| SECTION I: THE THREE COMPONENT MODEL (TCM) FOR DEPRESSION CARE |
1 |
 The Three Component Model |
1 |
| The Prepared Practice: Creating an Office System for Depression Care |
1 |
| The Care Manager: Providing Patient and Clinician Support |
2 |
| The Mental Health Interface: Access to Psychiatry Consultation |
2 |
| Overview of the Depression Care Process |
3 |
SECTION II: THE ROLE OF THE CARE MANAGER IN THE TCM |
4 |
| Role of the Care Manager |
4 |
Assessing Adherence to the Treatment
Barriers to Treatment
Barrier Problem Solving
Providing Positive Reinforcement and Praise
Monitoring Progress
|
4 |
| Supporting Adherence to the Treatment
|
7 |
| Providing Education |
7 |
Assessing Response to Treatment
Monitoring Progress
Antidepressant Treatment
Psychological Counseling
Using the PHQ-9 to Assess Response to Treatment
|
8 |
| Communicating Information |
9 |
| Typical Side Effects & Management Strategies |
10 |
| Information Guide to Antidepressants |
11 |
| Typical Care Managers Activities Across the Intervention |
12 |
SECTION III: THE PHQ-9 IN DEPRESSION MANAGEMENT |
14 |
| The Patient Health Questionnaire in Depression Management |
14 |
| The Patient Health Questionnaire |
15 |
Scoring the PHQ-9
Diagnostic Symptoms
Severity Score
|
16 |
| Diagnostic Categories for Depression |
18 |
SECTION IV: SUICIDALITY |
19 |
Levels of Suicide Risk
Emergent Risk Level
Urgent Risk Level
Low Risk Level
Components of an Evaluation for Suicidal Risk
|
19 |
| Assessing Active & Passive Suicidal Ideation |
20 |
| Differentiation of Passive from Active Suicidal Thoughts
|
20 |
| Care Manager Suicide Risk Assessment Form |
21 |
| Guidance Notes Regarding Response to Risk Levels | 22 |
SECTION V: CONTINUATION AND MAINTENANCE IN DEPRESSION |
23 |
| Risk of Relapse |
23 |
Continuation
Medications
Psychological Counseling
Care Manager Role
Risk Factors for Recurrent Depressive Episodes Table
|
24 |
Chronic Depression (Dysthymia)
What Is Chronic Depression?
Why Is A Chronic Depression Diagnosis Important?
What Questions Help Elicit a Diagnosis of Chronic Depression?
|
24 |
| Maintenance |
26 |
| Maintenance Questionnaire |
27 |
SECTION VI: IMPLEMENTING THE CARE MANAGEMENT PROCESS |
28 |
Care Management Patient Calls
New Referral Activities
Record Keeping Set-Up
|
28 |
| Progress Notes & Communication |
29 |
SECTION VII: PLANNING CARE MANAGEMENT CONTACT & CONDUCTING CALLS |
31 |
| Preparation for the Call |
31 |
| Placing the Call |
32 |
| Key Care Manager Discussion Points |
33 |
| Ending the Call |
34 |
| Typical Reasons for Initiating PRN Calls |
34 |
| Purpose of Ongoing Calls |
34 |
| Communication & Coordination with the PCC |
35 |
| Expectations of a Care Manager: A Guide for PCCs | 35 |
SECTION VIII: CARE MANAGEMENT SUPERVISION & DATA MANAGEMENT |
37 |
| Care Management Supervision Calls |
37 |
| Care Management Supervision Agenda |
37 |
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
|
37 |
| Completed Sample Care Manager Supervision Conference Call Agenda |
39 |
SECTION IX: SCRIPTS AND SKILLS PRACTICE |
43 |
APPENDIX A: PATIENT EDUCATION MATERIALS |
50 |
APPENDIX B: COMMUNICATION FORMS FOR CARE MANAGER |
57 |
APPENDIX C: SUPERVISION FORMS |
67 |
APPENDIX D: REFERENCES & CITATIONS |
72 |
