Depression : Division of Mental Hygiene : NYC DOHMH

The New York City Department of Health and Mental Hygiene

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	Division of Mental Hygiene Feeling Down During the Holidays? The Depression Initiative Page Contents • Overview • Depression Initiative Goals • Letter from the Executive Deputy Commissioner and the Associate Commissioner • New York Times Article (4/13/05) • Press Release (1/20/06) • DOHMH Power Point Presentations • DOHMH Published Articles, Papers and Reports • Materials for Providers • Materials for Patients • Library of Articles • Mental Health Referral Resources • Other Resources Overview The New York City Department of Health and Mental Hygiene's "Take Care New York" (TCNY) Initiative is a public health policy that prioritizes actions to help individuals, health care providers and New York City as a whole to improve health. Depression has been identified as one of the key areas for intervention because it is prevalent, has a substantial disease burden, and is often undetected and untreated despite the availability of effective treatment. Appropriate care is seldom achieved due to the fact that depression care has lacked a measure of performance, faced systems barriers, issues of stigma and cultural bias, and encountered fiscal challenges. Primary care physicians are the initial point of service for the health care needs of most Americans and, thus, need to play a key role in ensuring that appropriate screening, treating, and monitoring of depression is available to those who need it. Through the TCNY Depression Initiative, entitled "Get Help for Depression", the Division of Mental Hygiene's Depression Team will: Assist primary care clinicians, through training and technical assistance, to implement depression screening and management in primary care practice. The depression screening tool is the Patient Health Questionnaire 9. Inform New Yorkers through a city-wide public education campaign to speak with their doctor about a simple test for depression: the PHQ9. Address depression among high risk groups. Interventions will be targeted toward the elderly, college students, pregnant women/new mothers, and individuals living in the District Public Health Office regions, identified as the areas of highest need in New York City. Establish Office of Care Management to assist primary care pratices with telephonic follow-up of patients diagnosed with depression back to top Depression Initiative Goals To make depression screening and management standard practice in all primary care settings in New York City. To increase the rate of New Yorkers in treatment for depression by 10% by 2008. back to top Letter from the Executive Deputy Commissioner and the Associate Commissioner back to top New York Times Article (4/13/05) Depressed? New Yorkers Screen for People at Risk. By Marc Santora and Benedict Carey. Press Release (1/20/06) Department of Health and Mental Hygiene and Department for the Aging Announce Pilot Depression Screening and Management Initiative for Bronx Seniors back to top DOHMH Power Point Presentations Patient Health Questionnaire Depression, Social Isolation and the Urban Elderly General Introduction to Depression Depression and Chronic Disease Diagnosing Depression Medical Management of Depression Non-pharmacological Approaches to Depression Management Overview of Depression Initiative for a Medicaid Managed Health Care Organization Depression Screening and Management for a community-based health clinic Changing the Landscape for Depression Treatment in NYC for the Geriatric Alliance Advocacy Group Perinatal Depression Screening Depression Screening in Transitional Health Care back to top DOHMH Published Articles, Papers and Reports Changing the Landscape for the Treatment of Depression in NYC. Petit, J., Christman, M., Paone, D., Ramos, S. and Sederer, Ll. Integrating Care for Medical and Mental Illnesses. Sederer, Ll., Silver, L., McVeigh, K., Levy, J. 2006. back to top Materials for Providers City Health Information (CHI): Detecting and Treating Depression in Adults [Reference] (Guidelines for depression screening and management, including treatment algorithm, PHQ9 scoring instructions, medication chart, and suicide risk assessment) Patient Health Questionnaire Depression Screening Pocket Guide Patient Self Management Tools English Spanish PHQ2 chart stickers Adult Preventative Care Flow Sheet Referral to Mental Health Services form Primary Care Depression Reimbursement back to top Materials for Patients Health Bulletin #34: Get Help for Depression English Spanish Chinese Russian Common Symptoms of Depression Fact Sheet English Spanish Tips for Handling Depression Fact Sheet English Spanish Depression. It's Treatable. Talk to Your Doctor Easel English Spanish Depression. It's Treatable. Talk to Your Doctor Palm Card English Spanish Depression. It's Treatable. Talk to Your Doctor Poster English Spanish back to top Depression Library of Articles Kessler, R.C., PhD, Berglund, MBA, Demler, Olga, MS, Jin, Robert, MA, Koretz, Doreen, PhD, Merikangas, K.R., PhD, Rush, A.J., MD, Walters, E.E., MS, Wang, P.S., MD, DrPH. Epidemiology of Major Depressive Disorder: Results from the NCS-R. JAMA, June 18, 2003, Vol 289, No. 23. Harman, J.S., PhD, Edlund, M.J., MD, PhD, Fortney, J.C., PhD. Validation and Utility of a Self-Report Version of the Prime MD: The PHQ Primary Care Study. JAMA 1999 Nov 10; 282 (18): 1737-44. Kroenke, K., MD, Spitzer, R.L., MD., Williams, J.B.W., DSW. The PHQ-9: Validity of a Brief Depression Severity Measure. Journal of General Internal Medicine 2001: 16: 606-613. Bernd Lowe, Kurt Kroenke, Wolfgang Herzog, Kerstin Grafe. Measuring Depression Outcome With a Brief Self-report Instrument: Sensitivity to Change of the Patient Health Questionnaire (PHQ-9). Journal of Affective Disorders, 81 (2004), 61-66. Bernd Lowe, MD, PhD, Jurgen Unutzer, MD, MPH, Christopher M. Callahan, MD,Anthony J. Perkins, MS, and Kurt Kroenke, MD. Monitoring Depression Treatment Outcomes with the Patient Health Questionnaire 9. Medical Care 2004; 42: 1194–1201) Kroenke, K., MD., Spitzer, R.L., MD., Williams, J.B.W., DSW. The Patient Health Questionnaire-2: Validity of a Two Item Depression Screener. Medical Care 2003; 41:1284-1292. Daniel P Chapman, PhD, Geraldine S Perry, DrPH, and Tara W Strine, MPH. The Vital Link Between Chronic Disease and Depressive Disorders. Prevention of Chronic Diseases, 2005 January; 2(1): A14. Andre Tylee, M.D., F.R.C.G.P., M.R.C.Psych., and Paul Gandhi, M.R.C. Psych. The Importance of Somatic Symptoms in Depression in Primary Care. New England Journal of Medicine 2005;353:1819-34. J. John Mann, M.D. The Medical Management of Depression. New England Journal of Medicine 2005;353:1819-34. Thomas E. Oxman, M.D., Allen J. Dietrich, M.D., John W. Williams, Jr., M.D., M.H.S., and Kurt Kroenke, M.D.. A Three-Component Model for Reengineering Systems for the Treatment of Depression in Primary Care. Psychosomatics 2002; 43:441-450. Simon Gilbody, DPhil, MRCPsych; Paula Whitty, MD, MFPHM; Jeremy Grimshaw, PhD, FRCGP; Ruth Thomas, PhD. Educational and Organizational Interventions to Improve the Management of Depression in Primary Care: A Systematic Review. JAMA, June 18, 2003, Vol 289. No. 23. Simon, G.E., MD, MPH, Ludman, E.J., PhD, Tutty, S., MA, Operskalski, B., MPH, Von Korff, M., ScD. Telephone Psychotherapy and Telephone Care Management for Primary Care Patients Starting Antidepressant Therapy. AMA, August 25, 2004, Vol. 292, No. 8. Robert J. DeRubeis, PhD; Steven D. Hollon, PhD; Jay D. Amsterdam, MD; Richard C. Shelton, MD; Paula R. Young, PhD; Ronald M. Salomon, MD; John P. O’Reardon, MD; Margaret L. Lovett, MEd; Madeline M. Gladis, PhD; Laurel L. Brown, PhD; Robert Gallop, PhD. Cognitive Therapy vs Medications in the Treatment of Moderate to Severe Depression. Archives of General Psychiatry, Vol. 62, April 2005. Kathryn Rost, PhD1,Jeffrey M. Pyne, MD2,L. Miriam Dickinson, PhD1, Anthony T. LoSasso, PhD3. Cost Effectiveness of Enhancing Primary Care Depression Management on an Ongoing Basis. Ann Fam Med 2005;3:7-14. DOI: 10.1370/afm.256. Wayne J. Katon, MD; Michael Schoenbaum, PhD; Ming-Yu Fan, PhD; Christopher M. Callahan, MD; John Williams, Jr, MD, MHS; Enid Hunkeler, MA; Linda Harpole, MD, MPH; Xiao-Hua Andrew Zhou, PhD; Christopher Langston, PhD; Jürgen Unützer, MD, MPH; for the IMPACT Investigators. Cost Effectiveness of Improving Primary Care Treatment of Late-Life Depression. Archives of General Psychiatry. 2005; 62:1313-1320. back to top Mental Health Referral Resources 1-800-LIFENET American Psychiatric Association Answer Center: Psychiatrist Locator or (888) 35-PSYCH National Mental Health Association: Find a mental health professional for counseling back to top Other Resources Depression Screening Action Kit Take Care New York MacArthur Foundation Depression in Primary Care Initiative University of Michigan Depression Center American Psychiatric Association National Institute for Mental Health back to top