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Depression - Ambulatory Screening Algorithm

Depression - Ambulatory Screening Algorithm - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Psychiatry, Related


Appendix B. Depression Screening Algorithm
Adults (18 years or older)Adolescents (12-17 years) Pregnant Women (12 years or older)
Perform universal annual
screening or assessment based
on symptoms/patient
presentation using the PHQ-2
Screen at the
first prenatal visit, during the 3
rd

trimester (24-32 weeks), and 6
weeks postpartum using the EPDS,
PHQ-9 or PHQ-A.
PHQ-2 score
3 or greater?
Perform follow-
up assessment
using the PHQ-9
or PHQ-A
Yes
Complete
documentation.
Repeat screening in
one year or next
visit.
No
PHQ-9 or PHQ-
A score > 10?
Document follow-up plan (which must contain one or more of the following):
- additional evaluation for depression
- suicide risk assessment
- referral to a practitioner who is qualified to diagnose and treat depression
- pharmacological interventions
- other interventions or follow-up for the diagnosis and treatment of depression
Yes
No
Perform universal annual
screening or assessment based
on symptoms/patient
presentation using the PHQ-2
PHQ-2 score
3 or greater?
Perform follow-
up assessment
using the PHQ-9
Yes
PHQ-9 score
> 10?
Complete
documentation.
Repeat screening
in one year or
next visit.
No
No
EPDS score
> 10?
PHQ-9 or PHQ-A
score > 10?
Complete
documentation.
Repeat screening if
necessary.
No
Affirmative
response to
Question 10?
Perform suicide assessment.
Consider accessing crisis
intervention services.
Yes
No
Yes
Yes
Establish a diagnosis using DSM-5 Criteria
Provide treatment
Refer to Treatment Algorithm for Depression in Adults Refer to Treatment Algorithm for Depression in Pregnant Women
Refer to Treatment Algorithm for Depression in Adolescents
Last reviewed: 04/2015
Last revised: 04/2015
Contact CCKM for questions.
Depression – Adult/Pediatric
Ambulatory Clinical Practice Guideline
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: CCKM@uwhealth.org 04/2015