Depression Pathway Dr Helen Drew Barton House Group

Depression Pathway Dr Helen Drew (Barton House Group Practice) Helendrew@nhs. net

Depression Pathway �Aide-memoire of NICE Guideline CG 90 (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 Prevalence �Currently 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 Groups �Local Resources for people with Anxiety and Depression �Suggestions for the pathway – additions, changes?

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