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Michigan Quality Improvement Consortium …

January 2018. Michigan Quality Improvement Consortium Guideline Primary Care diagnosis and management of adults with depression The following guideline recommends screening for depression , assessing suicide risk, following diagnostic criteria, shared decision-making and treatment planning, monitoring and adjusting treatment. Eligible Population Recommendation and Level of Evidence Frequency adults 18 years or Detection and diagnosis : Annually. More often if high risk. older, including Screen for depression , using a validated screening tool ( PHQ-2 or 9, Edinburgh Scale) with adequate systems in place to ensure accurate diagnosis , At the first prenatal care visit; on pregnant and effective treatment, and appropriate follow-up. [B] postpartum visits (within 3-8. postpartum women Assess for comorbid conditions that might impact treatment ( , medical and medication-induced conditions, drug or alcohol abuse, bipolar disorder, weeks of discharge) and if anxiety disorders, psychosis). symptoms or signs raise Assess if criteria are met using DSM-5 criteria [A].

May 2018 Primary Care Diagnosis and Management of Adults with Depression Eligible Population Frequency DSM-5 criteria Major Depression Persistent Depressive Disorder

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