An Outreach Collaborative Model for Early Identification and Treatment of Mental Disorder in Danish Workplaces
|ClinicalTrials.gov Identifier: NCT03786328|
Recruitment Status : Completed
First Posted : December 26, 2018
Last Update Posted : December 26, 2018
Depression and anxiety are prevalent mental disorders among the working population with potentially high personal and financial cost. The aim of the study is to test the applicability of an outreach collaborative model for early identification and treatment of clinical and sub-clinical mental disorders among Danish employees. applicability was examined by I) investigating the fractions of identified and treated clinical and subclinical cases, II) describing the distribution and characteristics of cases identified and III) investigating the effect of allocated treatment.
A longitudinal study design with four assessments over 16 months are applied. Six medium-large companies will be included, both public and private cooperations. Self-reporting questionnaires probing for psychopathology will be distributed to all employees in the six consecutively enrolled companies at the four time points. Employees meeting the screening criteria at T1 will be assessed diagnostically. Subjects diagnosed with a clinical mental disorder will be allocated to outpatient psychiatric treatment, and subjects with subclinical conditions will be allocated to preventive cognitive behavioural therapy. Follow-up is conducted 6 and 12 months after initiation of treatment.
Participation in the study is voluntary at all levels. Written informed consent will be obtained from participant selected for diagnostic interview and treatment.
|Condition or disease||Intervention/treatment||Phase|
|Depression, Anxiety||Behavioral: Standard Psychiatric Treatment Behavioral: Preventive Psychological Treatment||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||73 participants|
|Intervention Model:||Sequential Assignment|
|Masking:||None (Open Label)|
|Official Title:||An Outreach Collaborative Model for Early Identification and Treatment of Mental Disorder in Danish Workplaces|
|Actual Study Start Date :||April 1, 2008|
|Actual Primary Completion Date :||August 31, 2013|
|Actual Study Completion Date :||August 31, 2013|
Clinical cases of Mental Disorder
The group of individuals identified with a clinical mental disorder on the basis of the diagnostic interviews This group will be assigned to Standard Psychiatric Treatment
Behavioral: Standard Psychiatric Treatment
Standard psychiatric treatment is offered individuals identified with a clinical mental disorder. Treatment will follow golden standard treatment in the psychiatric clinic, meaning a combination of therapy and psychopharmacological treatment.
Subclinical cases of Mental Disorder
The group of individuals identified with a sub-clinical mental condition on the basis of the diagnostic interviews This group will be assigned to Preventive Psychological Treatment
Behavioral: Preventive Psychological Treatment
Preventive Psychological Treatment is offered individuals identified with a sub-clinical mental condition. Treatment consists of 8 sessions of cognitive-behavioural therapy.
- Change in Severity of Psychopathological symptoms [ Time Frame: Measured at baseline and 6 and 12 month follow-up ]The change in severity of psychopathological symptoms are measured with the Symptom Checklist 90, revised (SCL-90-R) that is a psychiatric self-report inventory with high reliability and validity to measure overall psychological distress and to detect changes.