Status:
COMPLETED
Scaling Up Science-based Mental Health Interventions in Latin America
Lead Sponsor:
Dartmouth-Hitchcock Medical Center
Collaborating Sponsors:
Pontificia Universidad Javeriana
National Institute of Mental Health (NIMH)
Conditions:
Depression
Problematic Alcohol Use
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Conduct systematic, multi-site mental health implementation research in both rural and urban primary care settings with a broad group of stakeholders in the US and Latin America.
Detailed Description
The investigators plan to launch and evaluate a new mental health service delivery model in Latin America. Specifically, in this new multi-component, mental health service delivery intervention, the i...
Eligibility Criteria
Inclusion
- Provider and administrative staff
- Aged \> 18 years
- Have worked for the study site for at least 3 months.
- Participant
- Aged \> 18 years
- Patients at one of our collaborating primary care sites
- Screen positive for minor (score of 5-9), moderate (score of 10-14), moderately severe (score of 15-19) or severe (score of 20-27) depression on Patient Health Questionnaire (PHQ-9)62 and/or screen positive for problematic alcohol use on Alcohol Use Disorder Identification Test (AUDIT) developed by the World Health Organization (a score of 8 or more on 10-item AUDIT)63 and have a confirmed diagnosis of depression and/or alcohol use disorder based on clinical consultation at the primary care site
- Willing to provide informed consent to use mobile intervention and complete study assessments
Exclusion
- Participant Exclusion Criteria
- Diagnosis with co-occurring severe mental illness (e.g., schizophrenia, bipolar disorder, depression with psychotic features)
- Alcohol withdrawal symptoms that require higher level of care (e.g., emergency medical or inpatient treatment)
- Express suicidal intention. This assessment will be based on a combination of a patient's response on the PHQ-9 assessment followed by further assessment by a primary care clinician. The PHQ-9 measure will not be used solely to determine eligibility on this criterion. Persons who express suicidal intention will immediately be provided immediate crisis management in accordance with the crisis management protocol at the collaborating primary care site.
- Intoxicated or otherwise impaired at the time of assessment (rendering the individual incapable of informed consent)
Key Trial Info
Start Date :
February 13 2018
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
August 31 2021
Estimated Enrollment :
1348 Patients enrolled
Trial Details
Trial ID
NCT03392883
Start Date
February 13 2018
End Date
August 31 2021
Last Update
November 9 2022
Active Locations (6)
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1
ESE Hospital San Antonio de Guatavita
Guatavita, Cundinamarca, Colombia
2
Hospital Mario Gaitán Yanguas
Soacha, Cundinamarca, Colombia, Colombia
3
Salud de Tundama
Duitama, Departamento de Boyacá, Colombia
4
Empresa Social del Estado Hospital Regional de Duitama- Santa Rosa de Viterbo Branch
Santa Rosa de Viterbo, Departamento de Boyacá, Colombia