CClinicalTrials.gg
CompletedNCT00694681WtWUpdated Mar 27, 2012

Working Toward Wellness

An interventional study of Telephonic care management in Depression, sponsored by MDRC. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2012-03-27.

Sponsored by MDRC · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
499
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Working toward Wellness is a telephone care management and outreach monitoring program designed to help Medicaid recipients who are experiencing major depression to enter and remain in evidence-based treatment. To study the effects of Working toward Wellness, individuals receiving Medicaid in Rhode Island who are eligible for mental health services through United Behavioral Health were screened by telephone for depression. Those who were found to have major depression and who agreed to be in the study were randomly assigned. Program participants received intensive monitoring from Master's level clinicians called care managers to facilitate and support clinical treatment. The control group received usual care that included only referrals to mental health treatment providers. The study hypothesis is that telephonic care management would increase visits to mental health professionals and use of appropriate medication, which in turn would reduce depression severity and lead to greater employment and productivity at work.

02

Conditions studied

  • Depression

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Keywords

  • Telephonic care management
03

In context

Depression

8,057 studies on the registry are indexed under Depression; 1,641 are open to participants now.

This study's enrollment of 499 is above the median of 84 across 6,720 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

MDRC is the lead sponsor of 7 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Score of 5 or higher on Quick Inventory of Depression Symptomatology
  • receiving Medicaid
  • at least one child in household

Exclusion criteria

Exclusion Criteria:

  • Bipolar disorder
  • alcohol or substance abuse
  • currently in active treatment for depression
  • receiving Supplemental Security Income
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Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
499 participants (actual)

Interventions

  • BehavioralTelephonic care management

    Individuals received intensive outreach from care managers, first to help them to enter treatment and then, if treatment began, to remain in it for an appropriate time. Treatment is based on the American Psychiatric Association's Evidence-Based Practice Guidelines for Major Depression, which includes psychotherapy and antidepressant medications. Outreach and care management took place by telephone.

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What researchers measure

Primary outcomes

  1. Use of mental health services

    Time frame: Through 36 months

Secondary outcomes

  1. Depression severity

    Time frame: 6, 18, and 36 months

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Study locations

1 site
  • United Behavioral Health
    Warwick, Rhode Island, United States
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References and documents

Publications

  • Kim SE, Le Blanc AJ, Michalopoulos C, Azocar F, Ludman EJ, Butler DM, Simon GE. Does telephone care management help Medicaid beneficiaries with depression? Am J Manag Care. 2011 Oct 1;17(10):e375-82. PubMed 21999717 ↗
  • Kim S, Leblanc A, Morris P, Simon G, Walter J. Working toward wellness: Telephone care management for Medicaid recipients with depression, thirty-six months after random assignment. New York: MDRC. December 2011.
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 27, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00694681
Lead sponsor
MDRC
Collaborators
United Behavioral Health, Kaiser Permanente, Department of Health and Human Services
Responsible party
Charles Michalopoulos (Chief Economist, MDRC) — Principal investigator
First posted
Jun 10, 2008
Start date
Oct 2004
Primary completion
Sep 2010
Completion
Sep 2011
Last update
Mar 27, 2012

Study contacts

David Butler
principal investigator · MDRC

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2012. You cannot join it, but the record below documents what was studied.

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