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Quality Measures Database

Brief Results

Domains : Mood Disorders

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Overall Rank Primary Domain Additional Domain(s) Measure Title
1 Patients with Mood Disorders Health Literacy Best in Domain Patient and families should be educated on:
•  The causes, symptoms and natural history of major depression
•  Treatment options (trial and error approach)
•  What to expect during the course of treatment
•  How to monitor symptoms and side effects
•  Follow-up protocols (office visits and/or telephone contacts)
•  Early warning signs of relapse or recurrence
•  Length of treatment.
Display Detailed
3 Patients with Mood Disorders Accessibility Percent of individuals in high risk groups below with documented screening for major depression at least on one occasion :
•  Substance abuse or substance abuse withdrawal
•  Other psychiatric illnesses
•  Own or family history of depression
•  Major loss/traumatic events or life changes
•  Multiple (greater than 5/year) medical visits or multiple unexplained symptoms
•  Work or relationship dysfunction.
•  Cardiac disease, diabetes or other major physical illnesses
Display Detailed
4 Patients with Acute Conditions Patient-Centeredness, Patients with Mood Disorders Additional support (e.g., more frequent direct contacts with primary health care staff or telephone contacts) should be considered for patients with depression who are assessed to be at high risk of suicide. Display Detailed
6 Patients with Acute Conditions Accessibility, Patients with Mood Disorders People presenting with suicidal, assaultive or homicidal thoughts and/or plans, which make the clinician uncertain of safety of the patient or others: Proportion who receive same-day specialized mental health care. Display Detailed
13 Shared Care Patients with Chronic Conditions, Patients with Mood Disorders Best in Domain Availability of chronic disease management strategies (including collaborative care) and additional strategies (such as self-management) improves the detection and care of patients with depression. Display Detailed
14 Patients with Mood Disorders Continuity, Patient-Centeredness Frequency of contact for people with major depression should be weekly for severe depressive symptoms; every 2-4 weeks if mild or moderate symptoms are present. Display Detailed
17 Patients with Comorbid Conditions Competence, Patients with Mood Disorders Best in Domain Physical health checks should pay particular attention to hormonal disorders (e.g., diabetes and hyperprolactinemia), heart disease risk factors (e.g., blood pressure and lipids), side effects of medication, and lifestyle factors (e.g., smoking). These must be recorded in the notes. Display Detailed
18 Patients with Mood Disorders Treatment changes occur for non-responsive depression (e.g., no or minimal response after 4-8 weeks of antidepressant treatment). Display Detailed
23 Shared Care Patients with Mood Disorders Availability of stepped (matching of service to needs/ treatment failures) collaborative care can improve the care and outcome of depression, anxiety disorders, comorbid conditions, substance use and mental health disorders for children, adolescents, and adults in primary health care. Display Detailed
39 Patients with Comorbid Conditions Patients with Anxiety Disorders, Patients with Mood Disorders Consider the possibility of mood, anxiety or somatoform disorders, particularly in the presence of medically unexplained heart system, digestive system and nervous system symptoms or emergency room visits for medically unexplained physical symptoms. Display Detailed
40 Early Detection Accessibility, Patients with Mood Disorders For individuals affirming one of the two key symptoms of depression (Over the past month, have you been bothered by little interest or pleasure in doing things? By feeling down, depressed or hopeless?), clinicians should consider using a quantitative questionnaire (e.g., Patient Health Questionnaire-9 (PHQ-9)) to further assess whether the patient has sufficient symptoms to warrant a diagnosis of clinical major depression and a full clinical interview. Display Detailed
48 Patients with Mood Disorders Health Promotion Percent of individuals with major depression with documentation (on at least one occasion) of discussion regarding the benefits of exercise and the factors that would increase its effectiveness (e.g., realistic expectations, frequency and intensity of exercise development of a feasible plan). Display Detailed
52 Patients with Mood Disorders Continuity Use of evidence-based relapse prevention interventions (e.g., depression prevention specialist follow-up phone calls) for patients who have recovered from major depression. Display Detailed
56 Psychotherapy Patients with Mood Disorders, Continuity Where patients have responded to a course of individual cognitive behavioural therapy (CBT), consideration should be given to follow-up sessions, which typically consist of 2 to 4 sessions over 12 months. Display Detailed
57 Competence Patients with Mood Disorders, Patients with Comorbid Conditions Training and supervision for primary health care providers on how to build a therapeutic alliance with adults suffering from serious and persistent mental illness and physical comorbidities. Display Detailed
58 Patients with Mood Disorders Competence Percent of individuals with major depression who have been evaluated for manic or hypomanic episodes. Display Detailed
61 Youth Patients with Mood Disorders Multimodal quality improvement initiatives lasting 6 months or longer that foster access to evidence-based counseling/psychotherapy for children and youth with depression should be undertaken. Display Detailed
67 Health Conditions Patients with Mood Disorders Percentage of adult patients with major depression who show a marked improvement on standardized measures (e.g., Patient Health Questionnaire -9 (PHQ-9) score less than 5, The Hamilton Depression Rating Scale (Ham-D) score of 7 or less) within 6 months of initiating treatment. Display Detailed
78 Equity Patients with Mood Disorders, Competence Availability of specialized staff who can act as case managers and coordinate treatment between providers for minority populations. Display Detailed
92 Patients with Mood Disorders Psychotherapy, Medication In moderate to severe depression, antidepressant medication should be routinely offered to all patients before psychological interventions. Display Detailed
103 Youth Self-Management Support, Patients with Mood Disorders Self care manual for adults and adolescents with any and all forms of depression is offered. Display Detailed
124 Psychotherapy Patients with Mood Disorders, Self-Management Support Clients with major depression should be referred to freely available web-based, self administered, cognitive behavioural therapy (CBT) based programs (e.g., http://moodgym.anu.edu.au/). Display Detailed
  Best in Domain Most highly rated measure for the identified primary domain.
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