Bipolar disorder Collaborative Care Family involvement Randomised Controlled Trial
Conditions
Interventions
Experimental condition:
The Collaborative Care Program (CCP) will be implemented in several outpatient mental health care facilities in the Netherlands. Nurses and psychiatrist will be trained, which
2. Contracting. The patient is an active member of the CC-team. One important aim is to agree on the most important problems to be worked on, the related goals, and which care is needed to achieve the
3. Psycho education (based on the Dutch Psycho education course, Hofman et al., 1992
Honig et al., 1997) adapted to the needs of patient and family
4. Problem Solving Treatment (Schreuders et al., 2005/2007)
5. Monitoring and relapse prevention, by using the Life Chart Method (Leverich & Post, 1998
Kupka et al., 1996) and an emergency plan (LithiumPlusWerkgroep, 2001)
6. Pharmacotherapy and somatic care, with continuous monitoring of the effects
7. Support on developping a healthy lifestyle.
If indicated some extra interventions will be provided:
8. Activity Scheduling, if patients are prolonged depressed
9. Rehabilitation modules, if pat
Sponsors
GGZ inGeest/ VUMc, Amsterdam
InHolland, University for Applied Sciences, Amsterdam
Dimence, Deventer
InHolland University of Applied Sciences, Dr. B. van Meijel, lectoraat Mental Health Care, Boelelaan 1109, 1081 HV Amsterdam. Telephone:031 20 4951111
Dimence Mental Health Care, Dr. P. Goossens, Kenniskring Bipolaire Stoornissen, Pikeursbaan 3, 7411 GT Deventer. Telephone: 031 57 688777
Eligibility
Inclusion criteria
Inclusion criteria: Patients who are being treated in outpatient clinics and: 1. Who are diagnosed with bipolar disorder according to DSMIV-TR; 2. Who are aged 18-65 years; 3. If patient gives consent: One or two familymembers or friends of the patient will be included.
Exclusion criteria
Exclusion criteria: 1. Patients in the acute phase of depression or mania (CGI-BP: degree of illness score 6 or 7); 2. Patients with such a stable course of illness (during the last six months) that low intensity of treatment suffices (2-4 polyclinical visits with a psychiatrist a year). This will be decided by the treating psychiatrist based on criteria that will be developed; 3. Patients without sufficient command of the Dutch language to be able to fill in the questionaires; 4. Patients without informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Functioning; 2. Symptoms; 3. Quality of Life. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Mastery; 2. Satisfaction with care; 3. Attitude towards medication; 4. Costs (direct and indirect); 5. Caregivers: Perceived burden and satisfaction with care. | — |
Contacts
Public ContactNienke Voort, van der
A.J. Ernststraat 1187
Outcome results
None listed