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Quality Measures Database

Detailed Results


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Relapse Prevention for Depression Overall Rank: 52
Use of evidence-based relapse prevention interventions (e.g., depression prevention specialist follow-up phone calls) for patients who have recovered from major depression.
Any of several psychological disorders characterized by abnormal emotional states and including especially major depressive disorder and bipolar disorder. Also called affective disorder.
Additional Domain(s) : Continuity
Rationale
Improving attitudes toward antidepressant medications along with the patients ability to handle medications side-effects and key factors in promoting greater adherence to maintenance treatment and thus greater likelihood of preventing relapse. Interventions toward this end may include patient visits with a depression prevention specialist (PhD, MSN, MSW who has received special training) and follow-up phone calls. Interventions are critical to educating the patients regarding the importance of preventing relapse, safety and efficacy of medications and management of potential side effects.

The prevention of relapse is of primary importance in the treatment of major depression. From 50 to 85% of people who suffer an episode of major depression will have a recurrence, usually within two or three years. Patients who have had three or more episodes of major depression are at 90% risk of having another episode. Cognitive Behavioral Therapy and Interpersonal Therapy help protect against/prevent relapse.
Primary Reference
Major Depression in Adults in Primary Care. May 2004, Institute for Clinical Systems Improvement. P: 23 Retrieved on Aug 3, 2006 from: http://www.icsi.org/knowledge/detail.asp?catID=29&itemID=180
Level of Evidence
I: Consistently higher quality studies specifically focused on primary mental health care.

Summarized CommentsAdd Comment
  • Not all service providers must be paid professional staff - it is important to educate family/significant others as "gate-keepers" for SMI. Those in most frequent contact have the greatest need for appropriate intervention skills. In practise, pharmaceuti
Variation in Results
Ratings-based Rank
Relevance 54
Actionability 68
Overall Importance 44
 
Stakeholder Rank
Academics 36
Clinicians 58
Consumers 81
Decision Makers 43
 
Special Group Rank
First Nations 33
Rural Areas 40
Federal Stakeholders 37
Regional Rank
BC AB SK MB ON QC NB NS PE NL YT NT NU
81 64 52 66 81 56 25 44 62 29 17 11 57
 
Overall Rank

      

52


SA10f (B658)

 
Distribution of Survey Respondent Ratings
Relevance
100
90
80
70
60
50
40
30
20
10
0
0 0.54 0 0.97 1.51 7.09 17.03 46.64 26.24
1 2 3 4 5 6 7 8 9
Low High
Actionability
100
90
80
70
60
50
40
30
20
10
0
0 1.97 1.44 1.21 6.56 14.8 25.29 31.18 17.55
1 2 3 4 5 6 7 8 9
Low High
Overall Importance
100
90
80
70
60
50
40
30
20
10
0
1.43 26.16 72.41
3 2 1

3 = can live without
2 = nice to have
1 = indispensable
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