Working Toward Wellness

NCT ID: NCT00694681

Last Updated: 2012-03-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 499 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2004-10-31
• Study Completion Date: 2011-09-30

Brief Summary

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.

Conditions

Depression

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Interventions

Telephonic care management

Individuals received intensive outreach from care managers, first to help them to enter treatment and then, if treatment began, to remain in it for an appropriate time. Treatment is based on the American Psychiatric Association's Evidence-Based Practice Guidelines for Major Depression, which includes psychotherapy and antidepressant medications. Outreach and care management took place by telephone.

Intervention Type: BEHAVIORAL

Eligibility Criteria

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

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

United Behavioral Health

INDUSTRY

Sponsor Role: collaborator

Kaiser Permanente

OTHER

Sponsor Role: collaborator

Department of Health and Human Services

FED

Sponsor Role: collaborator

MDRC

OTHER

Sponsor Role: lead

Responsible Party

Charles Michalopoulos

Chief Economist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

David Butler

Role: PRINCIPAL_INVESTIGATOR

MDRC

Locations

United Behavioral Health

Warwick, Rhode Island, United States

Countries

United States

References

Kim SE, Le Blanc AJ, Michalopoulos C, Azocar F, Ludman EJ, Butler DM, Simon GE. Does telephone care management help Medicaid beneficiaries with depression? Am J Manag Care. 2011 Oct 1;17(10):e375-82.

Reference Type: RESULT

PMID: 21999717 (View on PubMed)

Kim S, Leblanc A, Morris P, Simon G, Walter J. Working toward wellness: Telephone care management for Medicaid recipients with depression, thirty-six months after random assignment. New York: MDRC. December 2011.

Reference Type: RESULT

Other Identifiers

HHS-233-01-0012-RI

Identifier Type: -

Identifier Source: org_study_id