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Working Toward Wellness (WtW)

This study has been completed.
Sponsor:
Collaborators:
United Behavioral Health
Group Health Cooperative
Department of Health and Human Services
Information provided by (Responsible Party):
Charles Michalopoulos, MDRC
ClinicalTrials.gov Identifier:
NCT00694681
First received: June 5, 2008
Last updated: March 23, 2012
Last verified: March 2012
History of Changes

June 5, 2008
March 23, 2012
October 2004
September 2010   (final data collection date for primary outcome measure)
Use of mental health services [ Time Frame: Through 36 months ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00694681 on ClinicalTrials.gov Archive Site
Depression severity [ Time Frame: 6, 18, and 36 months ] [ Designated as safety issue: No ]
Same as current
 
 
 
Working Toward Wellness
Enhanced Services for the Hard to Employ Demonstration: Telephonic Care Management for Depressed Medicaid Recipients

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.
 
Interventional
 
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Depression
Behavioral: Telephonic care management
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.
 
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.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
499
September 2011
September 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

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

Exclusion Criteria:

  • Bipolar disorder
  • alcohol or substance abuse
  • currently in active treatment for depression
  • receiving Supplemental Security Income
Both
18 Years to 65 Years
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00694681
HHS-233-01-0012-RI
No
Charles Michalopoulos, MDRC
MDRC
  • United Behavioral Health
  • Group Health Cooperative
  • Department of Health and Human Services
Principal Investigator: David Butler MDRC
MDRC
March 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP