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Partners in Care Quality Improvement Programs Materials-Full Set(s)
MR-1198-AHRQ
The full set of Partners in Care Quality Improvement Programs Materials includes all of the materials used to implement this quality-of-care program. It includes one each of the introductory materials, the training materials, the materials for primary care physicians and nurses, the psychotherapist materials, the materials for patients, and the forms and worksheets. Specifically, these materials consist of guides and manuals, reference cards for clinicians, a patient education video, a patient education brochure, an overview, a training agenda and materials, worksheets, personal plans, registers and logs, tracking file cards and index cards, therapist study record forms, and comprehensive patient records.
Clinician Guide to Depression Assessment and Management in Primary Care
MR-1198/1-AHRQ
The Clinician Guide is intended to increase skills, confidence, and adherence to national guidelines for depression among primary care clinicians. It uses an algorithm-based approach to sort patients into groups requiring different management actions. The algorithm helps clinicians to manage depressed patients efficiently while staying focused on the main therapeutic problems of treating major depression and dysthymia. The Clinician Guide algorithm and accompanying text cover seven assessment and seven management steps. The Guide's text is ordered to follow its algorithm, thus linking information directly to clinical actions.
The Clinician Guide is based on the Agency for Healthcare Research and Quality (AHRQ, formerly AHCPR) depression guidelines, and was evaluated by four members of the AHRQ Guidelines for Depression Panel. It also incorporates comments from the many mental health specialists and primary care clinicians who participated in PIC.
Guidelines and Resources for the Depression Nurse Specialist
MR-1198/2-AHRQ
The Depression Nurse Specialist (DNS) plays a key role in initially assessing symptoms of depression, educating and activating patients, providing feedback on patients' progress to their primary care clinician, helping to implement treatment plans, and monitoring patients to improve their compliance with their treatment regimen. This manual contains all the information required for the DNS to perform these functions. It provides an overview of the DNS's role, including those responsibilities that are particular to patients receiving either medication or psychotherapy treatment. A series of flowcharts shows the sequence of the nurse's activities, beginning with the first meeting with the patient and including all follow-up activities. Explicit protocols provide guidance for the nurse in dealing with patients at various stages and in specific situations, including the initial visit and evaluation, follow-up contacts, health status assessments, and activities to prevent relapses. The manual also provides all of the forms that the nurse will require while performing these responsibilities.
Guidelines for the Study Therapist
MR-1198/3-AHRQ
The therapist assesses patients' needs for cognitive-behavioral therapy, decides whether group or individual treatment is most appropriate, conducts therapy sessions, and maintains records for each client. This manual contains all the information required for the therapist to perform these functions. It provides a step-by-step guide for the therapist's interaction with the patient, including initial contact, tracking and recordkeeping, and concluding therapy. The manual also contains forms for documenting symptoms, treatment, and medications, and for recording the results of evaluations, as well as templates for recording a patient's individual treatment plan. To provide context, the manual duplicates some of the forms used by the Depression Nurse Specialist.
Group Therapy Manual for Cognitive-Behavioral Treatment of Depression
MR-1198/4-AHRQ
Cognitive-Behavioral Therapy (CBT) is one of the two manual-based forms of short-term psychotherapy that have been recognized as effective by the AHRQ guidelines panel. CBT requires between 8 and 12 sessions and can be done either individually or in groups, with groups being the preferred mode of therapy. CBT is highly active and participatory: It focuses on empowering and activating patients and on reinforcing behaviors that will counteract depression, through, for example, patient homework assignments.
This manual is intended to guide patients participating in group CBT. The manual was developed at the Depression Clinic at San Francisco General Hospital, University of California, San Francisco
Manual de Terapia de Grupo para el Tratamiento Cognitivo-Conductual de Depresión
MR-1198/5-AHRQ
This is a Spanish version of the Group Therapy Manual for Cognitive-Behavioral Treatment of Depression. The manual was developed at the Depression Clinic at San Francisco General Hospital, University of California, San Francisco.
Individual Therapy Manual for Cognitive-Behavioral Treatment of Depression
MR-1198/6-AHRQ
Cognitive-Behavioral Therapy (CBT) is one of the two manual-based forms of short-term psychotherapy that have been recognized as effective by the AHRQ guidelines panel. CBT requires between 8 and 12 sessions and can be done either individually or in groups, with groups being the preferred mode of therapy. CBT is highly active and participatory: It focuses on empowering and activating patients and on reinforcing behaviors that will counteract depression, through, for example, patient homework assignments.
This manual is intended to guide patients through a course of individual CBT. The manual was developed at the Depression Clinic at San Francisco General Hospital, University of California, San Francisco.
Manual de Terapia Individual para el Tratamiento Cognitivo-Conductual de Depresión
MR-1198/7-AHRQ
This is a Spanish version of the Individual Therapy Manual for Cognitive-Behavioral Treatment of Depression. The manual was developed at the Depression Clinic at San Francisco General Hospital, University of California, San Francisco.
Quick Reference Cards
MR-1198/8-AHRQ
These cards summarize the key points from the Clinician Guide for easy reference.
Beyond Depression — Partners in Care [Video; English]
MR-1198/9-AHRQ
The script for the patient education video exactly follows the patient-education brochure, providing additional reinforcement for the patient at home or among family members.
Más alla de la Depresión [Video; Spanish]
MR-1198/10-AHRQ
This is a Spanish version of the patient education video.
Are You Feeling. . . [Patient Education Brochure; English]
MR-1198/11-AHRQ
The patient-education brochure is specifically designed for patients undergoing assessment for symptoms of depression. The brochure takes patients through the process of thinking about whether they have symptoms of depression that may resolve, symptoms of depression that may be due to another condition such as a grief reaction, or a clinical depression that requires medications or psychotherapy.
Se siente usted. . . [Patient Education Brochure; Spanish]
MR-1198/12-AHRQ
This is a Spanish version of the patient education brochure.
Training Agendas and Materials for Expert Leaders, Depression Nurse Specialists, and Psychotherapists
MR-1198/13-AHRQ
These training materials are the ones used in the Partners in Care study. They will help plan educational sessions for clinicians in a practice, and training sessions for the individuals who will implement the quality improvement programs.
Training materials include:
(1) Agendas for the expert leader training sessions for the psychotherapy and medication quality improvement programs, discussion guide for break-out sessions, clinician pre- and post-training questionnaires, and the expert panel feedback form; (2) training agenda and vignettes for the depression nurse specialist; (3) description of psychotherapist training; and (4) slides used to train, and subsequently given to, the expert leaders.
Package of Forms and Worksheets
MR-1198/14-AHRQ
This package includes one each of the forms and worksheets used to implement this quality-of-care program. Forms are also included in the appropriate manuals. In addition, all forms and worksheets are available in packages of 50.
Improving Depression Outcomes in Primary Care: A User's Guide to Implementing the Partners in Care Approach
MR-1198/15-AHRQ
The User's Guide describes each component of the Partners in Care quality-improvement kit, its implementation, and its design features. Together, the User's Guide and the kit provide the information and materials needed to understand and implement the Partners in Care (PIC) approach to improving care for depression. The User's Guide also contains references to key studies and to many materials relevant to treating depression in primary care.
The PIC approach is a synthesis of knowledge gained during a decade of health services research on depression by many groups of researchers, and reflects a successful, state-of-the-art method of caring for this illness. More than 250 generalist physicians, in collaboration with nurses and mental health specialists, have used the PIC approach and the materials included in this kit to improve mood, reduce family stress, and promote employment retention among a diverse group of patients coming to primary care clinics for their routine medical care.
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