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Mental Health and Mental Illness: Interventions to Reduce Depression Among Older Adults Clinic-Based Depression Care Management

CDC

An Evidence-Based Practice

Description

Clinic-based depression care management involves:
-Active screening for depression
-Measurement-based outcomes
-Trained depression care managers providing case management, and
-Primary care provider and patient education, antidepressant treatment and/or psychotherapy, and a supervising psychiatrist

Impact

The Community Preventive Services Task Force (CPSTF) recommends depression care management in primary care clinics for older adults with major depression or chronic low levels of depression (dysthymia) on the basis of sufficient evidence of effectiveness in improving short-term depression outcomes.

Results / Accomplishments

Two studies evaluated the effect of clinic-based depression care management.

Unutzer et al (2002) reported a 45% response rate and a 25% remission rate for subjects with major depression or dysthymia.

Bruce et al (2004) found a 55% response rate and a 36% remission for subjects with major depression after a similar time period; no statistically significant improvement was found for subjects with minor depression.

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS H21-8
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Mental Health & Mental Disorders
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