Integrated Mental Health Care and Vocational Rehabilitation to People With to Common Mental Disorders

  • STATUS
    Recruiting
  • days left to enroll
    47
  • participants needed
    800
  • sponsor
    Mental Health Centre Copenhagen
Updated on 16 September 2021
depression
anxiety
psychiatric disorder
depressed mood

Summary

The purpose of this study is to investigate the efficacy of an integrated mental health care and vocational rehabilitation intervention for people on sick leave because of depression, stress, anxiety, personality- and functional disorders in Denmark

Description

Background

Mental illness has an estimated financial burden on the Danish economy of 3.4 % of Gross National Product every year due to lost productivity, social benefits and healthcare costs and approximately 50 % of people receiving long-term sickness benefits have a common mental illness. Furthermore, a significant treatment gap exists where less than 30% were treated for their mental illness.

Objective

The primary objective of the randomized trial is to examine whether people on sick leave with a diagnosis of anxiety, depression, stress, personality disorders or functional disorders, return to work faster and have a higher job retention if they receive an integrated and optimized vocational rehabilitation and mental health care intervention, compared to people who receive the standard mental health care and vocational rehabilitation service.

Method

The trial is designed as an randomized, two-group parallel, assessor-blinded, multisite trial. A total of 800 participants with a common mental illness will randomly be assigned into two groups 1) IBBIS II, consisting of an integrated mental health care and vocational rehabilitation; or 2) Service as usual, at two sites in Denmark. The primary outcome is difference between the two groups in time to return to work at 12 months.

Results/discussion:

This study will contribute with new knowledge on vocational recovery and integrated vocational and health care interventions in a Scandinavian context.

Details
Condition Generalized Anxiety Disorder (GAD), Anxiety Symptoms, anxiety disorder, Depression, Common Mental Disorders, PERSONALITY DISORDER, Depressed, Stress, Generalized Anxiety Disorder (GAD - Pediatric), miserable, Functional Disease Present, Depression (Pediatric), Depression (Adolescent), depressed mood, Anxiety Disorders, ANXIETY NEUROSIS, depressive disorders, Endogenous depression, Depression (Treatment-Resistant), Depression (Adult and Geriatric), Anxiety, Depression (Major/Severe), anxious, depressive disorder, Anxiety Disorders (Pediatric)
Treatment IBBIS II, Service as Usual
Clinical Study IdentifierNCT04432129
SponsorMental Health Centre Copenhagen
Last Modified on16 September 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Inclusion criteria
Anxiety, depression, stress, personality disorder or functional disorder diagnosed at a structured diagnostic interview based on the Mini International Neuropsychiatric Interview conducted by the IBBIS team
Sickness benefit recipient at baseline; on sick leave from job or unemployed for a minimum of four weeks
Resident in Copenhagen or Aarhus municipalities
Speak sufficient Danish to participate in interviews and complete questionnaires without an interpreter
Aged 18 or older
Has given informed written consent

Exclusion Criteria

Pregnant
High degree of suicidal ideation
Dementia
Abuse of alcohol or other drugs to the degree that participation in therapy is not possible
A need for mental health treatment in secondary sector care
Unstable somatic condition that is too severe for participation in the project
The participant will not refrain from participating in other psychotherapeutic treatment outside the IBBIS project if the participant will be allocated to the experimental group
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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