Collaborative Mental Health Care Model: an Evaluation of the Implementation of a Pilot in Four Primary Care Organization

Psychological Disorder Clinical Trial

— Mosaique  

Official title:

Collaborative Mental Health Care Model: an Evaluation of the Implementation of a Pilot in Four Health Homes

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05385666
• Other study ID #: P21/10_mosaïque
• Status: Recruiting
• Phase: N/A
• Start date: July 13, 2022
• Est. completion date: May 2025

Study information

• Verified date: August 2022
• Source: Versailles Hospital
• Contact: nadia Younes
• Phone: 01 39 63 83 12
• Email: nyounes[@]ch-versailles.fr
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Frequent mental disorders (anxiety or mood disorders), an important part of primary care patient care, remain insufficiently detected and treated. Improving their care requires better coordination between general practice and specialized care. The collaborative care model developed in Washington State with the introduction of a care manager is recognized. About 100 randomized controlled trials have established its effectiveness and efficiency, in terms of improving the progression of disorders (remission rate), adherence, quality of life, professional and patient satisfaction, and cost savings. However, the possibility of implementation of these validated care remains to be explored. A dozen collaborative care implementation studies exist, all conducted in the USA and not having considered all the dimensions of the indicators of penetration, acceptability/adoption, feasibility, fidelity and cost. A first implementation in France is implemented since September 2021 in the Yvelines department on four sites of different size, organization and environments: the multi-professional health centers (MSP) of Mureaux and Celle St Cloud, the Chevreuse medical house and MG in isolated practice in Versailles.

The main objective of the research project is to evaluate the first implementation in France of collaborative care for frequent psychic disorders according to the indicators of penetration, acceptability/adoption, fidelity, relevance, feasibility and cost.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 1200
• Est. completion date: May 2025
• Est. primary completion date: May 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• healthcare professionals involved in the collaborative care system

• patients who have been referred for collaborative care by their family physician

Exclusion Criteria:

• patient refusal to participate in research

• adults protected by law

Related Conditions & MeSH terms

• Mental Disorders
• Psychological Disorder

Intervention

Other:
• collaborative cares
coordinate care between city medicine and specialized psychiatric care to improve the management of common mental disorders

Locations

Country	Name	City	State
France	Maison de Santé Pluridisciplinaire	Chevreuse
France	Maison de Santé Pluridisciplinaire	les Mureaux
France	Cabinet Médical Versailles	Versailles
France	cabinet médical Versailles	Versailles
France	Cabinet Médical Versailles	Versailles

Sponsors (1)

Lead Sponsor	Collaborator
Dr Nadia YOUNES

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	to evaluate the first implementation in France of collaborative care for frequent psychic disorders	numbers of patients and medical caregivers who participate in collaborative care	36 months