Common Mental Disorders Depression - New Zealand Doctor

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NZGG has been funded to develop summary statements of the most important recommendations for general practitioners. This should be followed up by the production of materials for use in primary care clinical training. Publicity of this guideline should also be sought in the academic, clinical professional and public media, and consideration should be given to production of materials for other audiences, including consumers, their family/whänau and carers, professional associations, health care and social service agencies, and the voluntary sector. Evaluation and performance indicator development In regional feedback workshops and formal submissions on the Ministry of Health’s ‘Key Directions Policy for the Information Environment’ document, a key theme relating to ‘Improving performance and evidence-based decisions’ was identified in responses. Of these responses, 53% related to the need to develop measures of performance in evidence-based care. 572 Options for clinical audit and performance indicator development should be scoped as soon as possible within the context of the PHO Performance Management Framework managed by District Health Boards New Zealand (DHBNZ). Scoping should include consideration of methods and measures in use overseas. For example, the NICE recommends the use of measures around the proportion of patients at high risk who are screened for depression. As at 2008, NZGG and DHBNZ have agreed in principle that there is an opportunity to inform performance indicator development with evaluation and measure development work conducted as part of this Framework. 130 Identification of Common Mental Disorders and Management of Depression in Primary Care
Appendices A: Guideline development process B: Evidence and recommendation grading system C: Assessment of suicide risk D: Assessment tools for common mental disorders E: Management of common mental disorders other than depression in young people F: Self-management resources G: Management of common mental disorders other than depression in adults H: Assessing for cognitive impairment in older adults Identification of Common Mental Disorders and Management of Depression in Primary Care 131
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Identification of Common Mental Dis
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Statement of intent Evidence-based
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Endorsements Te Ao Maramatanga New
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3.6 Clinical features of common men
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List of figures 3.1 When to refer a
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About the guideline Foreword The Ne
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About the guideline Guideline devel
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About the guideline Paediatric subg
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About the guideline Royal New Zeala
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Algorithm 1 Management of depressio
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Algorithm 2a Management of severe d
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Algorithm 2c Management of mild dep
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• limited access to psychiatrists
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Asian peoples About 7% of the New Z
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12-month period amongst adults atte
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Table 1.2 Prevalence of common ment
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1.4 Etiology of common mental disor
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The ‘hopelessness theory’ 94 co
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Sexuality Data from the Christchurc
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Since those who are affected by sui
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2.3 Managing depression: the steppe
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to informed consent. 152 There is a
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3 Recognition and assessment of com
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Chapter 3 Recognition and assessmen
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Good practice points Management of
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Box 4.1 Whänau Ora The concept of
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If the young person/rangatahi/tamar
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Exercise There was insufficient evi
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at any timepoint. Treatment as usua
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5 Recognition and assessment of com
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6 Management of depression in adult
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Chapter 6 Management of depression
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Page 105 and 106: Chapter 6 Management of depression
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Page 118 and 119: Recommendations continued... Women
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Page 122 and 123: Secondary care evidence Based on ev
Page 124 and 125: Advice for women It may be helpful
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Page 130 and 131: This evidence comprised two recent
Page 132 and 133: There is also some evidence that th
Page 135 and 136: 8 Special issues: older adults/ kor
Page 137 and 138: Chapter 8 Special issues: older adu
Page 145 and 146: 9 Models of care 9.1 Introduction V
Page 147 and 148: Chapter 9 Models of care were reduc
Page 149 and 150: Chapter 9 Models of care • networ
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Page 154 and 155: Quality improvement collaboratives
Page 158 and 159: Appendix A: Guideline development p
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Page 162 and 163: Appendix C: Assessment of suicide r
Page 164 and 165: Appendix D: Assessment tools for co
Page 166 and 167: Anxiety Anxiety is often comorbid w
Page 168 and 169: Appendix F: Self-management resourc
Page 170 and 171: Information about mental disorders
Page 172 and 173: Dysthymia Dysthymia is a chronic lo
Page 175 and 176: Glossary, abbreviations and acronym
Page 181 and 182: References 1. The MaGPIe Research G
Page 183 and 184: References 38. Tse S, Tong K, Hong
Page 185 and 186: References 72. Kendler K, Kuhn J, P
Page 187 and 188: References 107. Halligan SL, Murray
Page 189 and 190: References 143. Dejesus RS, Vickers
Page 191 and 192: References 179. Shaffer D, Scott M,
Page 193 and 194: References 215. Garralda ME, Bowman
Page 195 and 196: References 249. Zwaanswijk M, Verha
Page 197 and 198: References 283. Linde K, Berner M,
Page 199 and 200: References 318. Henkel V, Mergl R,
Page 201 and 202: References 353. Rush AJ. STAR*D: wh
Page 203 and 204: References 386. Ward E, King M, Llo
Page 205 and 206: References 417. Kirsch I, Deacon BJ
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References 451. Zigmond AS, Snaith
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References 486. Appleby L, Warner R
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References 520. Irwin M, Artin KH,
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References 557. Agnew F, Pulotu-End
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Common Mental Disorders Depression - New Zealand Doctor

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