Provision of mental health treatment in general practice settings: outcome and cost effectiveness analysis
| ISRCTN | ISRCTN21715876 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN21715876 |
| Protocol serial number | RDC00251 |
| Sponsor | NHS R&D Regional Programme Register - Department of Health (UK) |
| Funder | NHS Executive London (UK) |
- 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
Scientific
Charing Cross & Westminster Medical School
St Dunstan's Road
London
W6 8RP
United Kingdom
| Phone | +44 (0)20 8846 7390 |
|---|---|
| abc@email.com |
Study information
| Primary study design | Interventional |
|---|---|
| Study design | Randomised controlled trial |
| Secondary study design | Randomised controlled trial |
| 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(s) |
Increase in GP recognition of mental health symptoms, and reduction in inpatient and outpatient admissions. |
| Key secondary outcome measure(s) |
Not provided at time of registration |
| Completion date | 31/12/1998 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Not Specified |
| Sex | Not Specified |
| 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
- United Kingdom
- England
Study participating centre
Charing Cross & Westminster Medical School
London
W6 8RP
United Kingdom
W6 8RP
United Kingdom
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|---|
| IPD sharing plan summary | Not provided at time of registration |
| IPD sharing plan |
Editorial Notes
31/10/2019: No publications found, verifying study status with principal investigator.
