Quality Measures Database

Keywords

Domains

Process
	Acceptability
	Accessibility
	Appropriateness
	Competence
	Continuity
	Effectiveness
	Efficiency
	Safety
	Comprehensiveness
	Patient-Centeredness
	Legal

Outcome
	Health Conditions
	Human Function
	Well-Being
	Deaths
	Service Outputs
	Satisfaction
	Impact on Society

Structure
	Physical Infrastructure
	Personnel Management
	Information Management
	Financial Management
	Quality and Safety

Non-Medical Determinants of Health
	Health Behaviors
	Living and Working Conditions
	Personal Resources
	Environmental Factors
	Health Literacy

Equity
	Equity

Specific Conditions
	Comorbid Conditions
	Chronic Conditions
	Acute Conditions
	Substance Abuse
	Anxiety Disorders
	Somatoform Disorders
	Sleep Disorders
	Eating Disorders
	Personality Disorders
	Mood Disorders
	Psychosis
	Impulse Control Disorders
	Elderly
	Reproductive Mental Health Disorders

Special Groups
	Ethnic / Cultural Minorities
	People Who Live in Rural Areas
	People with a Family History of a Mental Health Condition
	Social Service Welfare Recipients
	Homeless or Itinerant
	Unemployed
	Aboriginal
	Seniors in Facilities
	Recent Refugees
	Immigrants
	Residents of Correctional Institutions
	Inner City Residents
	Speakers of English as a Second Language

Age Groups
	Elderly
	Adult
	Youth
	Children
	Children

Gender Groups
	Women
	Men
	Gender Identities Other Than Men or Women

Interventions
	Medication
	Psychotherapy
	Peer Support
	Prevention
	Other Somatic Treatments
	Early Detection
	Health Promotion
	Family Involvement
	Group Treatment
	Self-Management Support
	Rehabilitation
	Physical Health Intervention

Clinical Setting
	Shared Care
	Emergency Services
	School-based Mental Health Services
	Work-based Mental Health Services
	Outreach Services
	Solo Practitioner
	Group Family Practitioner
	Community Health Care Centre
	Walk in Clinics

Level of Evidence

	I	Consistently higher quality studies specifically focused on primary mental health care.
	II	Less rigorous studies specifically focused on primary mental health care or extrapolated from higher quality studies from secondary mental health care.
	III	Preliminary research evidence only or evidence based on consensus opinion only.
	IV	Evidence based on individual expert opinion.
	V	Validated scale: Research has been conducted to determine it has at least some properties associated with a high quality scale
	VI	Non-validated scale: Research regarding the quality of the scale has not been conducted.

Measure Ranking

From To

Detailed Results

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Questionnaire Use for Depression Assessment

Overall Rank: 40

For individuals affirming one of the two key symptoms of depression (Over the past month, have you been bothered by little interest or pleasure in doing things? By feeling down, depressed or hopeless?), clinicians should consider using a quantitative questionnaire (e.g., Patient Health Questionnaire-9 (PHQ-9)) to further assess whether the patient has sufficient symptoms to warrant a diagnosis of clinical major depression and a full clinical interview.

Domain : Early Detection

Diagnosis and initiation of treatment at very early stages of the disease, when little or minimum intervention can bring therapeutic results (e.g., within the first two years of illness).
Additional Domain(s) : Accessibility, Patients with Mood Disorders

Rationale

Some clinicians find that either self administered or professionally administered instruments are useful adjuncts to the clinical interview. Some examples which are recognized and validated are PHQ-9, BECK, HAM-D, QIDS-C and QID-SR. Regardless, it is crucial to document that the patient meets at least 5 symptoms for at least 2 weeks as defined by DSM-IV TR criteria for major depression. One of the symptoms must be depressed mood or loss of interest or pleasure.

Primary Reference

Major Depression in Adults in Primary Care. May 2004, Institute for Clinical Systems Improvement. P: 9 Section 2A
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 Comments

Add Comment

If a client affirmed key symptoms of depression clinicians should do full clinical intervention without need of results of a questionnaire.

Variation in Results

Ratings-based Rank

Relevance	68
Actionability	16
Overall Importance	50

Stakeholder Rank

Academics	31
Clinicians	70
Consumers	40
Decision Makers	40

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Special Group Rank

First Nations	29
Rural Areas	66
Federal Stakeholders	40

Regional Rank

BC	AB	SK	MB	ON	QC	NB	NS	PE	NL	YT	NT	NU
25	17	36	69	46	67	98	11	72	46	125	46	16

Overall Rank

SA15b (B697)

Distribution of Survey Respondent Ratings

Relevance

100
90
80
70
60
50
40
30
20
10
0

Low

High

Actionability

100
90
80
70
60
50
40
30
20
10
0

Low

High

Overall Importance

100
90
80
70
60
50
40
30
20
10
0

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