Psychological medicine
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Psychological medicine · Sep 2012
Randomized Controlled Trial Multicenter StudyIncremental benefits and cost of coordinated anxiety learning and management for anxiety treatment in primary care.
Improving the quality of mental health care requires integrating successful research interventions into 'real-world' practice settings. Coordinated Anxiety Learning and Management (CALM) is a treatment-delivery model for anxiety disorders encountered in primary care. CALM offers cognitive behavioral therapy (CBT), medication, or both; non-expert care managers assisting primary care clinicians with adherence promotion and medication optimization; computer-assisted CBT delivery; and outcome monitoring. This study describes incremental benefits, costs and net benefits of CALM versus usual care (UC). ⋯ Compared with UC, CALM provides significant benefits with modest increases in health-care expenditures.