Table 3 Involvement of treatment providers in the intervention
Study | Treatment providers | Profession | Special training for intervention | Tasks and interaction with other providers | Supervision received |
|---|---|---|---|---|---|
STEPS-UP | PCP | not reported | Expert training in the pharmacologic treatment of depression and PTSD | - provision of information related to treatment options - providing evidence based pharmacotherapy - selection of the next step for a patient’s treatment plan (with CM assistance)- implementation of central teams’ recommendations- receives feedback from CMs and the central team | % |
CM | RN; social workers counsellors | trained and coached weekly by telephone in BA, problem solving, and MI, training in the web-based intervention | - coordinating care between involved providers - improving patients activation and engagement in their care (education, MI, BA) - assistance of patients and PCPs in choosing treatment options - assistance with web-based or delivery of telephone CBT self-management | by MHS | |
MHS | psychiatrists; psychologists; clinical social workers | trained in empirically validated psychotherapies for PTSD and depression | - delivery of empirically validated psychotherapy - review of patients’ medication - providing CM caseload reviews - training and supervision of CMs. | by psychotherapist | |
central team | CM;Â psychiatrist;Â psychologist;Â administrative support | not reported | - coordination and supervision of the intervention - development of recommendations for PCPs - reformulation of CM engagement strategies - ensure appropriate medication | % | |
DESTRESS-PC | PCP | not reported | pre-study didactic training regarding management of and clinical tools for PTSD and associated conditions | - treatment of patients with feedback from CM | % |
CM/ DESTRESS nurse | RN; MSN; BSN; PMHNP-BC | not reported | - assistance with the web-based DESTRESS-PC interface - monitoring of compliance and symptom levels - reengagement of participants with ≥2 missed logons - providing updates of patients’ status to PCP and MHS | % | |
MHS | not reported | not reported | - receives weekly updates from DESTRESS nurses | % | |
CALM | PCP | internists; family physicians | single-session medication management training using a simple algorithm | - remains the clinician of record - prescribed all medications | by psychiatrist |
ACS (CM) | social workers; RN; psychologists | - formal training applying the MINI- didactics for CBT program, MI, medication algorithm for anxiety | - providing eligibility assessment - delivery of computerized CBT program - monitoring of symptoms and adherence | by psychiatrist and psychologist | |
MHS | psychiatrists; psychologists | not reported | - providing weekly supervision of ACS for diagnostic, CBT and medication management issues - providing medication consultation to PCPs. | % | |
PE-PC | PCP | not reported | not reported | member of the primary care team | % |
MHS | doctoral-level behavioral health providers (three civilian, one military psychologist) | full training workshop for PE; one to two training cases in the PE-PC intervention under close supervision | - follows up any missed appointments and attempts to reschedule - delivering PE-PC | by PI and independet clinician |