Working Toward Wellness

NCT00694681 | Completed

• 1 other identifier: HHS-233-01-0012-RI
• Study Type: interventional
• Target: 499
• Locations: 1 country
• Sites: 1

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

Keywords

Telephonic care management

Outcome Measures

Primary Outcomes (1)

• Use of mental health services

  Through 36 months

Secondary Outcomes (1)

• Depression severity

  6, 18, and 36 months

Interventions

Telephonic care management BEHAVIORAL

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.

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• MDRC: lead
• United Behavioral Health: collaborator
• Kaiser Permanente: collaborator
• Department of Health and Human Services: collaborator

Study Sites (1)

United Behavioral Health

Warwick, Rhode Island, United States

Location

Related Publications (2)

• 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.

  PMID: 21999717 RESULT

• 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.

  RESULT

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• David Butler

  MDRC

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chief Economist

Study Record Dates

• First Submitted: June 5, 2008
• First Posted: June 10, 2008
• Study Start: October 1, 2004
• Primary Completion: September 1, 2010
• Study Completion: September 1, 2011
• Last Updated: March 27, 2012

Record last verified: 2012-03

Locations

US (1)