The Cares of Life Project (CoLP): an exploratory randomised controlled trial of a community-based intervention for black people with common mental disorder.
BACKGROUND
To investigate the feasibility and effectiveness of a needs-led, community-based intervention for treating individuals from black minority ethnic (BME) groups with common mental disorders.


METHODS
Forty eligible individuals from BME groups were randomised to a needs-led package of care (therapy based on the principles of cognitive behaviour therapy and ethnically matched therapists, advocacy and mentoring; 'rapid access') or to a 3-month waiting list control with information on local mental health services ('standard access').


RESULTS
At 3-month follow-up, individuals in the rapid access group showed significantly improved levels of depression (GHQ-28 adjusted p<0.05) although there was no evidence for difference in general functioning (GAF, p=0.87). The intervention was found to be culturally appropriate and acceptable among users and did not result in significantly increased costs.


CONCLUSIONS
The exploratory study sample was small with low power and therefore the statistical certainty may be limited.


CONCLUSIONS
Effective and culturally acceptable psychosocial interventions can be delivered in the community to individuals from BME groups with anxiety and depression with no significant cost implications.
Afuwape
Sarah A
SA
Centre for Nephrology, Royal Free Hampstead, NHS Trust, London, UK. sarah.afuwape@nhs.net
Craig
Tom K J
TK
Harris
Tirril
T
Clarke
Marva
M
Flood
Anneline
A
Olajide
Dele
D
Cole
Eleanor
E
Leese
Morven
M
McCrone
Paul
P
Thornicroft
Graham
G
D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis / Q000208:ethnology* / Q000628:therapy*; D044383:Black People / Q000523:psychology*; D015928:Cognitive Behavioral Therapy; D003156:Community Mental Health Services; D054521:Cultural Competency; D003866:Depressive Disorder / Q000175:diagnosis / Q000208:ethnology* / Q000628:therapy*; D042241:Early Diagnosis; D004739:England; D005260:Female; D005500:Follow-Up Studies; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010555:Personality Inventory; D013001:Somatoform Disorders / Q000175:diagnosis / Q000208:ethnology* / Q000628:therapy*; D055815:Young Adult