CCPEC Depression Toolkits for Primary Care

Depression Toolkits for Primary Care

With an estimated 15 percent of people developing symptoms consistent with Major Depressive Disorder (MDD) in the course of their lifetimes, there’s sound reason for being able to treat this condition in a primary-care setting that aspires to be a medical home.

MDD goes far beyond the episodes of sadness or feeling down we all feel at times, referring instead to persistent symptoms lasting at least two consecutive weeks, with a corresponding decrease in a person’s overall level of functioning. The symptoms themselves often extend beyond depression to include:

    • An inability to experience pleasure (anhedonia)
    • Disturbances in appetite and sleep
    • Diminished concentration or attention span
    • Excessive guilt feelings
    • Persistent lack of energy
    • Restlessness
    • Suicidal thoughts or behaviors

It’s very common for MDD to occur alongside serious physical illness, with the typical upshot being a more difficult and lengthy course, and outcome, of the physical illness.

MDD is, however, typically very treatable. So much so that most people have a full remission of symptoms when the condition is adequately addressed.

That’s where our Depression Toolkits come in.

With one for ADULTS and one for ADOLESCENTS, these resources were designed to offer busy primary-care practitioners easy access to practical, extensive, evidence-based tools to assist in treating patients with MDD. Download either toolkit in PDF form on the right side of this page.

Toolkit Components

    • Recommendations for how to implement them into your practice
    • An algorithm to assist with initial assessment of MDD severity, as well as the corresponding recommended treatment approach
    • Screening tools
    • Critical decision points in treatment
    • Medication recommendations
    • Recommendations on what to do when patients are not responding adequately to treatment, including when a referral to a psychiatrist for consultation may be indicated
    • Other useful guides

Additional Video Resources

We’ve also included links to a few video resources from our Community Care of North Carolina (CCNC) partners, of CCNC behavioral health experts narrating PowerPoint presentations addressing key facets of MDD treatment: