Multidisciplinary Collaborative Care for Depressive Disorder in the Occupational Health Setting: design of a randomised controlled trial and cost-effectiveness study |
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| Authors: | Moniek C Vlasveld Johannes R Anema Willem van Mechelen Harm WJ van Marwijk Frans F Rutten Leona Hakkaart-van Roijen Christina M van der Feltz-Cornelis |
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| Affiliation: | (1) etherlands Institute of Mental Health and Addiction (Trimbos-institute), Utrecht, The Netherlands;(2) EMGO Institute, VU University Medical Centre, Amsterdam, The Netherlands;(3) Department of Public and Occupational Health, VU University Medical Centre, The Netherlands;(4) Body@Work, Research Centre Physical Activity, Work and Health, TNO-VU, Amsterdam, The Netherlands;(5) Research Centre for Insurance Medicine, AMC-UWV-VU University Medical Centre, Amsterdam, The Netherlands;(6) Department of Psychiatry, VU University Medical Centre, Amsterdam, The Netherlands;(7) ArboNed Utrecht, The Netherlands;(8) University Medical Centre Groningen, University of Groningen, The Netherlands;(9) Department of General Practice, VU University Medical Centre, Amsterdam, The Netherlands;(10) institute for Medical Technology Assessment, Erasmus University, Rotterdam, The Netherlands |
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| Abstract: | Background Major depressive disorder (MDD) has major consequences for both patients and society, particularly in terms of needlessly long sick leave and reduced functioning. Although evidence-based treatments for MDD are available, they show disappointing results when implemented in daily practice. A focus on work is also lacking in the treatment of depressive disorder as well as communication of general practitioners (GPs) and other health care professionals with occupational physicians (OPs). The OP may play a more important role in the recovery of patients with MDD. Purpose of the present study is to tackle these obstacles by applying a collaborative care model, which has proven to be effective in the USA, with a focus on return to work (RTW). From a societal perspective, the (cost)effectiveness of this collaborative care treatment, as a way of transmural care, will be evaluated in depressed patients on sick leave in the occupational health setting. |
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