Show notes
SHORTS: Depression in Older Adults - Screening and Referral #YouCouldSaveALife
Vieira E, Brown E, Raue P. Depression in Older Adults: Screening and Referral. Journal of Geriatric Physical Therapy, 2014;37(1), 24-30.
PHQ-2 Tips:
Link to PHQ-2: http://www.cqaimh.org/pdf/tool_phq2.pdf
Patients with a PHQ-2 score of 2 or 3 (depending on the patient population) should be referred for further evaluation.
Scoring involves adding the results from the two items. The PHQ-2 with a cutoff score of 3 has 87% sensitivity and 78% specificity for depression
The following suggested information content, organizational format, and example come from "Nuts and Bolts: Organization for Depression Case Presentation"
- Identify yourself, your place or employment and your relationship with the patient
- Identify Patient: I am calling you about your patient Mr./Ms. __________whom I suspect has depression.
- Age, Marital Status, Race, Gender
- Current Symptoms (duration, pervasiveness)
- Suicidal Ideation
- Psychiatric History (if any)
- Psychosocial (living situation, social support, stressors)
- Medical illness and medications (dose for psycho-tropics)
- Recommendation for further evaluation by physician or Mental Health (MH) specialist.
Assessment and management of depression in older adults can be conceptualized in the following 4 steps:
Step 1: Accurate depression recognition and screening is needed. But assessment is only the FIRST step in caring for depression
Step 2: Depression-related information needs to be conveyed to the patient's physician or mental health specialist for further evaluation
Step 3: Depression treatment needs to be initiated or adjusted as indicated
Step 4: Ongoing monitoring of symptoms
Questions or comments? Find me here:
Twitter: @jdaniels_DPT
Facebook: Joe Daniels
Email: jd2012@nova.edu
Enjoy!
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