| The following is the Table of Contents of an educational module designed to help teams integrate Interprofessional Practice Protocols.
PDFs are available for a selection of materials included within this module. In some cases, links to an external website hosting the document or other resource are provided. Contact us if you and your team are interested in receiving the protocol (binder format, available for a fee) or the educational session (in-service, tailored to your needs). |
| 1 | Introduction/Project Overview |
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| 2 | Evidence |
| a. Depression Screening Summary | |
| b. Summary: Management of Mild Depression | |
| c. Summary: Management of Moderate to Severe Depression | |
| d. Screening Heart Patients for Depression (AHA) Lichtman JH, Bigger JT Jr, Blumenthal JA et al. Depression and coronary heart disease: recommendations for screening, referral, and treatment. Circulation. 2008;118(17):1768-75. PubMed |
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| 3 | Interprofessional Protocols for Depression |
| a. Defining Practice Assumptions | |
| b. The Patient in Context | |
| c. Developing the Care Pathway | |
| d. Care Pathway – Screening and Follow up | |
| e. Identifying Roles and Accountabilities • Health Professional Competencies |
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| f. Identifying Community Partners • Community Resource Worksheet |
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| g. Measuring Outcomes | |
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| 4 | Screening for Depression |
| a. Screening Tools Overview and Options | |
| b. PHQ-9 Tool www.phqscreeners.com |
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| c. HAMD Tool Adapted from Hedlung and Vieweg. The Hamilton rating scale for depression. Journal of Operational Psychiatry. 1979;10(2):149-165. University of Massachusetts |
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| d. Proactive Family Approach (PHQ in Primary Care) Griever M. Screening and long-term follow-up of depression in my practice. Canadian Family Physician. 2007;53:1445. CFP |
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| 5 | Patient Management and Goal Setting |
| a. CDM for Depression in Primary Care Kates N, Mach M. Chronic Disease Management for Depression in Primary Care: A Summary of the Current Literature and Implications for Practice. The Canadian Journal of Psychiatry. 2007;52(2):77-85. PubMed |
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| b. Depression Case Management Finley PR, et al. Case Management of Depression by Clinical Pharmacists in a Primary Care Setting. Abstr Acad Health Serv Res Health Policy Meet. 2000; 17:unknown. NLM Gateway |
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c. Cognitive Behavioural Therapy (Excerpt) |
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| d. Communicating with The Depressed Patient Braxton Lloyd K, Berger BA. Communication Concerning Sensitive Issues: The Depressed Patient. US Pharmacist. 2006;11:62-68. Online |
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| 6 | Medication Monitoring |
| a. Using a Clinical Tool to Monitor Antidepressant Treatment Kutcher S, Chehil S. Using a Clinical Tool to Monitor Antidepressant Treatment. Child & Adolescent Psychopharmacology News. 2005;10(8):4-7. Online |
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| b. Antidepressant Monitoring Form Antidepressant Monitoring Form for Children and Adolescents, PE#435; 2006, Child & Adolescent Mental Health Programs, BC Children’s Hospital. Online |
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| Appendix A |
NICE Clinical Guideline 23 – Depression National Institute for Clinical Excellence (NICE). Depression (amended): Management of depression in primary and secondary care. Clinical Guideline No. 23. 2007. NICE |
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| Appendix B |
Depression Tool Kit Trustees of Dartmouth College. MacArthur Initiative on Depression & Primary Care DepressionTool Kit. 2004;1.3. Online |
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| Appendix C |
Patient Information/Resources i.) Managing Depression Handout developed by Ted Amann, Care Oregon Inc. ii.) Depression: The Primer BC Partners for Mental Health & Addictions. 2006. Similar information available online |
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| Appendix D |
Other Information/Resources i.) Poverty & Mental Illness (CMHA) Canadian Mental Health Association. Backgrounder: Poverty and Mental Illness. 2007. Online ii.) Mental Health, Mental Illness and Chronic Disease (CMHA) Canadian Mental Health Association. What is the Fit Between Mental Health, Mental Illness and Ontario’s Approach to Chronic Disease Prevention? 2008. Online iii.) Preventing and Managing Co-Existing Chronic Physical Conditions and Mental Illness (CMHA) Canadian Mental Health Association. Recommendations for Preventing and Managing Co-Existing Chronic Physical Conditions and Mental Illness. 2008. Online iv.) Post Partum Mood Disorders (Durham Region Health Dept.) "Just Ask" resource materials for primary health care providers. Online |
