Automated Assessement of Mental Health in the Work Place

描述（由申请人提供）：本提案的目的是制定和初步评估一个保密的工作场所计划，该计划使用计算机电话与工人沟通，评估他们是否有可能影响其工作场所表现的精神健康障碍，并将未经治疗和治疗不充分的工人转到其他治疗环境。我们建议开发并进行一个随机评估的电话连接通信检测精神健康障碍在工作场所（TLC-Detect）。TLC-Detect将:a)通过管理PRIME-MD（精神障碍初级保健评估）患者问卷，评估员工对一组相关精神健康障碍的心理健康状况，2)为患有精神健康障碍的员工提供转诊建议和其他治疗方案，3)教育和激励员工参与治疗，4)实施自动定期随访，监测精神健康症状的严重程度和治疗的维持情况。5)教育和激励员工坚持治疗。本研究的具体目标是：设计和开发由心理健康诊断模块组成的TLC-Detect，该模块(a)将检测影响工作场所生产力的常见心理健康障碍，(b)症状严重程度模块，评估每种确定的心理健康状况的症状严重程度，(c)治疗模块，评估有心理健康状况的员工参与治疗的意愿，并教育和咨询该人参与治疗。(d)监测患者治疗维持情况的后续治疗模块。在随机临床试验中，将检验以下假设：1)TLC-Detect组的缺勤率和出勤率低于以损失小时/天（如缺勤时间和出勤时间）衡量的对照组。2) TLC-Detect组接受心理健康治疗的比例高于对照组。3) TLC-Detect组的症状严重程度比对照组有更大的改善。4) tlc检测将被员工接受并认为是有用的。

DESCRIPTION (provided by applicant): The aim of this proposal is the development and initial evaluation of a confidential workplace program that uses computer telephony to communicate with workers, to evaluate whether they have a mental health disorder which could impact their workplace performance and that refers untreated and inadequately treated workers to alternate treatment settings. We propose to develop and conduct a randomized evaluation of Telephone-Linked Communications for Detection of Mental Health Disorders in the Workplace (TLC-Detect). TLC-Detect will: a) assess an employee's mental health for a group of relevant mental health disorders by administering the PRIME-MD (Primary Care Evaluation of Mental Disorders) Patient Questionnaire, 2) provide recommendations for referral and other treatment options for employees who have a mental health disorder, 3) educate and motivate employees to engage in treatment, 4) implement automated periodic follow-ups to monitor mental health symptom severity and treatment maintenance, 5) educate and motivate the employees to remain in treatment. The specific goals of this study are: to design and develop TLC-Detect that consists of a mental health Diagnostic Module that (a) will detect common mental health disorders that affect workplace productivity, (b) Symptom Severity Module that assesses the symptom severity for each identified mental health condition, (c) a Treatment Module that assesses the willingness of the employee who has a mental health condition to engage in treatment and educates and counsels that person to engage in treatment, (d) a Follow-up Treatment Module that will monitor the person's treatment maintenance. In the randomized clinical trial, the following hypotheses will be tested: 1) The TLC-Detect group will have less absenteeism and presenteeism compared to the control group measured in hours/days lost [e.g., absenteeism time and presenteeism time].2) A larger proportion of the TLC-Detect group will be in mental health treatment than the control group. 3) There will be a greater improvement in symptom severity in the TLC-Detect group than in the control group. 4) The TLC-Detect will be acceptable and considered useful by the employee participants.