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Background
MDD is a serious public health problem in the Department of Defense (DoD), the Veteran Health Administration (VHA) health care systems and in the nation at large; hence, timely diagnosis and effective treatment is an important responsibility of health care providers. About ten to fifteen percent of all primary care patients have MDD, easily making it perhaps the most common disorder that primary care providers see in their practices (Simon, 1999). Research now shows that a range of cost-effective treatments is feasible and efficacious in both the primary care and specialty mental health care settings (Davidson, 1999). Effective treatment can reduce and/or eliminate depression symptoms (Mulrow, 1998), improve health-related quality of life, (Heiligenstein, 1995), and, in some research, even improve occupational performance and productivity among those with MDD (Mintz, 1992). Other research has shown that guideline-driven improvements in the quality of depression care can result in improved symptoms and symptom-related quality of life for those affected (Katon, 1995).
The Veterans Administration (VA) and the Department of Defense (DoD) have developed a clinical practice guideline designed to assist clinicians evaluate and manage adult patients with depression VA/DoD Clinical Practice Guideline for Management of Major Depressive Disorder in Adults, May 00. The Guideline consists of three modules addressing Management of MDD in the primary care setting (Module A), outpatient mental health settings (Module B), and inpatient mental health settings (Module C).
The MDD CPG is one of the supporting guidelines for the DoD/VA Clinical Practice Guideline for Post-Deployment Health Evaluation and Management (PDH-CPG), Dec 01, which was developed to assist primary care providers in evaluating and providing care for individuals with potentially deployment-related health concerns and conditions.
Table of Contents
Clinical Guidance
Implementation Guidelines
Implementation Tools
Other Related Information
Education and Training
Research
- Agency for Healthcare Research and Quality (AHRQ) Study, Comparative Effectiveness of Second- Generation Antidepressants in the Pharmacologic Treatment of Adult Depression, Jan 07
- National Quality Management Program (NQMP), Depression Detection in the Direct Care System Special Study Fact Sheet, 2004
- National Quality Management Program (NQMP), Acute Phase Management of Newly Diagnosed Depression in the Military Health System Special Study Fact Sheet, 2004
- National Quality Management Program (NQMP), Depression Comorbidity in the Military Health System Special Study Fact Sheet, 2004
- National Quality Management Program (NQMP), Depressive Disorder Treatment in the Military Health System (MHS) Special Study Fact Sheet, Revised May 03
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