Primary Care Intervention Strategy for Anxiety Disorders
Condition: Post-traumatic Stress Disorder; Generalized Anxiety Disorder; Panic Disorder; Social Anxiety Disorder
MeSH terms: Anxiety Disorders; Stress Disorders, Traumatic; Stress Disorders, Post-Traumatic; Panic Disorder; Phobia, Social
Intervention: Cognitive-behavioral therapy; Psychotropic medication optimization; Treatment as Usual
Intervention description: Participants in CALM will choose to receive CBT, medication, or both for the treatment of their anxiety. CBT includes computer-assisted CBT with an anxiety clinical specialist.; For those participants in CALM who choose medication, the ACS will facilitate the delivery of, and adherence to, anti-anxiety medication which will be prescribed by the participants' PCP.; Participants in the control group will receive standard treatment from their PCP.
Intervention MeSH terms: Psychotropic Drugs
Phase: Phase 4
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Enrollment: 1004.0
Sex: All
Minimum age: 18 Years
Maximum age: 75 Years
Healthy volunteers: No
Keywords: Anxiety Disorders; Post-traumatic Stress Disorder; Generalized Anxiety Disorder; Panic Disorder; Social Anxiety Disorder; Stress; Stress Disorders, Traumatic; Stress Disorders, Post-Traumatic; Mental Health Disorders

Summary:

      This study will compare the effectiveness of an intervention strategy for the treatment of
      people with post traumatic stress disorder, generalized anxiety disorder, panic disorder, and
      social anxiety disorder in the primary care setting.
    

Eligibility criteria:

        Inclusion Criteria:

          -  MINI diagnosed Anxiety Disorder (PTSD, GAD, SAD, PD)

          -  Speak English or Spanish (English only at UAMS site)

        Exclusion Criteria:

          -  Diagnosis of Bipolar 1

          -  Drug and alcohol dependence; or abuse of any substance other than marijuana and
             alcohol

          -  Acute suicidality or homicidality

        Eligible subjects must be current patients at one of the participating primary care clinics
        which include:

        University of Washington:

          -  Harborview's Adult Medicine Clinic

          -  Harborview's Family Medicine Clinic

          -  UWMC's General Internal Medicine Clinic at Roosevelt Clinic

          -  PSNHC's 45th Street Clinic

          -  Country Doctor Community Clinic

          -  Carolyn Downs Family Medical Center

        UCLA:

          -  Desert Medical Group, Palm Springs CA

          -  High Desert Medical Group, Lancaster, CA

        UCSD:

          -  Kaiser Permanente, Bonita Medical Offices

          -  Kaiser Permanente, Otay Mesa Outpatient Medical Center

          -  UCSD Medical Center, Scripps Ranch Medical Office

          -  UCSD Medical Center, Fourth and Lewis Medical Office

          -  UCSD Medical Center, Perlman Ambulatory Care Center

          -  Sharp Rees-Stealy Medical Group, El Cajon

          -  Sharp Rees-Stealy Medical Group, Mira Mesa

        UAMS:

          -  UAMS UPMG

          -  Little Rock Diagnostic Clinic

          -  St. Vincent's Family Clinic South