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WHDL - 00016442
Depression is underdiagnosed and undertreated in the primary care setting. Primary care offices are the gatekeeper for many individuals’ healthcare needs. Frequently when patients present to a primary care clinic with physical complaints, the provider conducts selective screening instead of universal screening. As a result, individuals with depression are left undiagnosed and untreated. Primary care providers must be equipped to assess, diagnose, treat, and follow-up with patients identified with depression. Before this project, a nonprofit clinic only screened individuals who complained of depression. Universal screening was implemented using a patient health questionnaire (PHQ-2) assessment tool. If the PHQ-2 was positive, a patient health questionnaire (PHQ-9) was completed. A provider then worked with the patient to select the best treatment. The goal was to implement universal screening for depression, provide evidence-based treatment for patients with depression, and conduct a timely follow-up. During the implementation of this project, 55 patients were screened for depression using a PHQ-2 assessment tool. Of those 55, nine patients took a PHQ-9. Two of those nine patients took a repeat PHQ-9 following treatment intervention. Seven patients were unavailable for a timely follow-up appointment.
Keywords: adult depression, nonprofit organization, depression, treatment,
primary care, universal screening
16 Resources
DNP Students.