P1: GVG Psychiatric Quarterly [psaq] PH140-378646-04 October 4, 2002 14:4 Style ﬁle version June 4th, 2002 ° C Psychiatric Quarterly, Vol. 74, No. 1, Spring 2003 ( 2003) Special Section The Management of Depression in Primary Care INTRODUCTION Neil Korsen, M.D. and Steven E. Katz, M.D. Guest Editors Depression is a common and signiﬁcant illness in primary care. It has been reported that one half of patients with depression are treated exclusively by primary care clinicians. Studies have also shown that treatment and outcomes in usual practice are not as effective as in re- search studies. Efforts to improve performance in primary care, includ- ing clinician education and screening of patients in the waiting room for depression have generally not been successful. It has been suggested that a more systematic approach to depression care would lead to better performance and outcomes, and a number of recent studies have shown this to be true. Several of these studies contained common elements that are consis- tent with recommendations for improving chronic disease care which were ﬁrst described in 1996 by Wagner and his colleagues at Group Health Cooperative in Seattle as “The Chronic Care Model” (CCM). The CCM has been shown
Psychiatric Quarterly – Springer Journals
Published: Sep 28, 2004
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