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Quality Measures Database

Detailed Results


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Screening for Depression in High Risk Groups Overall Rank: 3
Percent of individuals in high risk groups below with documented screening for major depression at least on one occasion :
•  Substance abuse or substance abuse withdrawal
•  Other psychiatric illnesses
•  Own or family history of depression
•  Major loss/traumatic events or life changes
•  Multiple (greater than 5/year) medical visits or multiple unexplained symptoms
•  Work or relationship dysfunction.
•  Cardiac disease, diabetes or other major physical illnesses
Any of several psychological disorders characterized by abnormal emotional states and including especially major depressive disorder and bipolar disorder. Also called affective disorder.
Additional Domain(s) : Accessibility
Rationale
Major depression can be a primary disorder or secondary to substance abuse, withdrawal from substance abuse, other psychiatric illnesses, certain medical illnesses, and/or certain medications. Many patients with major depression do not initially complain of depressed mood, and providers need to suspect these diagnoses based on a profile of risk factors and common presentations.
Primary Reference
Major Depression in Adults in Primary Care. (2004) Institute for Clinical Systems Improvement. P: 7 Section: 1 Retrieved on Aug 3, 2006 from: http://www.icsi.org/knowledge/detail.asp?catID=29&itemID=180
Level of Evidence
III: Preliminary research evidence only or evidence based on consensus opinion only.

Summarized CommentsAdd Comment
  • Screening that isn't joined up with other services doesn't work see Sheldon et al BMJ May/06
Variation in Results
Ratings-based Rank
Relevance 10
Actionability 1
Overall Importance 3
 
Stakeholder Rank
Academics 8
Clinicians 2
Consumers 12
Decision Makers 2
 
Special Group Rank
First Nations 18
Rural Areas 29
Federal Stakeholders 4
Regional Rank
BC AB SK MB ON QC NB NS PE NL YT NT NU
12 1 2 17 16 17 6 1 2 8 3 4 37
 
Overall Rank

      

3


SA10a (B689)

 
Distribution of Survey Respondent Ratings
Relevance
100
90
80
70
60
50
40
30
20
10
0
0 0 0.54 0 0.43 3.06 12.39 25.74 57.85
1 2 3 4 5 6 7 8 9
Low High
Actionability
100
90
80
70
60
50
40
30
20
10
0
0 0 0.54 0.36 0.89 3.19 14.45 33.5 47.08
1 2 3 4 5 6 7 8 9
Low High
Overall Importance
100
90
80
70
60
50
40
30
20
10
0
0.43 6.27 93.3
3 2 1

3 = can live without
2 = nice to have
1 = indispensable
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The views expressed herein do not necessarily represent the official policies of Health Canada