Clinical Process Guideline: DEPRESSION

The Clinical Process Guideline (CPG) for Depression, effective November 10, 2006, is an example of Best Practice in long-term care. The Guideline is also a valuable, optional tool for both facility and surveyor use when concerns related to depression assessment, identification, treatment or monitoring exist. Please download the Guideline, which consists of care process steps, expectations and rationale, the Documentation Checklist and Tables for best application from the links below.

Clinical Process Guideline: Depression Memorandum (10/10/06)

Documentation Checklist: Process Guideline for Depression

Clinical Process Guideline: Depression Clinical Process

Table 1: Observations Suggestive of Depression; Table 2: Symptoms of Depression

Table 3: Some Risk Factors for Depression; Table 4: Laboratory Tests for Evaluating Possible Depression; Table 5: Medications That May Cause Symptoms of Depression

Table 6: Important Comorbid Conditions

Table 7: Some Clinical Situations in Which Consultation With a Psychiatric Specialist May Be Helpful; Table 8: Definition of Terms in Major Depressive Disorder

Table 9: Phases of Depression Treatment; Table 10: Most Common Psychosocial Interventions for Depression

Table 11: Categories of Antidepressant Agents

Table 14: Choice of Antidepressant; Table 15: Doses of Antidepressants That are Likely to be Adequate

Appendix 1: Geriatric Depression Scale - Short Form (GDS)

Appendix 2: Cornell Scale for Depression in Dementia (CSDD)

Appendix 3: Center for Epidemiologic Studies of Depression Scale (CES-D)

Appendix 4: Patient Health Questionnaire (PHQ-9): Nine-Symptom Checklist

Bibliography for CPG: Depression