Intensive Psychotherapy and Case Management for Karen Refugees in Primary Care

The Center for Victims of Torture, United States

Status: Unknown

Conditions: Delivery of Intensive Behavioral Services to Refugees in Primary Care

Treatments: Behavioral: Intensive Psychotherapy and case management for refugee trauma

Study type: Interventional

Funder types: Other

Identifiers

NCT03788408

1001

Details and patient eligibility

About

Patients in the IPCM group (n = 112) received intensive psychotherapy and case management, and those in the CAU group (n = 102) received care as usual, including behavioral health referrals and/or brief onsite interventions.

Full description

IPCM patients received routine services from both a psychotherapist and separate mental health case manager for one year; duration of each appointment was 45 minutes - 1 hour; frequency of appointments was weekly or every other week, dependent on participant availability. A face-to-face professional interpreter was utilized unless the CVT provider was a native Karen speaker.

Participants in the control group received care as usual, without CVT involvement other than administration of the outcome measures. Once randomized, CAU patients could be referred to a full range of outpatient and community-based behavioral health services by their primary care physician.

Enrollment: 214 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Eligibility criteria included Major Depression diagnosis by SCID interview, Karen refugee, ages 18-65.

Exclusion criteria

• Exclusion criteria were current participation in individual psychotherapy or case management, psychosis, or substance use problems on the CAGE-AID.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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214 participants in 2 patient groups

Intensive Psychotherapy Case Management

Experimental group

Description:

Treatment group received Intensive Psychotherapy and Case Management (IPCM) delivered by psychotherapists and social worker with expertise in refugee trauma and mental health.

Treatment:

Behavioral: Intensive Psychotherapy and case management for refugee trauma

Treatment as Usual (TAU)

Active Comparator group

Description:

Treatment as Usual group received ongoing care from their primary care providers without the involvement of CVT (except for the collection of outcomes). TAU patients could be referred to a full range of outpatient and community-based behavioral health services by their primary care physician.

Treatment:

Behavioral: Intensive Psychotherapy and case management for refugee trauma