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Includes depression screening guidance using annual screening for chronic conditions and age 65+, referral when symptoms are moderate to severe, effectiveness measurement metrics, and attachments covering Yesavage Depression Scale and PHQ-9/PHQ-A with interpretation.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/management-of-major-depression-in-primary-care/453870/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/management-of-major-depression-in-primary-care/453870.png","ImageObject",300,407,{"name":42,"@type":43},"LangkahRina","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",9,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"How should clinicians assess patients in primary care for major depression and safety risks?","Question",{"text":63,"@type":64},"Assess for suicidal thoughts and, if there is danger to self or others, send the patient to TMH, CRMC, or Apalachee. Also assess the level of depression.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What treatments are recommended for minor depression versus major depression?",{"text":68,"@type":64},"For minor depression or adjustment disorder with depressed mood (F43.21), recommend cognitive behavioral therapy. For major depression (F32.0 & F33.9), recommend counseling, prescribe antidepressants, and schedule follow-up.",{"name":70,"@type":61,"acceptedAnswer":71},"How long should antidepressant medication continue after remission for different depression episodes?",{"text":72,"@type":64},"For the first episode, continue medication for at least 6 months after remission; for the second episode, at least 12 months; and for the third episode, at least 24 months.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},453870,1790812097,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":107,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144,"preview_page_count":4},962090893776,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Clinical Practice Guideline: Management of Major Depression  \nin Primary Care  \nApproved, CHP Quality Improvement Committee 3/27/01, 10/22/02, 10/28/03, 11/2/04, 11/1/05, 9/8/09, 5/10/11, 5/14/13, 5/12/15, 4/20/16, 5/9/17, 5/14/19, 05/11/21  \nApproved, Quality Improvement Management Team 10/25/07  \nManagement of Depression in Primary Care  \nAssess for suicidal thoughts or if danger to self or others send to TMH, CRMC, or Apalachee  \nAssess for level of depression.  \nMinor depression or adjustment disorder with depressed mood (F43.21): Recommend cognitive behavioral therapy.  \nMajor depression (F32.0 & F33.9) . Recommend counseling. Prescribe antidepressant. Schedule follow-up appointment in one month.  \nSchedule follow-up appointment in six weeks to assess therapy progress.  \nCounseling,  \nconsider adding medication. If medication is added, follow up as noted.  \nSchedule a telephone contact in two weeks to check medication and counseling compliance.  \nFollow up office visit in four weeks to repeat assessment and refill medications  \nMedication Protocols:  \nContinue counseling  \nContinue Medication  \nAdjust Medication  \n1. First episode of depression, continue medication for at least 6 months after remission  \n2. Second episode of depression, continue medication for at least 12 months after remission.  \n3. Third episode of depression, continue medication for at least 24 months after remission.  \n4. Consider longer, more extensive psychopharmacological therapy in cases of Major Depression presenting inpatients over the age of 40.  \nImproved  \nSomewhat  \nImproved  \nNo  \nImprovement  \nImproved  \nNo Improvement  \nSomewhat Improved  \nNo  \nimprovement  \nImproved  \nSomewhat improved  \nCHP Recommendation for Depression Screening  \n• CHP recommends that patients with chronic conditions and those age 65 andover be screened annually for depression.  \n• Those who screen positive for symptoms of moderate to severe depression should be referred for evaluation and treatment.  \nAnnual Measurement for Effectiveness of Depression Guideline  \n• HEDIS® Antidepressant Medication Management, Commercial and Medicare populations:  \no Effective Acute Phase Treatment  \no Effective Continuation Phase Treatment  \n• % Members with multiple chronic illnesses screened for depression, with symptoms of depression  \n• % Members, as above, with symptoms of depression receiving treatment  \nAttachments:  \n• Yesavage Depression Scale  \n• The Patient Health Questionnaire (PHQ-9)  \n• Modified for Adolescents (PHQ-A)  \n• Interpretation of Total Score for PHQ-9 and PHQ-A  \nYesavage Depression Scale (Short Form)  \nThe Yesavage Depression Scale was developed as a basic screening measure for depression in adults. If you score highly on this test, we strongly advise you to review the results with your doctor or other health care professional.  \nChoose the best answer for how you have felt over the past week:  \n1. Are you basically satisfied with your life?   Yes No (No=1)  \n2. Have you dropped many of your activities & interests?   Yes No (Yes=1)  \n3. Do you feel that your life is empty?   Yes No (Yes=1)  \n4. Do you often get bored?   Yes No (Yes=1)  \n5. Are you in good spirits most of the time?   Yes No (No=1)  \n6. Are you afraid that something bad is going to happen to you?   Yes No (Yes=1)  \n7. Do you feel happy most of the time?   Yes No (No=1)  \n8. Do you often feel helpless?   Yes No (Yes=1)  \n9. Do you prefer to stay at home, rather than going out & doing  \n Yes No (Yes=1)  \na few things?  \n10. Do you feel you have more problems with memory than most?   Yes No (Yes=1)  \n11. Do you think it is wonderful to be alive now?   Yes No (No=1)  \n12. Do you feel pretty worthless the way you are now?   Yes No (Yes=1)  \n13. Do you feel full of energy?   Yes No (No=1)  \n14. Do you feel that your situation is hopeless?   Yes No (Yes=1)  \n15. Do you think that most people are better off than you are?   Yes No (Yes=1)  \nTotal:   \n_  \nScoring: 0-5 no problem; 6-10 mild depression; a","cbCaig3PLtQoeF3v","https://ap.wps.com/l/cbCaig3PLtQoeF3v","pdf",509626,"English","# Depression Management in Primary Care\n## Initial Assessment and Referral\n## Treatment Recommendations by Diagnosis\n## Follow-up Schedule and Medication Protocols\n## Depression Screening and Annual Measurement\n## Attachments: Screening Scales\n## Yesavage Depression Scale (Short Form)\n## PHQ-9 Modified for Adolescents (PHQ-A)","[{\"question\":\"How should clinicians assess patients in primary care for major depression and safety risks?\",\"answer\":\"Assess for suicidal thoughts and, if there is danger to self or others, send the patient to TMH, CRMC, or Apalachee. Also assess the level of depression.\"},{\"question\":\"What treatments are recommended for minor depression versus major depression?\",\"answer\":\"For minor depression or adjustment disorder with depressed mood (F43.21), recommend cognitive behavioral therapy. For major depression (F32.0 \\u0026 F33.9), recommend counseling, prescribe antidepressants, and schedule follow-up.\"},{\"question\":\"How long should antidepressant medication continue after remission for different depression episodes?\",\"answer\":\"For the first episode, continue medication for at least 6 months after remission; for the second episode, at least 12 months; and for the third episode, at least 24 months.\"}]","Management of Major Depression in Primary Care | PDF",1790739751,18]