This guideline covers identifying, treating and managing depression in people aged 18 and over. It recommends treatments for first episodes of depression and further-line treatments, and provides advice on preventing relapse, and managing chronic depression, psychotic depression and depression with a coexisting diagnosis of personality disorder. This guideline includes recommendations on: principles of care; recognition and assessment; choice and delivery of treatments; treatment for a new episode of less severe depression; treatment for a new episode of more severe depression; behavioural couples therapy; preventing relapse; further-line treatment; chronic depressive symptoms; depression in people with a diagnosis of personality disorder; psychotic depression; electroconvulsive therapy,
(Edited publisher abstract)
This guideline covers identifying, treating and managing depression in people aged 18 and over. It recommends treatments for first episodes of depression and further-line treatments, and provides advice on preventing relapse, and managing chronic depression, psychotic depression and depression with a coexisting diagnosis of personality disorder. This guideline includes recommendations on: principles of care; recognition and assessment; choice and delivery of treatments; treatment for a new episode of less severe depression; treatment for a new episode of more severe depression; behavioural couples therapy; preventing relapse; further-line treatment; chronic depressive symptoms; depression in people with a diagnosis of personality disorder; psychotic depression; electroconvulsive therapy, transcranial magnetic stimulation and implanted vagus nerve stimulation; access, coordination and delivery of care.
(Edited publisher abstract)
Subject terms:
depression, mental health problems, treatment, mental health services;
Journal of Mental Health, 22(2), 2013, pp.135-154.
Publisher:
Taylor and Francis
Place of publication:
London
Background: Cost of illness (COI) studies are carried out under conditions of uncertainty and with incomplete information. There are concerns regarding their generalisability, accuracy and usability in evidence-informed care.
Aims: A hybrid methodology is used to estimate the regional costs of depression in Catalonia (Spain) following an integrative approach.
Methods: The cross-design synthesis The method used allows for a comprehensive estimate of the cost of depression in Catalonia. Health officers and decision-makers concluded that this methodology provided useful information and knowledge for evidence-informed planning in mental health.
Conclusions: The mix of methods, combined with a simulation model, contributed to a reduction in data gaps and, in conditions of uncertainty, supplied more complete information on the costs of depression in Catalonia. This approach to COI should be differentiated from other COI designs to allow like-with-like comparisons. A consensus on COI typology, procedures and dissemination is needed.
(Publisher abstract)
Background: Cost of illness (COI) studies are carried out under conditions of uncertainty and with incomplete information. There are concerns regarding their generalisability, accuracy and usability in evidence-informed care.
Aims: A hybrid methodology is used to estimate the regional costs of depression in Catalonia (Spain) following an integrative approach.
Methods: The cross-design synthesis included nominal groups and quantitative analysis of both top-down and bottom-up studies, and incorporated primary and secondary data from different sources of information in Catalonia. Sensitivity analysis used probabilistic Monte Carlo simulation modelling. A dissemination strategy was planned, including a standard form adapted from cost-effectiveness studies to summarise methods and results.
Results: The method used allows for a comprehensive estimate of the cost of depression in Catalonia. Health officers and decision-makers concluded that this methodology provided useful information and knowledge for evidence-informed planning in mental health.
Conclusions: The mix of methods, combined with a simulation model, contributed to a reduction in data gaps and, in conditions of uncertainty, supplied more complete information on the costs of depression in Catalonia. This approach to COI should be differentiated from other COI designs to allow like-with-like comparisons. A consensus on COI typology, procedures and dissemination is needed.
(Publisher abstract)
Subject terms:
economic evaluation, costs, mental health services, depression;
This article discusses the results of a study investigating the prevalence of depression and help-seeking behaviours for mental health issues among Asian Indian Americans. A paper based survey was administered to 96 Asian Indians living in the Houston area. The findings showed that the prevalence of depression among the Indians in this study was 17.7%. Those having depressive symptoms were more likely to have experienced social, family or relationship issues. Logistic regression analysis indicated 3 significant predictors: individuals with anxiety problems were 11.34 times more likely to have depressive symptoms; each unit increase in the score for family or relationship issues increased the likelihood of depression by 3.74 times; and individuals currently employed were 90.9% less likely
This article discusses the results of a study investigating the prevalence of depression and help-seeking behaviours for mental health issues among Asian Indian Americans. A paper based survey was administered to 96 Asian Indians living in the Houston area. The findings showed that the prevalence of depression among the Indians in this study was 17.7%. Those having depressive symptoms were more likely to have experienced social, family or relationship issues. Logistic regression analysis indicated 3 significant predictors: individuals with anxiety problems were 11.34 times more likely to have depressive symptoms; each unit increase in the score for family or relationship issues increased the likelihood of depression by 3.74 times; and individuals currently employed were 90.9% less likely to have depressive symptoms. Only 3% of the participants consulted mental health professionals. Reframing mental health symptoms as reactions to family or social issues may help Asian Indians step forward to seek professional help.
Subject terms:
immigrants, mental health services, South Asian people, depression;
The UK Inquiry into Mental Health and Well-Being in later life has revealed that the care of older people with mental health problems is inadequate. The author outlines the some of the recommendations of the report and the five main priority areas for action.
The UK Inquiry into Mental Health and Well-Being in later life has revealed that the care of older people with mental health problems is inadequate. The author outlines the some of the recommendations of the report and the five main priority areas for action.
Subject terms:
mental health problems, mental health services, older people, depression;
Through Doing Well by People with Depression, the Scottish Executive introduced a programme to build capacity at different levels within local service systems to respond to depression and to enhance access to sources of support. The programme presented an opportunity to try out ‘new’ approaches and to change existing ways of delivering interventions. The evaluation comprised scoping of the literature on organisational change, models of service delivery for primary care mental health, and effective interventions to treat mild and moderate depression, detailed case studies, and interactive feedback workshops. Overall, the programme demonstrated that stepped care and collaborative care are appropriate and potentially effective models for the management of depression in Scotland. Guided self help proved to be a useful first-line intervention for many of those with mild to moderate depression.
Through Doing Well by People with Depression, the Scottish Executive introduced a programme to build capacity at different levels within local service systems to respond to depression and to enhance access to sources of support. The programme presented an opportunity to try out ‘new’ approaches and to change existing ways of delivering interventions. The evaluation comprised scoping of the literature on organisational change, models of service delivery for primary care mental health, and effective interventions to treat mild and moderate depression, detailed case studies, and interactive feedback workshops. Overall, the programme demonstrated that stepped care and collaborative care are appropriate and potentially effective models for the management of depression in Scotland. Guided self help proved to be a useful first-line intervention for many of those with mild to moderate depression.
Subject terms:
intervention, mental health services, depression, evaluation;
Three years ago Scotland launched the national Doing Well by People with Depression programme to explore new approaches to the treatment of depression at primary care level. The programme has recently completed its third evaluation, which shows how new and innovative services are making a real difference to peoples lives. This article looks at some of the projects, which all focus on supporting people with mild to moderate depression to help themselves.
Three years ago Scotland launched the national Doing Well by People with Depression programme to explore new approaches to the treatment of depression at primary care level. The programme has recently completed its third evaluation, which shows how new and innovative services are making a real difference to peoples lives. This article looks at some of the projects, which all focus on supporting people with mild to moderate depression to help themselves.
Discusses how the perception that depression is a 'natural' part of old age, may mean that many older people are not getting the help they need. Looks at the need for specialist services, but those that also ensure older people have access to the full range of mental health services, rather than assuming any treatment must be in the form of medication. Looks at initiatives in Hertforshire
Discusses how the perception that depression is a 'natural' part of old age, may mean that many older people are not getting the help they need. Looks at the need for specialist services, but those that also ensure older people have access to the full range of mental health services, rather than assuming any treatment must be in the form of medication. Looks at initiatives in Hertforshire and East Kent NHS and Social Care Partnership Trust.
Subject terms:
mental health services, older people, access to services, depression;
Objective: We examined: 1. depression rates among senior center clients; and 2. the acceptability of a lay-delivered intervention for depression (“Do More, Feel Better”) from the perspective of key stakeholders prior to its implementation. Method: We conducted cross-sectional surveys at four Seattle-area senior centers of 140 clients, 124 volunteers, and 12 administrators and staff. Client measures included the Patient Health Questionnaire-9 (PHQ-9) to determine depression severity, and items assessing depression treatment preferences. Following description of “Do More, Feel Better” as a lay-delivered intervention focused on increasing participation in rewarding activities, we used quantitative and qualitative items to assess acceptability to: 1. clients participating in; 2. volunteers and staff reported high comfort levels with proposed volunteer training procedures, and they identified funding and staffing considerations as challenges to sustaining the intervention. Conclusion: Findings indicate high depression rates among senior center clients and support the acceptability of lay-delivered behavioral interventions for depression from a variety of stakeholders. Further investigation
(Edited publisher abstract)
Objective: We examined: 1. depression rates among senior center clients; and 2. the acceptability of a lay-delivered intervention for depression (“Do More, Feel Better”) from the perspective of key stakeholders prior to its implementation. Method: We conducted cross-sectional surveys at four Seattle-area senior centers of 140 clients, 124 volunteers, and 12 administrators and staff. Client measures included the Patient Health Questionnaire-9 (PHQ-9) to determine depression severity, and items assessing depression treatment preferences. Following description of “Do More, Feel Better” as a lay-delivered intervention focused on increasing participation in rewarding activities, we used quantitative and qualitative items to assess acceptability to: 1. clients participating in; 2. volunteers administering; and 3. administrators and staff supporting the intervention. Results: 25% of senior center clients (35/140) endorsed elevated depressive symptoms (PHQ-9 ≥ 10). 81% of clients (114/140) reported that they would consider participating in “Do More, Feel Better,” and 59% percent of volunteers (73/123) expressed interest in learning how to assist others using the intervention. Administrators and staff reported high comfort levels with proposed volunteer training procedures, and they identified funding and staffing considerations as challenges to sustaining the intervention. Conclusion: Findings indicate high depression rates among senior center clients and support the acceptability of lay-delivered behavioral interventions for depression from a variety of stakeholders. Further investigation of the feasibility, effectiveness, and implementation of “Do More, Feel Better” is warranted, particularly in the context of a lack of health care professionals available to meet the mental health needs of older adults.
(Edited publisher abstract)
Subject terms:
older people, depression, mental health services, community mental health services, user views;
Community Mental Health Journal, 53(1), 2017, pp.39-52.
Publisher:
Springer
Research on the impact of exposure to community violence tends to define victimization as a single construct. This study differentiates between direct and indirect violence victimization in their association with mental health problems and mental health service use. This study includes 8947 individuals from four waves of the National Longitudinal Study of Adolescent to Adult Health and examines (1) whether sub-types of adolescent victimization are linked to depressive symptoms; (2) whether adolescent victimization is linked with mental health service use; and (3) the role of mental health service use in attenuating symptoms arising from victimizations. Adolescents witnessing community violence were more likely to experience depressive symptoms during adolescence but not during their young adulthood; direct exposure to violence during adolescence does not predict depressive symptoms in adolescence but does in adulthood. Use of mental health service mediates report of depressive symptoms for adolescent witnessing community violence.
(Publisher abstract)
Research on the impact of exposure to community violence tends to define victimization as a single construct. This study differentiates between direct and indirect violence victimization in their association with mental health problems and mental health service use. This study includes 8947 individuals from four waves of the National Longitudinal Study of Adolescent to Adult Health and examines (1) whether sub-types of adolescent victimization are linked to depressive symptoms; (2) whether adolescent victimization is linked with mental health service use; and (3) the role of mental health service use in attenuating symptoms arising from victimizations. Adolescents witnessing community violence were more likely to experience depressive symptoms during adolescence but not during their young adulthood; direct exposure to violence during adolescence does not predict depressive symptoms in adolescence but does in adulthood. Use of mental health service mediates report of depressive symptoms for adolescent witnessing community violence.
(Publisher abstract)
Subject terms:
violence, young people, depression, service uptake, mental health services;
This guideline covers the identification and treatment of depression in children (5-11 years) and young people (12-18 years) in primary, community and secondary care. The guidance covers: the care children and young people with depression can expect to get from their doctor, nurse or counsellor; the information they can expect to be given; what they can expect from treatment; and the kinds of services that can help young people and children with depression, including family doctor (general practitioner or GP), health staff at school, and specialists in clinics or hospitals.
(Edited publisher abstract)
This guideline covers the identification and treatment of depression in children (5-11 years) and young people (12-18 years) in primary, community and secondary care. The guidance covers: the care children and young people with depression can expect to get from their doctor, nurse or counsellor; the information they can expect to be given; what they can expect from treatment; and the kinds of services that can help young people and children with depression, including family doctor (general practitioner or GP), health staff at school, and specialists in clinics or hospitals.
(Edited publisher abstract)
Subject terms:
depression, mental health problems, mental health services, children, young people;