Clinical efficacy of a Decision Support Tool (Link-me) to guide intensity of mental health care in primary practice: a pragmatic stratified randomised controlled trial.
Susan Fletcher, Matthew J Spittal, Patty Chondros, Victoria J Palmer, Mary Lou Chatterton, Konstancja Densley, Maria Potiriadis, Meredith Harris, Bridget Bassilios, Philip Burgess, Cathrine Mihalopoulos, Jane Pirkis, Jane Gunn
Lancet Psychiatry | Published : 2021
BACKGROUND: The volume and heterogeneity of mental health problems that primary care patients present with is a substantial challenge for health systems, and both undertreatment and overtreatment are common. We developed Link-me, a patient-completed Decision Support Tool, to predict severity of depression or anxiety, identify priorities, and recommend interventions. In this study, we aimed to examine if Link-me reduces psychological distress among individuals predicted to have minimal/mild or severe symptoms of anxiety or depression. METHODS: In this pragmatic stratified randomised controlled trial, adults aged 18-75 years reporting depressive or anxiety symptoms or use of mental health medi..View full abstract