An Integrated Model of Primary Care in Mental Health

Completed · Not applicable

Conditions studied: Depression

In brief

Managed care systems rely on primary care providers as gatekeepers to make sensible decisions regarding the use of expensive health care resources. While this model has some intuitive appeal in terms of its potential for decreasing health care costs, it may not be applicable in VA medical centers, where patients are often medically complex and socioeconomically vulnerable. Thus, other strategies to integrate generalist and specialist care are required.

Key facts

Study ID

NCT00013260

Run by

US Department of Veterans Affairs

People needed

271

Expected to finish

2000-07-01

Last updated by the study team

2015-04-07

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• diagnosis of depression (ie, major depression, dysthymia, or partially remitted major depression);
• received primary care from the General Medicine Clinic; and 3) access to a telephone. Patients were excluded if they were: 1) incompetent for interview (eg, active psychosis, dementia documented in medical chart); 2) residents of a nursing home;
• actively suicidal (ie, stated plans/means and/or had suicide attempt during past two years);
• seen in a VA mental health program (made a visit during the previous 30 days and had a future appointment scheduled);
• active cocaine or opiate abusers;
• history of bipolar disorder; or
• terminally ill (ie, death expected with 12 months) using criteria successfully employed in previous studies of veterans in primary care

Where it is running

• Richard L. Roudebush VA Medical Center, Indianapolis, IN — Indianapolis, North Carolina, United States

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.