Goals of the Depression Screening Tool Kit
- Standardization of depression screening with Evidence-Based Practice
- Assist you with better identifying depression in your patients
- Help guide early interventions for depression in your practice
- Provide you with a complete Interactive Tool Kit with evidence based tools and medication strategies in the management of depression
- Provide adolescent specific tools and workflows in the management of depression
- Provide patient/family education tools
- Provide crisis management tools and resources
- Help you to decide when you should refer the patient to a specialist
Instructions for Using this Tool Kit
The purpose of this toolkit is to provide information and resources for implementing universal depression screening across the AHP network, identifying patients with unrecognized depression and implementing early interventions within the primary care setting with referrals to specialty treatment when necessary.
- Begin with the PHQ-2/9 screening tool. Any score of 2 or more on the PHQ-2 requires completion of a full PHQ-9.
- Use the PHQ-9 score and action plan section to guide your treatment.
- Any positive response on item 9 of the screening tool deserves further suicide risk assessment. Use the suicide risk assessment tab under the action plans for severe depression or under the Crisis Intervention Resources section to access risk assessment tools, safety plans and other useful recommendations.
- Use the medication management button to access evidence-based treatment algorithms and other useful medication resources.
- Use the patient evaluation button to access useful information to share with your patients and families.
- Use the crisis resources button to access information and other tools to be used when you have a crisis patient or situation.
- Use this Interactive Tool Kit for any patient age 12 and over. The tool included with this document can be used for both adults and adolescents.
Behavioral Health Integration Team
Holly Brown, DNP, RN, PMHNP-BC, PMHCS-BC
Psychiatric Mental Health Nurse Practitioner - Pediatrics
George Nasra, MD, MBA
Medical Director - Behavioral Health
Tziporah Rosenberg, PhD
Education and Training Lead, Behavioral Health Integration Team
Daryl Sharp, PhD, RN, FAAN
Senior Director, Care Management
Any AHP clinician including providers and care managers may seek consultation from the AHP-BHI team to discuss patients with behavioral health concerns. Consultation requests can include questions about diagnostic clarification, treatment recommendations, access to care issues or concerns with social and/or behavioral determinants impacting the care of the patient.
Prior to requesting a BHIT consultation, the care manager will review the case and determine the best resource for further discussion including small group supervision, AHP-BHI ECHO®, or the AHP-BHIT consultation. The small group supervision is typically used when feedback is sought from other care managers, The AHP-BIT consults are for specific questions related to the actual care of the patient and where a multidisciplinary input is required. The AHP-BHI ECHO® is focused on telementoring and training for the larger group of providers and care managers across the network. A case may be presented a the AHP-BHI ECHO® after input is obtained through the AHP-BHIT consultation process.
Most consultations will include a review of the information provided and feedback via email to the care manager and/or provider requesting the consult. Occasionally a more in-depth evaluation will be needed and a member of the BHIT will then schedule a time to dscuss the consult more fully, connect with the provider and care manager to ask further clarifying questions and/or schedule a time where the provider, care manager and patient/family are available to complete the evaluation.
It is important to note that the BHIT does not conduct direct patient care evaluations but rather is available to support the primary care team in their evaluations. For that reason, consultations will not occur between the BHIT consultant and the patient directly.
Requesting a BHI Team Consultation
Email the team at [email protected]. A response should be expected within 24 to 48 hours of the request.