The Role of the Patient-Centered Medical Home in Treating Depression

被引:5
作者
Bogucki, Olivia E. [1 ]
Williams, Mark D. [1 ]
Solberg, Leif I. [2 ]
Rossom, Rebecca C. [2 ]
Sawchuk, Craig N. [1 ]
机构
[1] Mayo Clin, Div Integrated Behav Hlth, 200 First St SW, Rochester, MN 55905 USA
[2] HealthPartners Inst, Minneapolis, MN USA
关键词
Depression; Primary care; Integrated behavioral health; Mental health integration; Evidence-based care; Implementation and dissemination; COGNITIVE-BEHAVIORAL THERAPY; TREATMENT-RESISTANT DEPRESSION; MENTAL-HEALTH-SERVICES; PRIMARY-CARE; COLLABORATIVE CARE; CLINICAL EFFECTIVENESS; COST-EFFECTIVENESS; DISORDERS; IMPLEMENTATION; MANAGEMENT;
D O I
10.1007/s11920-020-01167-y
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose of ReviewThis review discusses the role of the patient-centered medical home (PCMH) in treating depression, focusing on findings from primary care-based studies and their implications for the PCMH.Recent FindingsPharmacotherapy, psychotherapy, and collaborative care are evidence-based treatments for depression that can be delivered in primary care and extended to diverse populations. Recent research aligns with the core components of the PCMH model.SummaryThe core components of the PCMH are critical elements of depression treatment. Comprehensive care within the PCMH addresses medical and behavioral health concerns, including depression. Psychiatric and psychological care must be flexibly delivered so services remain accessible yet patient-centered. To ensure the quality and safety of treatment, depression symptoms must be consistently monitored. Coordination within and occasionally outside of the PCMH is needed to ensure patients receive the appropriate level of care. More research is needed to empirically evaluate depression treatment within the PCMH.
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页数:12
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