| SECTION I: THE THREE COMPONENT MODEL (3CM) FOR DEPRESSION CARE |
6 |
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 The Three Component Model |
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| The Prepared Practice: Creating an Office System for Depression Care |
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| The Care Manager: Providing Patient and Clinician Support |
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| The Mental Health Interface: Access to Psychiatry Consultation |
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| Overview of the Depression Care Process |
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SECTION II: THE ROLE OF THE CARE MANAGER IN THE 3CM |
9 |
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Role of the Care Manager |
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Assessing Adherence to the Treatment
Barriers to Treatment
Barrier Problem Solving
Providing Positive Reinforcement and Praise
Monitoring Progress
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Supporting Adherence to the Treatment
Providing Education
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Assessing Response to Treatment
Monitoring Progress
Antidepressant Treatment
Psychological Counseling
Using the PHQ-9 to Assess Response to Treatment
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| Communicating Information |
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| Typical Care Managers Activities Across the Intervention |
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SECTION III: THE PHQ-9 IN DEPRESSION MANAGEMENT |
17 |
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The Patient Health Questionnaire in Depression Management |
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| The Questionnaire |
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Scoring the PHQ-9
Diagnostic Symptoms
Severity Score
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| Using the PHQ9-9 for Diagnostic Assessment |
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SECTION IV: SUICIDALITY |
21 |
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Levels of Suicide Risk
Emergent Risk Level
Urgent Risk Level
Low Risk Level
Components of an Evaluation for Suicidal Risk
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| Assessing Active & Passive Suicidal Ideation |
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| Differentiation of Passive from Active Suicidal Thoughts
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| Care Manager Suicide Risk Assessment Form |
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| Guidance Notes Regarding Response to Risk Levels | |
SECTION V: CONTINUATION AND MAINTENANCE IN DEPRESSION |
25 |
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| Risk of Relapse |
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Continuation
Medications
Psychological Counseling
Care Manager Role
Risk Factors for Recurrent Depressive Episodes Table
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Chronic Depression (Dysthymia)
What Is Chronic Depression?
Why Is A Chronic Depression Diagnosis Important?
What Questions Help Elicit a Diagnosis of Chronic Depression?
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| Maintenance & Dysthymia Questionnaire |
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SECTION VI: IMPLEMENTING THE CARE MANAGEMENT PROCESS |
30 |
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Care Management Patient Calls
New Referral Activities
Record Keeping Set-Up
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| Integration of Tasks for the Practice & Care Manager |
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| Progress Notes & Communication |
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SECTION VII: PLANNING CARE MANAGEMENT CONTACT & CONDUCTING CALLS |
33 |
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| Preparation for the Call |
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| Placing the Call |
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| Key Care Manager Discussion Points |
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| Ending the Call |
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| Typical Reasons for Initiating PRN Calls |
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| Purpose of Ongoing Calls |
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| Communication & Coordination with the PCC |
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| Expectations of a Care Manager: A Guide for PCCs | |
SECTION VIII: CARE MANAGEMENT SUPERVISION & DATA MANAGEMENT |
39 |
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| Care Management Supervision Calls |
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| Care Management Supervision Agenda |
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Reporting & Discussion during Supervision
Enrollment Status
Review of New Cases
Review of 4 Week Response Cases
Review of 8, 12, 16 Week Response Cases
Problem Cases
Summary & Follow-Up Actions
Sample Agenda
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SECTION IX: SCRIPTS AND SKILLS PRACTICE |
45 |
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APPENDIX A: PATIENT EDUCATION MATERIALS |
52 |
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APPENDIX B: COMMUNICATION FORMS FOR CARE MANAGER |
59 |
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APPENDIX C: SUPERVISION FORMS |
69 |
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