| INTRODUCTION |
 |
The Three Component Model ............................................................................................................... |
4 |
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Learning Objectives ............................................................................................................................ |
6 |
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Depression Care Process Overview .................................................................................................. |
8 |
 STEP 1: RECOGNITION AND DIAGNOSIS |
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Overview ............................................................................................................................................. |
10 |
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PHQ-9 and scoring materials ............................................................................................................... |
13 |
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Suicide risk assessment materials ....................................................................................................... |
18 |
 STEP 2: TREATMENT SELECTION |
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Overview ............................................................................................................................................. |
21 |
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Treatment considerations .................................................................................................................... |
26 |
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Medication guide .................................................................................................................................. |
27 |
 STEP 3: INITIAL TREATMENT
|
 |
Overview ............................................................................................................................................. |
34 |
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Key educational messages .................................................................................................................. |
36 |
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Patient education materials .................................................................................................................. |
37 |
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Self-management material ................................................................................................................... |
39 |
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Care management referral and expectations ...................................................................................... |
41 |
 STEP 4: CARE MANAGEMENT FOR ADHERENCE & RESPONSE
|
 |
Overview ............................................................................................................................................. |
45 |
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Role of care manager .......................................................................................................................... |
46 |
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Follow-up PHQ-9 .................................................................................................................................. |
48 |
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Care manager report/Clinician assessment form ................................................................................. |
49 |
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Using PHQ-9 to assess treatment response ........................................................................................ |
50 |
 STEP 5: ACUTE PHASE FOLLOW-UP |
 |
Overview ............................................................................................................................................. |
51 |
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Treatment algorithms ............................................................................................................................ |
52 |
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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 |
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Maintenance questionnaire ................................................................................................................... |
67 |
 REFERENCES/CITATIONS .............................................................................................................................. |
 68 |