Table 2 Characteristics of collaborative care interventions for anxiety disorders
From: Collaborative care for anxiety disorders in primary care: a systematic review and meta-analysis
Study no. | Study (first author, year) | Professionals involved | Professional training | Interventions used | No. contacts with professionals | Collaboration between professionals | Monitoring | Follow-up / relapse prevention |
|---|---|---|---|---|---|---|---|---|
1 | Roy-Byrne et al. 2001 | PCP Psychiatrist | PCP: 1-h didactic, medication algorithm | Medication management (paroxetine) and encouragement of adherence and exposure by psychiatrist Educational patient video | 2 visits and 2 phone calls by psychiatrist | The PCP received a typed consultation note after each psychiatric visit. | No information provided | 5 follow-up calls by psychiatrist |
2 | Roy-Byrne et al. 2005 | PCP, Psychiatrist CM | PCP: 1-h didactic on, medication algorithm CM: treatment protocol, six videotapes, 1 day long workshop in care management and CBT | Face-to-face CBT Antidepressant medication according to algorithm by PCP Educational video and workbook | 6 sessions by CM | Weekly caseload supervision of CM by psychiatrist 2-way communication of CM and PCP by telephone, fax, and e-mail. Recommendations as needed from a consulting psychiatrist to the PCP via the CM | No information provided | Intended were 6 telephone follow-up contacts during 10 months after the active treatment phase by CM |
3 | Rollman et al. 2005 | PCP, Psychiatrist CM | PCP: 1-h conference and individual meeting of study investigators with PCPs, medication algorithm CM: study protocol and self-management workbooks, attending lectures at the University | CBT based guided self-help Antidepressant medication according to algorithm by PCP Referral to a community mental health specialist | 7 telephone contacts by CM | Weekly caseload supervision of CM by psychiatrist Advice from the psychiatrist to the PCP and patient via CM Communication facilitated through an ambulatory EMR system | Monitoring by CM with PDSS / GADSS | Telephone contacts every 1–3 months after the acute phase to monitor symptoms |
4 | König et al.2009 | PCP, Psychiatrist/ Clinical psychologist | PCP: 10 h training and two additional sessions on counseling skills and CBT | Counseling by PCP, including CBT techniques | No information provided | As needed consultation by psychiatrist/clinical psychologist at PCPs’ practices | No information provided | No information provided |
5 | Roy-Byrne et al. 2010 | PCP, Psychiatrist CM | PCP: single-session training, medication algorithm CM: treatment protocol, 6 half days of didactics in care management and CBT | Face-to-face CBT by CM supported by computer program Antidepressant medication according to algorithm by PCP | 6–8 sessions by CM | Weekly caseload supervision of CM by psychiatrist/psychologist “Regular” interaction between PCP and CM in person and by telephone As needed consultation of PCP by psychiatrist Communication facilitated through a webbased monitoring system | Monitoring with OASIS by CM | Monthly follow-up telephone calls by CM |
6 | Oosterbaan et al. 2013 | PCP Psychiatrist/ CBT specialist CM | PCP: one educational session, medication algorithm CM: treatment protocol, 2-day training session in basic CBT strategies | Stepped care (according to severity): 1. CBT based guided self-help with support by CM (face-to-face) with antidepressant medication according to algorithm by PCP for patients with a moderate disorder 2. CBT and antidepressants in specialised mental health service | Step 1: 5 sessions by CM Step 2: No information provided | 2-weekly supervision of CM by CBT specialist As needed consultation of PCP by psychiatrist | Monitoring with CGI by CM | No information provided |
7 | Muntingh et al. 2014 | PCP Psychiatrist/ CBT specialist CM | PCP: 3 h workshop, medication algorithm CM: treatment protocol, 3-day workshop in care management and CBT strategies | Stepped care: 1. CBT based guided self-help with support by CM (face-to-face) 2. CBT by CM 3. Antidepressant medication according to algorithm by PCP | Step 1: 5 sessions by CM Step 2: 6 sessions by CM | Intended was 3-weekly supervision of CM by psychiatrist/ CBT specialist GP and CM were “instructed to frequently discuss treatment progress” As needed consultation of PCP by psychiatrist | Monitoring with BAI by CM | Monthly follow-up telephone calls by CM |