Provision of mental health treatment in general practice settings: outcome and cost effectiveness analysis

ISRCTN	ISRCTN21715876
DOI	https://doi.org/10.1186/ISRCTN21715876
Secondary identifying numbers	RDC00251

Submission date: 23/01/2004
Registration date: 23/01/2004
Last edited: 31/10/2019

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Mental and Behavioural Disorders

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Steven Hirsch
Scientific

Charing Cross & Westminster Medical School
St Dunstan's Road
London
W6 8RP
United Kingdom

Phone	+44 (0)20 8846 7390
Email	abc@email.com

Study information

Study design	Randomised controlled trial
Primary study design	Interventional
Secondary study design	Randomised controlled trial
Study setting(s)	GP practice
Study type	Treatment
Scientific title	Provision of mental health treatment in general practice settings: outcome and cost effectiveness analysis
Study objectives	There are numerous compelling reasons to shift as much mental health care provision into community settings, including general practice surgeries. However, the impact of such a policy remains inadequately evaluated. Previous research has focused on experimental studies of particular interventions in selected patient groups. By contrast, this study is pragmatic, aiming to examine the overall effect of a new service provision on the practices involved as well as on their patients. The clinical benefits and cost-effectiveness will be assessed by providing a clinical psychologist and a community psychiatric nurse, each for two weekly sessions, to work within five general (Experimental) practices. The attached mental health workers will assess and treat patients, and will also participate with the general practitioners in regular practice meetings to discuss patients. Each practice will be matched for practice characteristics and patient population with another (Control) practice, without attached mental health workers. Patients recognized by the Experimental practices as requiring an intervention for a mental health problem will be compared in management and outcome at follow up with several other patient groups, including a matched patient group from the Control practices, and the patient group in the Experimental group with unrecognised mental health problems. The indirect benefits of introducing the mental health workers on general practitioners' recognition and management of mental health problems will also be examined. The cost-effectiveness will be assessed of providing the sessional clinical psychology and community psychiatric nursing attachments.
Ethics approval(s)	Not provided at time of registration
Health condition(s) or problem(s) studied	Mental and behavioural disorders: schizophrenia and other psychoses, depression, anxiety, neuroses
Intervention	1. Provision of a clinical psychologist and a community psychiatric nurse, each for two weekly sessions, to work within five (Experimental) general practices 2. (Control) practices with standard care
Intervention type	Other
Primary outcome measure	Increase in GP recognition of mental health symptoms, and reduction in inpatient and outpatient admissions.
Secondary outcome measures	Not provided at time of registration
Overall study start date	31/01/1996
Completion date	31/12/1998

Eligibility

Participant type(s)	Patient
Age group	Not Specified
Sex	Not Specified
Target number of participants	Not provided at time of registration
Key inclusion criteria	Not provided at time of registration
Key exclusion criteria	Not provided at time of registration
Date of first enrolment	31/01/1996
Date of final enrolment	31/12/1998

Locations

Countries of recruitment

England
United Kingdom

Study participating centre

Charing Cross & Westminster Medical School

London
W6 8RP
United Kingdom

Sponsor information

NHS R&D Regional Programme Register - Department of Health (UK)
Government

The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Phone	+44 (0)20 7307 2622
Email	dhmail@doh.gsi.org.uk
Website	http://www.doh.gov.uk

Funders

Funder type

Government

NHS Executive London (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
Publication and dissemination plan	Not provided at time of registration
IPD sharing plan

Editorial Notes

31/10/2019: No publications found, verifying study status with principal investigator.