Collabri Flex - Effect of Collaborative Care for People with Depression in General Practice

Mental Health Services in the Capital Region, Denmark

Status

Completed

Conditions

Depression

Treatments

Behavioral: Consultations-Liaison

Behavioral: Collaborative care

Study type

Interventional

Funder types

Other

Identifiers

NCT03113201

Collabri Flex - Depression

Details and patient eligibility

About

The aim of the study Collabri Flex is to:

Develop a Danish model for collaborative care for patients with depression in general practice, based on past experience gained in the Collabri Project.
Examine the impact of this model compared with liaison-consultation for people with depression in a randomized controlled design from selected endpoints.

Full description

The Collabri Flex model for Collaborative Care takes point of departure in the earlier study Collabri. It is changed according to gathered information under the first study of the Collabri model in order to achieve a Danish Collaborative Care model easier to implement.

The aims of Project Collabri Flex are to:

Develop a flexible model for collaborative care (the Collabri Flex model) for patients with depression.
Study the effects of this Collabri Flex model against consultation liaison in a randomized design on selected outcomes.

In Collabri the treatment is in line with a set of general treatment principles relevant for collaborative care interventions. The patients in the intervention group are offered cognitive behavioral therapy (CBT), psychoeducation and medication according to a stepped care model by a care manager refering to the general practitioner.

The Collabri Flex study is set up as a researcher-blinded individually randomized controlled trial with participation of an intervention group (treatment according to the Collabri Flex model) and a consultation liaison group.

This study will contribute with new knowledge on collaborative care interventions in a Scandinavian context.

Enrollment

389 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Danish speaking
Diagnosis of current depression based on the Mini International Neuropsychiatric Interview (MINI) by care managers that have been trained in using MINI in close collaboration with the psychiatrist/psychologist.
The patient has given her/his written informed consent to participate in the trial at the described terms

Exclusion criteria

High risk of suicide assessed in the Mini International Neuropsychiatric Interview (MINI) and/or by the GP
Psychotic condition detected in the MINI and/or by the GP
Patients with a diagnosis of dementia
Alcohol or substance misuse that hinders the person participating in Collabri treat-ment as assessed by the practitioner or care manager at inclusion interview
If the patient has been referred or is recommended referral to secondary care treatment (mental health center) or psychiatrist in private practice
Patients who are assessed by the GP as medically unstable making it impossible for the patient to adhere to treatment
Bipolar affective disorder as assessed in the MINI and/or by the GP
Pregnancy

For patients in the Collabri Flex group:

Patients with depression who wants treatment cf. the psychologist scheme (Psykologordningen) or similar treatment and do not want the refferal to the psychologist preceded by other treatment, cf. the Collabri Flex model assessed by the GP
Patients that wish to continue current psychological or psychiatric treatment due to anxiety or depression