depression

Patients with major depression are also included in the Mental Health Register ie those patients with a diagnosis of :-
Single major depressive episode
Recurrent major depressive episode
Severe depressive episode with psychotic sympoms
PLEASE REMEMBER EPISODE TYPE
First ever, new event or continuing
All All other Clinical Data Records in Descending order Where READ_CODE = "E113" OR READ_CODE = "E112" OR READ_CODE = "E118" OR READ_CODE = "E11z" OR READ_CODE = "Eu32" OR READ_CODE = "Eu32000" OR READ_CODE = "Eu32100" OR READ_CODE = "Eu32200" OR READ_CODE = "Eu32300" OR READ_CODE = "Eu32400" OR READ_CODE = "Eu32z00" OR READ_CODE = "Eu33" OR READ_CODE = "E135" OR READ_CODE = "E200300" OR READ_CODE = "Eu41200"

Add Diagnosis

63E112.001Single major depressive episodeE113.001Recurrent major depressive episodeE118.001Seasonal affective disorderE11z2001Masked depressionEu32.001[X]Depressive episodeEu320001[X]Mild depressive episodeEu321001[X]Moderate depressive episodeEu323001[X]Severe depressive episode with psychotic symptomsEu324001[X]Mild depressionEu32z111[X]Depression NOSEu32z141[X] Reactive depression NOSEu33.001[X]Recurrent depressive disorderE135.001Agitated depressionE2003001Anxiety with depressionEu412001[X]Mixed anxiety and depressive disorder

Exception Codes

Last 1 Medical History Records Where READ_CODE = "212S.00 " Last 1 Medical History Records Where READ_CODE = "9hC0.00 " Last 1 Medical History Records Where READ_CODE = "9hC1.00 "
<Depression Resolved> <Unsuitable> <Informed Dissent>

Assessing severity of depression

PHQ 9 with alcohol questions
Double click on above text to print PHQ 9 questionnaire
Total Score Depression Severity
0-4 None
5-9 Mild depression
10-14 Moderate depression
15-19 Moderately severe depression
20-27 Severe depression
Last 2 Scoring Test Result Records Where READ_CODE = "388f.00 "
<add PHQ9 score> <PHQ9 Program>

link to refhelp depression plan

<HTML><H2><A
HREF="http://www.refhelp.scot.nhs.uk/index.php?option=com_content&view=article&id=576:-stepped-care-for-depression-home&catid=76&Itemid=414 ">refhelp depression plan</A></H2></HTML>

Depression Screening

Nice guidance on Depression suggests that "screening should be undertaken in primary care for depression in high risk groups" and that "screening for depression should include the use of at least two questions concerning mood and interest"

* During the last month, have you often been bothered by feeling down, depressed or hopeless?
and
* During the last month, have you often been bothered by having little interest or pleasure in doing things?

A "yes" answer to either question is considered a positive test. A "no" response to both questions makes depression unlikley.
Last 1 Medical History Records Where READ_CODE = "6896.00 "
<Depression screen done>

Mental Health Management Plan