Indicators | |
---|---|
I Early recognition and indicated prevention | |
1.1 | Use of a screening instrument in patients who are suspected of having a depression |
II Self-management and e-health interventions | |
2.1 | Providing self-management and/or e-health interventions to patients with depressive symptoms or a mild depression |
III Diagnosis and treatment according to the stepped care model | |
IIIa. | Diagnosis and symptom severity |
3.1 | Measurement of the severity of the depression prior to possible treatment |
IIIb. | Applying basic interventions |
*3.2 | Providing educational material to patients with depression |
IIIc. | Providing stepped care treatment |
3.3 | Providing first step and brief interventions to patients with a mild depression# |
3.4 | Providing psychotherapy and/or pharmacotherapy to patients with a moderate to severe major depressive disorder or a recurrent depression# |
3.5 | Systematically monitoring changes in the severity of the depression in patients with a validated instrument |
IV Disease management and collaborative care in recurrent or severe or prolonged depression | |
4.1 | Making collaborative care agreements when multiple health care providers are involved in the treatment of a patient with a (severe or prolonged) depression (“who does what”) |
*4.2 | Making agreements about referral of patients from secondary mental health care to primary care |
V Relapse prevention, rehabilitation and participation | |
5.1 | Providing relapse prevention# |
5.2 | Providing ongoing counselling to patients with chronic depression (who are referred back from secondary care)# |