Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Hybrid Controlled Trial to Implement Collaborative Care in General Mental Health
Brief Summary: This randomized program evaluation is undertaken in conjunction with the Department of Veterans Affairs (VA) Office of Mental Health Operations (OMHO) and the Quality Enhancement Research Initiative. It is designed to answer two related questions: (1) Can an evidence-based implementation strategy using the Center for Disease Control (CDC)'s Replicating Effective Programs plus External Facilitation (REP-F) enhance the adoption of team-based care in VA General Mental Health (GMH) Clinics, and (2) Does the establishment of such teams via implementation enhance Veterans' health status, satisfaction, and perceptions of care? The model for team-based care is the evidence-based Collaborative Chronic Care Model (CCM).

In conjunction with a nation-wide roll-out of the VA's Behavioral Health Interdisciplinary Program team (BHIP) initiative, the investigators have structured a randomized, controlled program evaluation to answer these questions. Specifically, using a stepped wedge design the investigators will randomize 9 VAMCs that have requested support in establishing a BHIP to 1 of 3 waves of REP-F support: immediate implementation support vs. 4-month vs. 8-month wait with dissemination of CCM materials (3 sites per wave). Fidelity and health outcome measures will be collected in a repeated measures design at 6-month intervals, and analyzed with general linear modeling.


Options:
A: Arm Label: Implementation Facilitation; Type: EXPERIMENTAL; Interventions: Other: Replicating Effective Programs plus External Facilitation | Arm Label: Educational Materials; Type: PLACEBO_COMPARATOR; Interventions: Other: Educational Materials | Intervention Type: OTHER; Name: Replicating Effective Programs plus External Facilitation; Assigned to Arm(s): Implementation Facilitation | Intervention Type: OTHER; Name: Educational Materials; Assigned to Arm(s): Educational Materials
B: Arm Label: Work rehab with cognitive therapy; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Work rehabilitation based on the cognitive therapeutical model | Arm Label: Work rehab with cognitive training; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Work rehabilitation with the addition of cognitive training | Intervention Type: BEHAVIORAL; Name: Work rehabilitation based on the cognitive therapeutical model; Assigned to Arm(s): Work rehab with cognitive therapy | Intervention Type: BEHAVIORAL; Name: Work rehabilitation with the addition of cognitive training; Assigned to Arm(s): Work rehab with cognitive training
C: Arm Label: IMPACT; Type: EXPERIMENTAL; Interventions: Other: IMPACT | Arm Label: Care as Usual; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: IMPACT; Assigned to Arm(s): IMPACT
D: Arm Label: Depressed Intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Psychoeducation; Treatment recommendations, Drug: Pharmacotherapy | Arm Label: Depressed Usual Care; Type: ACTIVE_COMPARATOR; Interventions: Other: Usual Care | Arm Label: Non-Depressed Control Group; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Psychoeducation; Treatment recommendations; Assigned to Arm(s): Depressed Intervention | Intervention Type: DRUG; Name: Pharmacotherapy; Assigned to Arm(s): Depressed Intervention | Intervention Type: OTHER; Name: Usual Care; Assigned to Arm(s): Depressed Usual Care

Answer: A