Working Toward Wellness (WtW)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00694681
Recruitment Status : Completed
First Posted : June 10, 2008
Last Update Posted : March 27, 2012
United Behavioral Health
Kaiser Permanente
Department of Health and Human Services
Information provided by (Responsible Party):
Charles Michalopoulos, MDRC

Brief 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.

Condition or disease Intervention/treatment Phase
Depression Behavioral: Telephonic care management Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 499 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Enhanced Services for the Hard to Employ Demonstration: Telephonic Care Management for Depressed Medicaid Recipients
Study Start Date : October 2004
Actual Primary Completion Date : September 2010
Actual Study Completion Date : September 2011

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Medicaid
U.S. FDA Resources

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.

Primary Outcome Measures :
  1. Use of mental health services [ Time Frame: Through 36 months ]

Secondary Outcome Measures :
  1. Depression severity [ Time Frame: 6, 18, and 36 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult)
Sexes Eligible for Study:   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:

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00694681

United States, Rhode Island
United Behavioral Health
Warwick, Rhode Island, United States
Sponsors and Collaborators
United Behavioral Health
Kaiser Permanente
Department of Health and Human Services
Principal Investigator: David Butler MDRC

Publications of Results:
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
First Posted: June 10, 2008    Key Record Dates
Last Update Posted: March 27, 2012
Last Verified: March 2012

Keywords provided by Charles Michalopoulos, MDRC:
Telephonic care management