Patient health questionnaire phq9 is the most common screening tool to identify depression. Take a mental health test mha screening mental health america. For each item, indicate the extent to which it is true, by checking the appropriate box next to the item. Depression should not be diagnosed or excluded solely on the basis of a phq9 score. Screening for depression is the cornerstone of early recognition, diagnosis, and management. Unfortunately, many barriers make perinatal depression screening difficult to carry out in the obgyn practice setting. Previously, depression screening for adults was done by a standalone phq9 tool with additional depression questions on the back page.
The clinician interviews the residents caregiver on each of the 19 items of the scale. The patient health questionnaire phq is a selfadministered version of the primemd tool for common mental health disorders administered by health care professionals. The edinburgh postnatal depression scale epds is a screening tool that does not diagnose postpartum depression ppd or anxiety. I have been so unhappy that i have had difficulty sleeping. Additionally, the uspstf recommends screening children and ado lescents 12 to 18 years of age for major depressive disorder. Kurt kroenke, md, robert l spitzer, md, and janet b w williams, dsw. Most people with depression feel better after treatment with medicine andor talk therapy. Depressed mood gloomy attitude, pessimism about the future, feeling of sadness, tendency to weep 0 absent 1 sadness, etc. It includes coverage, coding, billing, and payment information. If you suspect that you might suffer from depression, answer the questions below, print out the results, and share them with your health care professional. The medicare learning network screening for depression booklet is now available in hard copy format. Screening for depression american family physician. Carrolldavidson generalized anxiety disorder screen these questions are to ask about things you may have felt most days in the past six months. Geriatric depression scale short form 1 tools may be copied without permission instructions.
The phq9 modified can be administered and scored by a nurse, medical. Incorporating mental health screening into adolescent office visits phq9 administering the patient health questionnaire modified for teens phq9 modified can be used with patients between the ages of 12 and 18 and takes less than five minutes to complete and score. Perinatal depression screening, diagnosis, and treatment. Despite the high prevalence of depression and recommendations for screen. The patient health questionnaire phq2 and phq9 are commonly used and validated screening tools.
Have you dropped many of your activities and interests. The apa is offering a number of emerging measures for further research and clinical evaluation. Development and validation of a geriatric depression screening scale. Postpartum depression is the most common complication of childbearing. Perinatal depression is a common complication of pregnancy with potentially devastating consequences if it goes unrecognized and untreated. However, it can be used to make a tentative diagnosis of depression in atrisk populations eg, those with coronary heart disease or after stroke. The beck depression inventory bdi is widely used to screen for depression and to measure behavioral manifestations and severity of depression. Better care for adults is not a mental health screening, but a survey meant to help us understand and address the needs of adults ages 35 and older who deal with physical and mental health issues. State medicaid agencies may cover maternal depression screening as part of. There is evidence that screening alone can have clinical benefits, although initiation of treatment or referral to mental health care providers offers maximum benefit.
The epds is easy to administer and has proven to be an effective screening tool. The patient health questionnaire2 phq2 kroenke k, spitzer rl, williams jb. Routine screening for depression, alcohol problems, and. Omega3s and same are considered options for patients who are reluctant to take traditional antidepressants. Yes no check yes only if answers a, b, and c below are yes. It is available in spanish, as well as in a modified version for adolescents the macarthur foundation initiative on depression and primary care has created a depression tool kit is intended to help primary care clinicians recognize and manage depression. The patient health questionnaire phq9 overview cqaimh. Please read each question carefully, then select the answer that indicates how much you have been bothered by that problem in the past 2 weeks. Regardless of your score, if you have concerns about depression or anxiety, please contact your health care provider. Severity measure for depression, adultpatient health. A selfreport depression scale for research in the general population. Chicago family health center has decided to screen every patient every encounter for depression.
For the purposes of this toolkit, the edinburgh postnatal depression scale was selected due to its high specificity, high predictive value and its validation in numerous countries and languages. Clinical practice guidelines for depression in adults in the. Questions 1 andor 2 need to be endorsed as a 2 or 3. The bdi takes approximately 10 minutes to complete. Following screening, you will be provided with information, resources and tools to help you understand and improve your mental health. Screening for depression is noncovered when performed more than one time in a 12month period i. Depression, anxiety and stress scale dass21 for each statement below, please circle the number in the column that best represents how you have been feeling in the last week. State medicaid agencies may cover maternal depression screening as part of a wellchild visit. The gds long form is a brief, 30item questionnaire in which participants. Depression is a serious illness that can affect how you think, feel, and behave.
If yes, this form must be completed and the dmas96 form authorization is for nursing facility, this form must be completed. This instrument is designed for screening purposes only and is not to be used as a diagnostic tool. The 18 items below refer to how you have felt and behaved during the past week. Zung selfrating depression scale for each statement below, please circle the number in the column that best represents how you have been feeling or behaving in the last several days. Cornell scale for depression in dementia the scale is designed as a screening tool and is not diagnostic 2 steps. Pain assessment and followup reporting measure to evaluate whether facilities report data on how often they assess. Routine screening for depression is recommended by the u. See what depression screening coverage options there are with medicare. Over the last 2 weeks, how often have you been bothered by any of the following problems. Phq9 patient depression questionnaire for initial diagnosis. Pdf external mental health resources pdf diagnostic and screening tools back to mh main page adhd. Diagnosis specific information including diagnostic and screening tools are linked below.
Rarely or none of the time some or a little of the time occasionall y or a moderate amount of the time most or all of the time 01 days 12 days 34 days 57 days. The phq2 is accurate for depression screening in adolescents, adults, and older adults. This easy to use patient questionnaire is a selfadministered version of the primemd diagnostic instrument for common mental disorders. Clinical practice guidelines for depression in adults in the primary care setting. Screening for clinical depression and followup reporting measure to evaluate whether facilities report data on how often they screen patients with esrd for depression py 2018. Postpartum depression english pdf postpartum depression afsoomaali somali pdf.
Preventive services task force uspstf as long as systems are in place to ensure accurate diagnosis, effective treatment, and. These patient assessment measures were developed to be. Incorporating mental health screening into adolescent. While there are many instruments available to measure depression, the geriatric depression scale gds, first created by yesavage, et al. Its purpose is not to establish final diagnosis or to monitor depression severity, but rather to screen for. Depression toolkit patient health questionnaire phq9 adolescent. Although it contains 21 areas, calculate the patients score on the first 17 answers. A depression screening is used to diagnose depression. B 15, 2022, 25 the phq9 is a valid, quick screening instrument for depression that also can be used. Fillout screening recommendation section see box on reverse side national depression screening day adult screening form. Amerihealth caritas louisiana believes that primary care providers should be equipped to screen for depression and provide immediate treatment either in their. The inventory contains 21 selfreport items which individuals complete using multiple choice response formats. Previously, depression screening for all adults was done by a standalone phq9 tool with additional depression questions on the back page.
Suicide safe care recognizing when mood is worsening emotional or medical issues scores can change visit to visit, week to week patients coming in with a cold or pain can have unrecognized depression andor suicidal thoughts screening, when you actually tell the person why you. To use the phq9 as a diagnostic aid for major depressive disorder. Hospital anxiety and depression scale hads tick the box beside the reply that is closest to how you have been feeling in the past week. The scoring scale is at the end of the questionnaire. Columbia depression screen parent spanish edinburgh postpartum depression screen community pediatrics 622 w. Circle the answer that best describes how you felt over the past week.
The following table is a snapshot of a work in progress of the american academy of pediatrics aap mental. Depression screening and followup reporting measure summarize criteria for evaluating screening tools identify considerations for further conversations. The following questions are a screening focusing on symptoms of depression. Of the 9 items, 5 or more are checked as at least more than half the days.
Statement did not apply to me at all applied to me to some degree or some of the time applied to me a considerable degree or a good part of the time applied to me very. Phq9 questionnaire for depression scoring and interpretation guide. Recommendations for women who are pregnant, postpartum, or currently on antidepressants and considering becoming pregnant are now presented in a standalone guideline. Scoring the phq9 modified for teens scoring the phq9 modified for teens is easy but involves thinking about several different aspects of depression. Adult and adolescent depression screening, diagnosis, and. Patient completes phq9 quick depression assessment. Hamilton depression r s hamd assessment psychology. The hamd is designed to rate the severity of depression in patients. The essential feature of a major depressive episode is a period of at least two weeks during which. During the pilot study, the overwhelming conclusion of participating obgyn practices was that the epds was useful. According to the centers for medicaid and medicare services cms, one in six people over the age of 65 suffers from. The goal of this toolkit is to alleviate barriers and implement routine perinatal depression screening into practice. The patient health questionnaire phq9 overview the phq9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression.
453 1496 557 1275 810 1506 1369 1570 7 1068 1052 1451 384 1611 828 495 59 34 429 253 1223 609 1186 293 201 1412 152 246 840 973 258 557 1487 1313 1357 1322 249 161 221 217 825 434 681 342