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Tools Used in Screening for Depression

The first step in diagnosing depression is recognizing the most common symptoms. The characteristics listed below may be indicators of the need for

depression screening.37

Adults

Adolescents and Children

Obesity Indigence Financial problems Major life changes Pregnancy/postpartum Socially isolated Multiple vague symptoms Fatigue or sleep disturbance Substance abuse Familial history such as first-line relative with depression Chronic disease Loss of interest in sexual activity Elderly Problems associated with job performance — absenteeism, presenteeism

Withdrawal from friends and social events Excessive weight change Substance abuse Aggression Agitation Decline in academic performance

There are two types of clinically significant Unipolar Depression, Major Depressive Disorder (MDD) and Dysthymia, or mild depression. Again it must be noted that the

care manager is not diagnosing

with depression;

his or her

understand the

physician’s

individuals role is to diagnostic

Risk Stratification is a role of the care manager. Screening is a tool to assist in the identification of risk.

process. In addition, risk stratification is a care management professional’s role, and screening is a function of this role. To accomplish this task, care managers may use the following tools, which are not endorsed by CMSA but are available and offered for the sole purpose of possible review with the total care management team.

The PHQ-2 screening might be the first line of screening, followed by physician administration of the PHQ-9. The PHQ-2 is an effective screening tool for the case manager to use in referring the individual for treatment or further screening.

Depression

Notes

13

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