Evaluation of the Medical Psychiatry Alliance Senior's Outpatient Collaborative Care Project
NCT03617614 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 13
Last updated 2021-03-22
Summary
This study evaluates the effectiveness of a collaborative care model designed to treat frail seniors with both a mental (anxiety and/or depression) and a physical health condition impacting function with a comparison group that receives a psychiatric mood consult and a letter of recommendation but who are mainly cared for by their PCP.
Conditions
Interventions
- BEHAVIORAL
-
Collaborative Care Model
Trained care managers (CM) work collaboratively with patients, caregivers, and primary care providers to provide education, care navigation and behavioral activation. The latter includes a stepped psychotherapy intervention called ENGAGE, that focuses on "reward exposure" engagement in meaningful, rewarding activities for patients. Patients (home) visits are delivered over a period of 6 to 16 weeks. Progress is assessed with standardized measures for depression (PHQ-9), anxiety (GAD-7) and functioning (WHO-DAS). Furthermore, patients are presented by the CM at Systematic Case Review meetings where an integrated team of medical, psychiatric and allied health professionals work collaboratively to review the patient's goals and treatment to formulate a care plan and recommendations.
- BEHAVIORAL
-
Mood Consultation
A meeting with a psychiatrist to do assessment, provide education and make recommendations regarding the care of the patient for the Primary Care Provider.
Sponsors & Collaborators
-
Centre for Addiction and Mental Health
collaborator OTHER -
Medical Psychiatry Alliance
collaborator OTHER -
Trillium Health Centre
lead OTHER
Principal Investigators
-
Judith Versloot, PhD · Trillium Health Partners
Eligibility
- Min Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-07-01
- Primary Completion
- 2020-01-01
- Completion
- 2020-06-01
Countries
- Canada
Study Locations
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