Phq-9 Treatment Recommendations

Across the 3 services the average rate of recovery was 459 for people who had Space for Depression and 551 for. PHQ-9 Score Treatment Response Treatment Plan Drop of 5 points from baseline Adequate No treatment change needed.

A System Based Approach To Depression Management In Primary Care Using The Patient Health Questionnaire 9 Mayo Clinic Proceedings

PHQ-9 score Severityprovisional diagnosis Treatment recommendations Pharmacotherapy or psychotherapy creation of a treatment and follow-up plan education reevaluation.

Phq-9 treatment recommendations. See PHQ-2 and GAD-2 above. The Patient Health Questionnaire-9 PHQ-9 is a nine item questionnaire designed to screen for depression in primary care and other medical settings. Use of the PHQ-9 for Treatment Selection and Monitoring Step 1 A depression diagnosis that warrants treatment or a treatment change needs at least one of the first two questions endorsed as positive more than half the days or nearly every day in the past two weeks.

The PHQ 9 is a useful tool because as noted above it can be readministered as needed. Supportive care is recommended for all patients receiving care for depression. Epub 2012 Sep 6.

Share PHQ-9 with psychological counselor. Active treatment with medication or psychotherapy is recommended Medication or psychotherapy is equally effective 20-27 Severe Medication treatment is recommended For many people psychotherapy is useful as an additional treatment People with severe symptoms often benefit from consultation with a. Improvement in scores should be 50 or greater of the patients pre-treatment score.

10 12 13 PHQ-8 All items of PHQ-9 except the 9th item on self-harm. Good clinical care requires that clinicians monitor patient progress. They incorporate DSM-IV depression criteria with other leading major depressive symptoms into a brief self-report instruments that are commonly used for screening and diagnosis as well as selecting and monitoring treatment.

It does not impact the score on the PHQ-9. Policy Board Approval History. Implications of DSM-5s potential recommendation of the PHQ-9 as the measure of choice for depression severity.

The purpose of this research translation project was to mitigate the consequences of under-recognition and under-treatment of depression through use of an evidence-based depression-screening tool the PHQ-9 in a primary care setting. 3 4 5 6 7 The standard cut-off score for screening to identify possible major depression is 10 or above 3 4 5 6 7 which was established in the first study on the PHQ-9 total n580 major depression n41. The PHQ-9 and PHQ-2 components of the longer Patient Health Questionnaire offer psychologists concise self-administered tools for assessing depression.

In a primary care clinical trial the use of a measurement-based care approach to treating depression with the PHQ-9 compared with treatment as usual resulted in a significantly higher response rate 670 vs 597 and remission rate 467 vs 428 for depression. A 5 point or. Treatment Response and Plan by Change in PHQ-9 Score.

Two items scored 0 to 3 total score of 0-6 8 10 12 PHQ-4 PHQ-2 and GAD-2. If there is no impairment then there is no diagnosis. Follow-up in four weeks.

On average antidepressant medication and psychotherapy have similar effectiveness. Symptom severity and guideline-based treatment recommendations for depressed patients. Screening all postpartum women for depression is recommended by the USPSTF American Academy of.

- There are no strict guidelines on how often to re-administer the tool. The PHQ-9 consists of nine questions and scores each of the nine DSM-IV criteria based on the frequency of symptom. Probably Inadequate Possibly no treatment change needed.

Drop of 1-point or no change or increase. Drop of 2-4 points from baseline. DOH PHQ-2 and PHQ-9 Treatment and Follow Up Guideline The utilization of question 10 on the PHQ-9 is an essential component since it indicates impairment in the patients function.

Treatment recommendations are based on the patients PHQ-9 score and may include psychotherapy antidepressants or both. PHQ-9 Score at 4-6 weeks Treatment. A PHQ-9 score above 9 andor a GAD-7 score above 7 before treatment a PHQ-9 score below 9 and a GAD-7 score below 7 by the end of treatment.

PHQ-2 First 2 items of PHQ-9. 31 First validated in 1999 several follow-up studies have continued to support its validity in outpatient adult settings both as an initial screening tool as well as a follow-up instrument to monitor treatment response. Two items scored 0 to 3 total score of 0-6 10 12 GAD-2 First 2 items of GAD-7.

If the PHQ-2 is positive for depression the PHQ-9 should be administered. If the PHQ-2 is positive for depression the PHQ-9 or a clinical interview should be administered. In older adults the 15-item Geriatric Depression Scale is also an appropriate follow-up test.

However a common recommendation for monitoring and adjusting treatment at 4-6 weeks includes. PHQ-9 IN PRIMARY CARE 3 Abstract Purpose. Determining clinically significant change recommends a person move from a depressed range defined as scores greater than or equal to 10 pre-treatment to a non-depressed range defined as scores less than or equal to 9 post-treatment.

Phq9 Depression Severity Scores And Proposed Treatment Grepmed