SHORTS: Depression in Older Adults - Screening and Referral #YouCouldSaveALife

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. https://www.ncbi.nlm.nih.gov/pubmed/23619921 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: [email protected] Enjoy! -------------------- If you like what you hear, consider Joining the Senior Rehab Project to get access to: Monthly Mastermind Meetup Newsletter Private FB Group Go to http://SeniorRehabProject.com/JOIN   *This podcast is sponsored by GREAT Seminars And Books. As a fan of SRP, YOU can get $25 off by using promo code: SRP25 at SeniorRehabProject.com/GREAT