RecruitingNCT06556589

Collaborative Care for Treatment of Depression and Anxiety

Sponsor

Kaiser Permanente

Enrollment

200 participants

Start Date

Mar 1, 2023

Study Type

OBSERVATIONAL

Conditions

Depression Anxiety

Summary

The goal of this project is to evaluate the effectiveness of a collaborative care model for primary care patients at Kaiser Permanente Colorado (KPCO) with depression and/or anxiety. Collaborative care uses evidence-based short-term treatments delivered to patients over the phone. We will explore the use of cost-efficient automated processes for patient outreach and follow-up, such as care pools of patients and using patient portal messaging, risk-based results routing to providers, and electronic health record (EHR) tools for patient tracking and outcome assessment. Using a cluster randomized design, we will compare results between clinics that are offering collaborative care to those that are not.

Eligibility

Min Age: 18 Years

Inclusion Criteria13

+
Current membership and active on patient portal
Depression Diagnosis in the prior year
Overdue for PHQ9 Screening based on the following criteria:
High Risk: Last PHQ9 screener was completed greater than 4 months ago AND total Score is greater than or equal 10 or item 9 is greater than 0.
Low Risk: Last PHQ9 screener was completed greater than 12 months ago AND Last PHQ9 Total Score is less than 10 and item 9 is equal to 0.
Anxiety diagnoses in the prior year
Has a baseline GAD7 in the same prior year; score = 10+ (\*Note: Provider referrals could be GAD7 score of 7 or higher)
No Behavioral Health (BH) engagement in the prior year
Patient is not in a Skilled Nursing Facility or Hospice
Patient has no record of psychiatric hospitalization in the last year
Patient does not need an interpreter (i.e., English speaking)
Primary care location is one of the intervention clinics

Exclusion Criteria9

• Exclude individuals with any of the following diagnoses:
Psychosis
Dementia
Bipolar
Personality Disorders
Post Traumatic Stress Disorder (PTSD)
Obsessive Compulsive Disorder (OCD)
Panic Disorder
Cognitive Disorder

Interventions

BEHAVIORALCollaborative Care

Collaborative care components include patient-centered team care, population-based care, measurement-based treatment to target, evidence-based care, and accountable care.