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CARE MANAGER MANUAL Download Manual
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Cover  |  Preface  |  Knowledge Objectives  |  Table of Contents  |  Overview


TABLE OF CONTENTS


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


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