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CLINICIAN MANUAL Download Manual
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Cover  |  Table of Contents  |  Step 1. - Recognition & Diagnosis


TABLE OF CONTENTS


INTRODUCTION
The Three Component Model ...............................................................................................................   4
Learning Objectives  ............................................................................................................................   6
Depression Care Process Overview  ..................................................................................................   8


STEP 1: RECOGNITION AND DIAGNOSIS
Overview .............................................................................................................................................   10
PHQ-9 and scoring materials ...............................................................................................................   13
Suicide risk assessment materials .......................................................................................................   18


STEP 2: TREATMENT SELECTION
Overview .............................................................................................................................................   21
Treatment considerations ....................................................................................................................   26
Medication guide ..................................................................................................................................   27


STEP 3: INITIAL TREATMENT
Overview .............................................................................................................................................   34
Key educational messages ..................................................................................................................   36
Patient education materials ..................................................................................................................   37
Self-management material ...................................................................................................................   39
Care management referral and expectations ......................................................................................   41


STEP 4: CARE MANAGEMENT FOR ADHERENCE & RESPONSE
Overview .............................................................................................................................................   45
Role of care manager ..........................................................................................................................   46
Follow-up PHQ-9 ..................................................................................................................................   48
Care manager report/Clinician assessment form .................................................................................   49
Using PHQ-9 to assess treatment response ........................................................................................   50


STEP 5: ACUTE PHASE FOLLOW-UP
Overview .............................................................................................................................................   51
Treatment algorithms ............................................................................................................................   52
Strategies to modify treatment .............................................................................................................   53
Brief office counseling techniques ......................................................................................................   56
Referral for mental health consultation materials .................................................................................   57


STEP 6: CONTINUATION & MAINTENANCE PHASE TREATMENT
Overview .............................................................................................................................................   61
Chronic depression ..............................................................................................................................   64
Maintenance assessment figure ..........................................................................................................   66
Maintenance questionnaire ...................................................................................................................   67


REFERENCES/CITATIONS ..............................................................................................................................


  68


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