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Working Toward Wellness (WtW)

M

MDRC

Status

Completed

Conditions

Depression

Treatments

Behavioral: Telephonic care management

Study type

Interventional

Funder types

Other
Other U.S. Federal agency
Industry

Identifiers

NCT00694681
HHS-233-01-0012-RI

Details and patient eligibility

About

Working toward Wellness is a telephone care management and outreach monitoring program designed to help Medicaid recipients who are experiencing major depression to enter and remain in evidence-based treatment. To study the effects of Working toward Wellness, individuals receiving Medicaid in Rhode Island who are eligible for mental health services through United Behavioral Health were screened by telephone for depression. Those who were found to have major depression and who agreed to be in the study were randomly assigned. Program participants received intensive monitoring from Master's level clinicians called care managers to facilitate and support clinical treatment. The control group received usual care that included only referrals to mental health treatment providers. The study hypothesis is that telephonic care management would increase visits to mental health professionals and use of appropriate medication, which in turn would reduce depression severity and lead to greater employment and productivity at work.

Enrollment

499 patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Score of 5 or higher on Quick Inventory of Depression Symptomatology
  • receiving Medicaid
  • at least one child in household

Exclusion criteria

  • Bipolar disorder
  • alcohol or substance abuse
  • currently in active treatment for depression
  • receiving Supplemental Security Income

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Single Group Assignment

Masking

None (Open label)

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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