Older adult depression screening guidelines

This work may not be reproduced, reprinted, or redistributed for a fee, nor may the work be sold for profit or incorporated into a profit-making venture without the express written permission of AHRQ. From a sample of 95 clients, only 21 clients had been fully screened for low mood. I have a summary list here , and then detailed information on each service starting here. Evidence gathered for this recommendation focused on areas identified as gaps in the evidence in the review; issues that the USPSTF judged in the previous review to have strong evidence were not addressed. Gaps in the evidence on depression screening in adults in primary care include a lack of information from large scale randomized, controlled trials or other well-controlled trials on the specific role of depression screening in improving depression care management. Women, young and middle-aged adults, and nonwhite persons have higher rates of depression than their counterparts, as do persons who are undereducated, previously married, or unemployed.
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Archived: Recommendation Summary

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Older Adults

They also retired a previous guideline on screening for lipid disorders, so they may just be moving towards other ways to assess cardiovascular risk. Research Needs and Gaps Gaps in the evidence on screening for depression in older adults in primary care include a lack of information from large-scale randomized controlled trials RCTs in settings that are applicable to the US population. Screening for depression in adult patients in primary care settings: a systematic evidence review. Impact of disseminating quality improvement programs for depression in managed primary care: a randomized controlled trial. The current statement also specifically recommends screening for depression in pregnant and postpartum women, subpopulations that were not specifically reviewed for the recommendation.
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Final Recommendation Statement: Depression in Adults: Screening - US Preventive Services Task Force

The effect of screening on remission, response rates, or both in the trials of older adults was minimal. American Academy of Family Physicians. Grade: B Risk assessment Women, young and middle-aged adults, and nonwhite persons have higher rates of depression, as do persons who are undereducated, previously married, or unemployed. Effective treatment of depression in adults generally includes antidepressants or specific psychotherapy approaches eg, CBT or brief psychosocial counseling , alone or in combination. For adults who receive care in clinical practices that do not have staff-assisted depression care supports in place, there is at least moderate certainty that the net benefit of screening adults for depression is small. Information for Consumers. Open in a separate window.
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More in Pubmed Citation Related Articles. There is little evidence regarding the optimal timing for screening. Click here to view the new recommendation for children and adolescents, published in March The USPSTF recommends screening for depression in the general adult population, including pregnant and postpartum women. Journal of American Geriatric Society.
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