Can one doctor visit tackle both addiction and depression?
NCT ID NCT04600414
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a team-based care model can help people with both opioid use disorder and mental health issues like depression or anxiety. 254 adults in primary care received either full collaborative care for both conditions or just mental health support. The goal was to see if treating both together reduces illicit opioid use and improves mental health.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Collaborative Care model (team-based care with a care manager and psychiatrist)
- What this could lead to
- If successful, this could show that combining mental health and opioid addiction treatment in primary care is more effective than treating mental health alone.
- What could go wrong
- This is a completed trial, but results may not apply to all clinics. The study relies on self-reported opioid use, which may not be fully accurate.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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254 people
The number who actually took part.
- Started
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Nov 2020
- Finished
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Aug 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Screen positive on the NIDA-ASSIST OUD items or referred to the trial by one of the clinic's providers AND 2. Meet clinical criteria for ≥2 symptoms of OUD on the DSM-5 checklist (administered by a clinician) AND 3. Screen positive for depression on the PHQ-9 (≥ 5) OR generalized anxiety on the GAD-7 (≥ 5) OR PTSD on the PC-PTSD-5 (≥ 1) within past 6 months. Exclusion Criteria: 1. Patient is being prescribed psychotropic medication (including MOUD) by a Mental Health Care Specialist (typically practicing in a specialty addiction treatment setting). 2. Patient is receiving or prefers to seek OUD treatment in specialty care setting including opioid treatment programs 3. Patient does not speak English or Spanish 4. Patient is younger than 18 years of age 5. Patient has a diagnosis of dementia 6. Patient lacks the capacity to provide informed consent 7. Patient doesn't plan on getting care at the clinic for the next 6 months.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Berkshire Hillcrest Family Health Center
Pittsfield, Massachusetts, 01201, United States
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Berkshire Williamstown Medical
Williamstown, Massachusetts, 01267, United States
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Beth Israel Deaconess HealthCare-Chelsea
Chelsea, Massachusetts, 02150, United States
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Beth Israel Lahey Health Primary Care & Specialty Care, Beverly Medical Associates
Beverly, Massachusetts, 01915, United States
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Emory Clinic at Saint Joseph's - Primary Care
Atlanta, Georgia, 30342, United States
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Emory University Hospital Midtown-Radiology
Atlanta, Georgia, 30308, United States
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Emory at Dunwoody - Family Medicine
Dunwoody, Georgia, 30338, United States
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Emory at Rockbridge - Primary Care & Nephrology
Stone Mountain, Georgia, 30087, United States
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Gardner Healthcare Center of Morris Hospital
Gardner, Illinois, 60424, United States
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Kootenai Clinic Family Medicine Ironwood
Coeur d'Alene, Idaho, 83814, United States
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Kootenai Clinic Family Medicine Post Falls
Post Falls, Idaho, 83854, United States
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Kootenai Clinic Family Medicine Residency
Coeur d'Alene, Idaho, 83814, United States
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Kootenai Clinic Internal Medicine Coeur d'Alene
Coeur d'Alene, Idaho, 83814, United States
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Minooka Healthcare Center - Ridge Road Campus
Channahon, Illinois, 60410, United States
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Minooka Healthcare Center of Morris Hospital - Mondamin St.
Minooka, Illinois, 60447, United States
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Morris Healthcare Center of Morris Hospital - Dresden Drive
Morris, Illinois, 60450, United States
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Northshore Medical Group Stevenson
Stevenson, Washington, 98648, United States
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Northshore Medical Group White Salmon
White Salmon, Washington, 98672, United States
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Oak Street Health Chicago Ave Primary Care Clinic
Oak Park, Illinois, 60302, United States
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Oak Street Health Gary Primary Care Clinic
Gary, Indiana, 46408, United States
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Oak Street Health Hermosa
Chicago, Illinois, 60639, United States
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Oak Street Health Madison St.
Chicago, Illinois, 60624, United States
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Oak Street Health Meadowbrook Primary Care Clinic
Fort Worth, Texas, 76103, United States
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Oak Street Health North Side Primary Care
Fort Worth, Texas, 76164, United States
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Oak Street Health Pleasant Grove Primary Care Clinic
Dallas, Texas, 75217, United States
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OneWorld Community Health Centers Livestock Exchange
Omaha, Nebraska, 68107, United States
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OneWorld Community Health Centers Northwest
Omaha, Nebraska, 68134, United States
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Peace Health Fisher's Landing
Vancouver, Washington, 98683, United States
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PeaceHealth Family Medicine of Southwest Washington
Vancouver, Washington, 98663, United States
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UW Health Deforest-Windsor Clinic
Windsor, Wisconsin, 53598, United States
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UW Health Yahara Clinic
Monona, Wisconsin, 53716, United States
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Unity Health Care Anacostia Health Center
Washington D.C., District of Columbia, 20020, United States
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Unity Health Care Minnesota Avenue Health Center
Washington D.C., District of Columbia, 20019, United States
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Other studies related to the condition(s) this trial covers.
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- Can a new drug calm the storm of opioid withdrawal?
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- Can a Phone-Based platform keep people in opioid treatment?
- A safety net after jail: can checkups keep opioid treatment on track?