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Systems for organising and developing local care pathwaysPubMed and Web of (1980 to May 2003) Trials Register, Cochrane Cochrane Library (fromScience to 2008 and MEDLINE (1966 Depression Anxiety and the beginning of 1966),to May 2003) Neurosis Group Register, DARE (from the beginningEMBASE, MEDLINE, of 1980), EMBASE (fromPsycLIT and UK NHS the beginning of 1980),EED were searched MEDLINE (from theto 2003 beginning of 1966) andPsycINFO (from thebeginning of 1980)No. of included 38 121 13 36 37studiesReview quality Adequate Adequate Adequate Adequate AdequateInterventions Collaborative care Community-based Case management Educational and Collaborative careinterventions for organisational methodsdepression in older to improve depressionadults managementOutcomes Depression symptoms Depression symptoms Symptom reduction, Medication concordance Symptom outcomesrelative risk (RR) and adherence, depression (6 months and longer term)reduction, treatment outcomes, rate of recovery,response rate and persistent depressionmedication adherence benefits, recognition rates,management effectivenessParticipantdiagnoses Depression Depression in older Depression Depression Depressionadults(Continued)195
Systems for organising and developing local care pathwaysTable 41: (Continued)Study ID GRIFFITHS2008 GUNN2006 HEIDEMAN2005 NEUMEYERG- SMOLDERS2008 VANHERCK2004ROMEN2004Method used to Narrative Narrative Meta-analysis Meta-analysis Meta-analysis and Narrativesynthesise evidence narrativeDesign of included Systematic reviews RCTs and cluster RCTs and controlled RCTs RCTs and controlled Experimental,studies RCTs before-and-after before-and-after quasi-experimentalstudies studies observational,systematic reviews,subjective opinionand unclearSearch strategy Discussion of six Cochrane Library Cochrane Library, BMJ Clinical Trials, CINAHL, Cochrane MEDLINE wassystematic reviews MEDLINE and EMBASE, MEDLINE CINAHL, Cochrane Library, EMBASE, searched fromPubMed were and PsycINFO Library, EMBASE, MEDLINE and 2000 to 2002searched to 2004 searched to 2003 HTA databases, PsycINFO wereMEDLINE, NHS searched to 2003,EED, PsyINDEX and then again to 2006and PsycLIT weresearched to 2002No. of included 6 11 7 10 24 200studiesReview quality Poor Adequate Adequate Adequate Adequate PoorInterventions Depression System-level Audit and feedback, Disease- Audit and feedback, Care pathwaysmanagement interventions to brief education and management education and (not mental healthimproverecovery educational outreach programs educational outreach specific)Outcomes Depression symptoms Recovery rates Symptom Depression severity, Prescription rates, Clinical outcomeimprovement, quality of life, referrals, physician and team, processrates of recognition, employment status, knowledge, anxiety and financialcorrect diagnoses, patient satisfaction, symptom improvement, effectslevels of recovery adherence and cost satisfaction andand appropriate cost-effectivenessprescriptionsParticipant Depression Depression Anxiety Depressive disorders Anxiety Medical anddiagnoses psychiatricconditions196
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Commonmental healthdisordersTHE NIC
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© The British Psychological Societ
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Contents6 FURTHER ASSESSMENT OF RIS
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Guideline development group members
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Preface1 PREFACEThis guideline has
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Prefacecollaborative manner using t
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PrefaceThe experience of people wit
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Common mental health disorders2.2 T
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Common mental health disordersto ho
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Common mental health disordersManua
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Common mental health disordershighe
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Common mental health disordersNegat
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Common mental health disorderscours
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Common mental health disordersover
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Common mental health disorders2.2.6
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Common mental health disordersTable
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Common mental health disorders1996)
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Common mental health disordersSumma
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Common mental health disordersTable
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Common mental health disordersappli
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Common mental health disorderspatie
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Methods used to develop this guidel
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Access to healthcare4. ACCESS TO HE
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Access to healthcareunder the Menta
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Access to healthcare4.2.3 Studies c
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Access to healthcareIndividual-leve
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Access to healthcareJUNG2003 review
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Access to healthcareSCHEPPERS2006).
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Access to healthcare70Table 8: Clin
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Access to healthcareTable 9: Study
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Access to healthcareCHAPMAN2004 inc
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Access to healthcare4.4 SERVICE DEV
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Access to healthcareBEACH2006 [Beac
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Access to healthcareTable 12: Summa
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Access to healthcareAll studies wer
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Access to healthcarepractitioners h
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Access to healthcareIndividual-leve
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Access to healthcarefrom such popul
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Access to healthcarestructure and d
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Case identification and formal asse
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Further assessment of risk and need
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Page 145 and 146: Further assessment of risk and need
Page 189 and 190: Systems for organising and developi
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Page 217 and 218: Summary of recommendations8.1.1.6 S
Page 219 and 220: Summary of recommendationsFigure 12
Page 221 and 222: Summary of recommendations●Genera
Page 223 and 224: Summary of recommendations8.4 STEPS
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Page 227 and 228: Summary of recommendationsDiscuss w
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Page 231 and 232: Appendices9 APPENDICESAppendix 1: S
Page 233 and 234: Appendix 1of a depressive disorder
Page 235 and 236: Appendix 1b) Assessment of anxiety
Page 237 and 238: Appendix 2APPENDIX 2:DECLARATIONS O
Page 239 and 240: Appendix 2Mr Mike BessantEmployment
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Page 243 and 244: Appendix 2Actions takenMr Rupert Su
Page 245 and 246: Appendix 2Personal family interestN
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Appendix 3APPENDIX 3:STAKEHOLDERS A
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Appendix 4ClinicalpopulationPeople
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Appendix 4Case identificationNo. Pr
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Appendix 5APPENDIX 5:REVIEW PROTOCO
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Appendix 7APPENDIX 7:METHODOLOGY CH
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Appendix 9APPENDIX 9:METHODOLOGY CH
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Appendix 92.10 Are all important pa
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Appendix 9case also excludes costs
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Appendix 9For consistency, the EQ-5
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Appendix 9Answer ‘yes’ if the a
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Appendix 9Answer ‘yes’ if the e
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Appendix 9Answer ‘yes’ if appro
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Appendix 10APPENDIX 10: EVIDENCE TA
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Appendix 11APPENDIX 11:HIGH PRIORIT
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Appendix 11discussion of options bu
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Appendix 13APPENDIX 13:GENERALIZED
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ReferencesAndlin-Sobocki, P., Jöns
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ReferencesBower, P., Gilbody, S., R
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ReferencesCooper, S., Smiley, E., M
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ReferencesEhlers A., Gene-Cos N. &
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ReferencesGiles, D. E., Jarrett, R.
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ReferencesHorowitz, M. J., Wilner,
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ReferencesKnapp, M. & Ilson, S. (20
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ReferencesMarks, J., Goldberg, D. P
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ReferencesNCCMH (forthcoming) Self-
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ReferencesOzer, E. J., Best, S. R.,
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ReferencesSartorius, N. (2002) Eine
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ReferencesTiemens, B. G., Ormel, J.
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ReferencesWilkinson, M. J. B. & Bar
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Glossarybeliefs and interpretations
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Glossaryto learn to become more awa
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Abbreviations12 ABBREVIATIONSADDADS
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AbbreviationsOASISOCDONSORPHQ (-A,
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