CAMH - McMaster Collaborative Care Initiative For Mental Health Risk Factors In Dementia

• Status: Completed
• Trial end date: 2020-07-16
• Target enrollment: 0
• Participant gender: All

Summary

Age remains the single most significant risk factor for developing dementia, particularly Alzheimer's dementia (AD). Given the rate at which Canada's population is aging, the quest to determine modifiable risk factors, whether by prevention, earlier detection, or an ability to slow the rate of decline, is a key priority in health care. Primary care is likely to play a pivotal role in this initiative. Collaborative mental health care between primary care providers and mental health clinicians has been demonstrated to be effective at the patient and system levels. Thus, the overall goal of this project is to assess impact and feasibility of implementing a collaborative care evidence-based Integrated Care Pathway (ICP) in addressing three potentially reversible risk factors at high risk for developing AD: anxiety, depression, or mild cognitive impairment (MCI).

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Centre for Addiction and Mental Health
• Collaborator: McMaster University
• Treatments: Sertraline; Venlafaxine Hydrochloride

Criteria

Inclusion Criteria

1. Female or male primary practice patients of participating physicians born in 1951, 1953 or 1955 (ICP) and 1950, 1952 or 1956 (TAU).

2. Can read and understand English.

3. Corrected visual ability that enables reading of newspaper headlines and corrected hearing capacity that is adequate to respond to a raised conversational voice.

4. Willing and able to provide informed consent

Exclusion Criteria:

1. Diagnosis of dementia.

2. Substance abuse identified as an acute problem in the four weeks before being enrolled in the study (i.e. the day the patient signs the informed consent form).

3. Those with delirium, or where we are unable to make a diagnosis of MCI, due to unstable comorbidities.

4. Palliative-care patients.