Working Toward Wellness (WtW)

This study has been completed.
United Behavioral Health
Group Health Cooperative
Department of Health and Human Services
Information provided by (Responsible Party):
Charles Michalopoulos, MDRC Identifier:
First received: June 5, 2008
Last updated: March 23, 2012
Last verified: March 2012
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.

Condition Intervention
Behavioral: Telephonic care management

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Enhanced Services for the Hard to Employ Demonstration: Telephonic Care Management for Depressed Medicaid Recipients

Resource links provided by NLM:

Further study details as provided by MDRC:

Primary Outcome Measures:
  • Use of mental health services [ Time Frame: Through 36 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Depression severity [ Time Frame: 6, 18, and 36 months ] [ Designated as safety issue: No ]

Enrollment: 499
Study Start Date: October 2004
Study Completion Date: September 2011
Primary Completion Date: September 2010 (Final data collection date for primary outcome measure)
Intervention Details:
    Behavioral: Telephonic 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.

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
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:

  • Bipolar disorder
  • alcohol or substance abuse
  • currently in active treatment for depression
  • receiving Supplemental Security Income
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00694681

United States, Rhode Island
United Behavioral Health
Warwick, Rhode Island, United States
Sponsors and Collaborators
United Behavioral Health
Group Health Cooperative
Department of Health and Human Services
Principal Investigator: David Butler MDRC
  More Information

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.

Responsible Party: Charles Michalopoulos, Chief Economist, MDRC Identifier: NCT00694681     History of Changes
Other Study ID Numbers: HHS-233-01-0012-RI
Study First Received: June 5, 2008
Last Updated: March 23, 2012
Health Authority: United States: Federal Government

Keywords provided by MDRC:
Telephonic care management processed this record on November 27, 2015