Thursday, August 22, 2013
Most episodes of major depression that are treated at all are treated in primary care. However, making management of depression work well in this setting is a difficult challenge. An innovative approach to the problem has been used in British Columbia under the auspices of their Practice Support Program. A description of the approach has recently been published in the Permanent Journal, and may be found here. This is a brief course, designed for primary care physicians, for implementing basic CBT strategies in a way that is realistic in their setting and doesn't need specialized personnel such as the "depression case managers" often seen in the US-developed approaches. It involves practice and skill building and incorporates a set of materials - most of these materials are available on-line such as Dan Bilsker's antidepressant skills workbook.