An Outreach Collaborative Model for Early Identification and Treatment of Mental Disorder in Danish Workplaces

NCT03786328 | Completed DMC

• 1 other identifier: 2013-18
• Study Type: interventional
• Target: 73
• Locations: 0 countries
• Sites: N/A

Brief Summary

Depression and anxiety are prevalent mental disorders among the working population with potentially high personal and financial cost. The aim of the study is to test the applicability of an outreach collaborative model for early identification and treatment of clinical and sub-clinical mental disorders among Danish employees. applicability was examined by I) investigating the fractions of identified and treated clinical and subclinical cases, II) describing the distribution and characteristics of cases identified and III) investigating the effect of allocated treatment. A longitudinal study design with four assessments over 16 months are applied. Six medium-large companies will be included, both public and private cooperations. Self-reporting questionnaires probing for psychopathology will be distributed to all employees in the six consecutively enrolled companies at the four time points. Employees meeting the screening criteria at T1 will be assessed diagnostically. Subjects diagnosed with a clinical mental disorder will be allocated to outpatient psychiatric treatment, and subjects with subclinical conditions will be allocated to preventive cognitive behavioural therapy. Follow-up is conducted 6 and 12 months after initiation of treatment. Participation in the study is voluntary at all levels. Written informed consent will be obtained from participant selected for diagnostic interview and treatment.

Conditions

Depression, Anxiety

Keywords

Early detection and treatment

Outcome Measures

Primary Outcomes (1)

• Change in Severity of Psychopathological symptoms

  The change in severity of psychopathological symptoms are measured with the Symptom Checklist 90, revised (SCL-90-R) that is a psychiatric self-report inventory with high reliability and validity to measure overall psychological distress and to detect changes.

  Measured at baseline and 6 and 12 month follow-up

Study Arms (2)

Clinical cases of Mental Disorder

OTHER

The group of individuals identified with a clinical mental disorder on the basis of the diagnostic interviews This group will be assigned to Standard Psychiatric Treatment

Behavioral: Standard Psychiatric Treatment

Subclinical cases of Mental Disorder

OTHER

The group of individuals identified with a sub-clinical mental condition on the basis of the diagnostic interviews This group will be assigned to Preventive Psychological Treatment

Behavioral: Preventive Psychological Treatment

Interventions

Standard Psychiatric Treatment BEHAVIORAL

Standard psychiatric treatment is offered individuals identified with a clinical mental disorder. Treatment will follow golden standard treatment in the psychiatric clinic, meaning a combination of therapy and psychopharmacological treatment.

Clinical cases of Mental Disorder

Preventive Psychological Treatment BEHAVIORAL

Preventive Psychological Treatment is offered individuals identified with a sub-clinical mental condition. Treatment consists of 8 sessions of cognitive-behavioural therapy.

Subclinical cases of Mental Disorder

Eligibility Criteria

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

You may qualify if:

• Individuals for the diagnostic interview and treatment are selected on the basis of their response to the SCL-90-R questionnaire.
• Hence, individuals are included in diagnostic interview, if scores on the SCL90-R inventory one of the following criteria:
• Global Severity Index score \> 0.63 or
• values of \> 0.63 in two or more subscales or
• values of \> 0.63 in the Depression subscale

You may not qualify if:

• Individuals not meeting the above screening criteria will not participate in diagnostic interview and treatment

Sponsors & Collaborators

• Helle Østermark Sørensen: lead
• Spar Nord Foundation: collaborator

Related Publications (1)

• Sorensen HO, Valentin JB, Bording MK, Larsen JI, Larsen A, Omland O. An outreach collaborative model for early identification and treatment of mental disorder in Danish workplaces. BMC Psychiatry. 2019 Jan 24;19(1):40. doi: 10.1186/s12888-019-2027-5.

  PMID: 30678679 DERIVED

MeSH Terms

Conditions

Depression; Anxiety Disorders

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: MHSc, Research Nurse

Study Record Dates

• First Submitted: December 18, 2018
• First Posted: December 26, 2018
• Study Start: April 1, 2008
• Primary Completion: August 31, 2013
• Study Completion: August 31, 2013
• Last Updated: December 26, 2018

Record last verified: 2018-12

Data Sharing

• IPD Sharing: Will not share