Collaborative care regarding major depressed patients: A review of guidelines and current practices

JOURNAL OF AFFECTIVE DISORDERS

卷:200

Review

Van den Broeck, Kris¹  Remmen, Roy²  Vanmeerbeek, Marc³  Destoop, Marianne^1,4  Dom, Geert^1,4 

[1] Univ Antwerp, Collaborat Antwerp Psychiat Res Inst, B-2020 Antwerp, Belgium

[2] Univ Antwerp, Gen Practice, Dept Primary & Interdisciplinary Care, B-2020 Antwerp, Belgium

[3] Univ Liege, Dept Med Gen, Liege, Belgium

[4] Psychiat Ctr Bros Alexianen, Boechout, Belgium

关键词: Collaborative care;    Stepped care;    Primary care;    General practitioner;    Psychiatrist;    Mental health services;    Depression;   

DOI  :  10.1016/j.jad.2016.04.044

来源: Elsevier

【 摘 要 】

Major Depressive Disorder (MDD) is a severe and common mental disorder. A growing body of evidence suggests that stepped and/or collaborative care treatment models have several advantages for severely depressed patients and caretakers. However, despite the availability of these treatment strategies and guidance initiatives, many depressive patients are solely treated by the general practitioner (GP), and collaborative care is not common. In this paper, we review a selected set of international guidelines to inventory the best strategies for GPs and secondary mental health care providers to collaborate when treating depressed patients. Additionally, we systematically searched the literature, listing potential ways of cooperation, and potentially supporting tools. We conclude that the prevailing guidelines only include few and rather vague directions regarding the cooperation between GPs and specialised mental health practitioners. Inspiring recent studies, however, suggest that relatively little efforts may result in effective collaborative care and a broader implementation of the guidelines in general. (C) 2016 Elsevier B.V. All rights reserved.

【 授权许可】

Free