Collaborative Mental Health Care Model: an Evaluation of the Implementation of a Pilot in Four Primary Care Organization

NCT05385666 | Unknown

• 1 other identifier: P21/10_mosaïque
• Study Type: interventional
• Target: 1,200
• Locations: 1 country
• Sites: 5

Brief Summary

Frequent mental disorders (anxiety or mood disorders), an important part of primary care patient care, remain insufficiently detected and treated. Improving their care requires better coordination between general practice and specialized care. The collaborative care model developed in Washington State with the introduction of a care manager is recognized. About 100 randomized controlled trials have established its effectiveness and efficiency, in terms of improving the progression of disorders (remission rate), adherence, quality of life, professional and patient satisfaction, and cost savings. However, the possibility of implementation of these validated care remains to be explored. A dozen collaborative care implementation studies exist, all conducted in the USA and not having considered all the dimensions of the indicators of penetration, acceptability/adoption, feasibility, fidelity and cost. A first implementation in France is implemented since September 2021 in the Yvelines department on four sites of different size, organization and environments: the multi-professional health centers (MSP) of Mureaux and Celle St Cloud, the Chevreuse medical house and MG in isolated practice in Versailles. The main objective of the research project is to evaluate the first implementation in France of collaborative care for frequent psychic disorders according to the indicators of penetration, acceptability/adoption, fidelity, relevance, feasibility and cost.

Conditions

Psychological Disorder

Outcome Measures

Primary Outcomes (1)

• to evaluate the first implementation in France of collaborative care for frequent psychic disorders

  numbers of patients and medical caregivers who participate in collaborative care

  36 months

Study Arms (1)

group experimental

EXPERIMENTAL

Other: collaborative cares

Interventions

collaborative cares OTHER

coordinate care between city medicine and specialized psychiatric care to improve the management of common mental disorders

group experimental

Eligibility Criteria

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

You may qualify if:

• healthcare professionals involved in the collaborative care system
• patients who have been referred for collaborative care by their family physician

You may not qualify if:

• patient refusal to participate in research
• adults protected by law

Sponsors & Collaborators

• Dr Nadia YOUNES: lead

Study Sites (5)

Maison de Santé Pluridisciplinaire

Chevreuse, 78460, France

RECRUITING

Maison de Santé Pluridisciplinaire

Les Mureaux, 78130, France

RECRUITING

Cabinet Médical Versailles

Versailles, 78000, France

RECRUITING

cabinet médical Versailles

Versailles, 78000, France

RECRUITING

Cabinet Médical Versailles

Versailles, 78000, France

NOT YET RECRUITING

MeSH Terms

Conditions

Mental Disorders

Central Study Contacts

nadia Younes

CONTACT

01 39 63 83 12; nyounes@ch-versailles.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Investigator Coordinator

Study Record Dates

• First Submitted: May 12, 2022
• First Posted: May 23, 2022
• Study Start: July 13, 2022
• Primary Completion: May 1, 2024
• Study Completion: May 1, 2025
• Last Updated: August 25, 2022

Record last verified: 2022-08

Locations

FR (5)