Thursday, August 22, 2013

Management of Depression in Primary Care

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.