
Trimbos-instituut
(Netherlands institute of Mental Health and Addiction)
Eligibility
Inclusion criteria
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
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Severity of depressive symptoms. | — |
Secondary
| Measure | Time frame |
|---|---|
| The cost-utility of collaborative care compared to CAU. | — |
Contacts
Public ContactEva Horn
Trimbos-instituut / Netherlands institute of Mental Health and Addiction, Da Costakade 45, P.O. Box 725
Outcome results
None listed