QUESTIONS AND CORRECT ANSWERS
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Terms in this set (72)
- Screen for mental health issues
- Improve outcomes and reduce health
care costs
What is the role of
- Assess and give care to mild-moderate
the primary care
disorders or patients with stable severe
provider in mental
mental disorders
health?
- From strong links with mental health
specialty care for complex cases
Sharing patient info (ex: meds used)
, - Screens for MDD
- It is the first two questions of the PHQ9
- In the last two week, have you been
feeling these (not at all, several days,
more than half the day, nearly everyday):
about PHQ2 - Little interest or pleasure in doing
- what does it things?
screen for, what are - Feeling down, depressed, or hopeless?
the questions,
scoring Scoring:
A single yes or score >3 (out of 0-6) =
possible clinical depression ⇒ due the
PHQ9
If the pt screens (+) ⇒ continue to eval
with the PHQ9
, Used for screening, diagnosing, and
treating
- It asks about functioning impairments
which is needed for the DSM-based
diagnosis
Includes asking about suicide or hurting
self
Scoring:
0-27 available
0-4: Minimal/none
about PHQ9
Monitor; may not require treatment
- what its used for,
5-9: Mild
questions, scoring
Use clinical judgment; follow-up in one
month
10-14: Moderate
Use clinical judgment; may need meds if
functionally impaired
15-19: Moderately Severe
Warrants active treatment with
psychotherapy, meds, or combo
20-27: Severe
Warrants active treatment with
psychotherapy, meds, or combo
What is the 20mg PO once daily in the AM
appropriate - May ↑ daily dose after several weeks if
initiation dose for inadequate response
fluoxetine for adults - Full therapeutic effect may be delayed 4
and geriatric weeks or longer
adults? - Max dose: 80mg/day