dr helen drew (barton house group practice) helendrew@nhs.net
Post on 24-Dec-2015
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Depression PathwayDr Helen Drew (Barton House Group
Practice)Helendrew@nhs.net
Depression PathwayAide-memoire of NICE Guideline CG90 (2009)
Reminder of new QOF targets
Summary of ICD 10 definitions of mild/moderate / severe Depression
Reminder of the range of local services available
Increase the prevalence reporting of depression locally
Read Codes and PrevalenceCurrently our recorded prevalence of
Depression in Hackney is 10% (compared to a London-wide prevalence of 7.5%)
We have double the London-wide average rate of Suicide.
(City and Hackney Joint Strategic Needs Assessment 2011/2012)
Screening?
Particularly consider elderly patients – strong links between depression and physical health problems , dementia, parkinsons.
Intervention (mild to moderate depression)
Primary Care Psychological Services!Patients can self refer (0207 683 4278)
Appropriate for a wide range of patients, including as a first line treatment for mild depression, and with or without antidepressants in moderate depression.
Patients can be re-routed to other services without unnecessary delays if they need higher intensity input.
Intervention (Moderate / Severe Depression)
For patients who have physical health problems preventing engagement with face-to-face psychological intervention consider Telephone intervention, or antidepressants. (NICE)
Relapse Prevention
Breakout GroupsLocal Resources for people with Anxiety and
Depression
Suggestions for the pathway – additions, changes?
Feedback....
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