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?

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