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Telephone treatment support improves outcomes for depressed employees

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Philip Wang

Correspondence to: Philip Wang, Division of Services and Intervention Research, National Institute of Mental Health, 6001 Executive Blvd, Room 7141, MSC 9629, Bethseda, MD 20892-9629, USA; wangphi@mail.nih.gov

QUESTION

Question:

Does telephone management and support of treatment improve individual and workplace outcomes for people with depression?

Patients:

604 employees aged 18 years and over with at least moderate depression (Quick Inventory of Depressive Symptomatology Self Report (QIDS-SR) score ⩾8). Participants were identified using a two-stage screening process, involving an initial survey to identify those with possible depression (score ⩾9 on the K-6 screen for psychological distress) followed by telephone screening using the QIDS-SR. Exclusions: history of mania or substance dependence, suicidal ideation or attempts in the previous week, treatment by a mental health specialist in the previous year.

Setting:

16 companies covered by the United Behavioural Health Plan in the USA; recruitment between January 2004 and February 2005.

Intervention:

Telephone care management intervention or usual care. The intervention involved telephone assessment of treatment needs, facilitation of access to inpatient treatment, receipt of a psychoeducational workbook, and …

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