Empowering Primary Care Providers to Combat Depression in Their Practice
Symptoms of MDD are often easy to misdiagnose and undertreat in the primary care setting where most patients present. In Kentucky, fewer than 35% of patients are currently being screened for MDD. Most PCPs do not use measurement-
"Primary care providers need appropriate guidance from psychiatry/behavioral health specialists when patients' symptoms do not improve, and they must develop the skills to know when patients need psychiatric consultation,"
Derail Depression UK will be deployed to all primary care clinicians and allied health providers at 10-15 rural practices throughout the central and eastern Kentucky regions. The program is a multiplatform approach designed to demonstrate actual practice change through:
• Encouraging regular use of the MDD clinician measurement tool (PHQ-9).
• Online educational program directed to Kentucky clinicians and affiliated staff.
• Telemedicine for psychiatry/behavioral health specialist outreach to clinicians and patients in rural areas.
• A daily measurement tool (patient portal/mobile app) that records patients' day-to-day mood fluctuations to supplement the PHQ-9 data.
• An algorithm within the EHR that alerts primary care clinicians when patients' MDD is not improving based on PHQ-9 and patient data.
• A built-in referral network to behavioral health specialists for patients requiring additional care.