TY - JOUR
KW - Comorbidity
KW - Depressive Disorder/complications/diagnosis/therapy
KW - Humans
KW - Mass Screening/standards
KW - Mental Health Services
KW - Preventive Health Services/methods
KW - Primary Health Care/methods
KW - United States
AU - L. Culpepper
A1 - 
AB - 2012 marks one decade since the US Preventive Services Task Force recommended screening for depression. Advances since then include expanded understanding of the mechanisms underlying and influences of psychiatric disease on the development, course and outcomes of medical conditions. They also include collaborative care strategies to improve outcomes. However, the impact of such single disease approaches has been disappointing. Strategies that integrate management of multiple morbidities into primary care practice have greatly improved outcomes. Depression has been the only psychiatric condition incorporated into these strategies. Their expansion to integrate recognition and care of bipolar disease, anxiety disorders including PTSD, and substance abuse could further improve outcomes with modest marginal cost. Development of a screening and treatment monitoring instrument for multiple common psychiatric conditions is a prerequisite. One recently developed instrument, the M3, has the performance characteristics desirable, and provides opportunity to incorporate multiple common psychiatric conditions into multimorbidity integrated management.
BT - Current psychiatry reports
C5 - Measures; Healthcare Disparities
CP - 4
CY - United States
DO - 10.1007/s11920-012-0275-x
IS - 4
JF - Current psychiatry reports
N2 - 2012 marks one decade since the US Preventive Services Task Force recommended screening for depression. Advances since then include expanded understanding of the mechanisms underlying and influences of psychiatric disease on the development, course and outcomes of medical conditions. They also include collaborative care strategies to improve outcomes. However, the impact of such single disease approaches has been disappointing. Strategies that integrate management of multiple morbidities into primary care practice have greatly improved outcomes. Depression has been the only psychiatric condition incorporated into these strategies. Their expansion to integrate recognition and care of bipolar disease, anxiety disorders including PTSD, and substance abuse could further improve outcomes with modest marginal cost. Development of a screening and treatment monitoring instrument for multiple common psychiatric conditions is a prerequisite. One recently developed instrument, the M3, has the performance characteristics desirable, and provides opportunity to incorporate multiple common psychiatric conditions into multimorbidity integrated management.
PP - United States
PY - 2012
SN - 1535-1645; 1523-3812
SP - 345
EP - 352
EP - 
T1 - Does screening for depression in primary care improve outcome?
T2 - Current psychiatry reports
TI - Does screening for depression in primary care improve outcome?
U1 - Measures; Healthcare Disparities
U2 - 22614676
U3 - 10.1007/s11920-012-0275-x
VL - 14
VO - 1535-1645; 1523-3812
Y1 - 2012
ER -