Collaborative Care for Treatment of Depression and Anxiety

Description

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.

Conditions

Depression, Anxiety

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Study Overview

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Study Details

Study overview

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.

Collaborative Care for Treatment of Depression and Anxiety

Collaborative Care for Treatment of Depression and Anxiety

Condition
Depression
Intervention / Treatment

-

Contacts and Locations

Aurora

Kaiser Permanente Colorado, Aurora, Colorado, United States, 80011

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * 18+
  • * 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
  • * Psychosis
  • * Dementia
  • * Bipolar
  • * Personality Disorders
  • * Post Traumatic Stress Disorder (PTSD)
  • * Obsessive Compulsive Disorder (OCD)
  • * Panic Disorder
  • * Cognitive Disorder

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

Kaiser Permanente,

Study Record Dates

2025-03-31