TY - JOUR
T1 - Depression in primary care
T2 - Strategies for a psychiatry-scarce environment
AU - Alson, Amy R.
AU - Robinson, Diana M.
AU - Ivanova, Danielle
AU - Azer, John
AU - Moreno, Maria
AU - Turk, Marie Lyse
AU - Nitturkar, Abhishek
AU - Blackman, Karen S.
PY - 2016/2/1
Y1 - 2016/2/1
N2 - More than an algorithm to guide primary care providers through treatment options, integrated care, also called collaborative care, is a validated, systematic, multidisciplinary approach to depression treatment in primary care. Historically, integrated care emerged in response to a mismatch between a growing demand for mental health treatment and scarce mental healthcare resources. Working together, psychiatrists and primary care providers have demonstrated that the principles and tools of chronic disease management improve depression outcomes in primary care. Currently, most antidepressants are prescribed by primary care providers, but with disappointing rates of full, sustained remission. Primary care patients may derive the greatest benefit from existing depression treatment guidelines when they are melded with an approach informed by integrated care principles. This paper will present established guidelines for pharmacologic management of depression as part of a broader framework for depression treatment in the primary care office.
AB - More than an algorithm to guide primary care providers through treatment options, integrated care, also called collaborative care, is a validated, systematic, multidisciplinary approach to depression treatment in primary care. Historically, integrated care emerged in response to a mismatch between a growing demand for mental health treatment and scarce mental healthcare resources. Working together, psychiatrists and primary care providers have demonstrated that the principles and tools of chronic disease management improve depression outcomes in primary care. Currently, most antidepressants are prescribed by primary care providers, but with disappointing rates of full, sustained remission. Primary care patients may derive the greatest benefit from existing depression treatment guidelines when they are melded with an approach informed by integrated care principles. This paper will present established guidelines for pharmacologic management of depression as part of a broader framework for depression treatment in the primary care office.
KW - depression treatment
KW - integrated care
KW - major depressive disorder
KW - primary care
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U2 - 10.1177/0091217416636580
DO - 10.1177/0091217416636580
M3 - Article
C2 - 27079777
AN - SCOPUS:84977070523
SN - 0091-2174
VL - 51
SP - 182
EP - 200
JO - International Journal of Psychiatry in Medicine
JF - International Journal of Psychiatry in Medicine
IS - 2
ER -