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Guidelines and Resources for the Depression Nurse Specialist

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By: Lisa V. Rubenstein, Jurgen Unutzer, Jeanne Miranda, B. Simon, Wayne J. Katon, Maga Jackson-Triche, Katy Minnium, Kenneth B. Wells

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.

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Paperback Cover Price: $30.00

Discounted Web Price: $27.00

Pages: 118

ISBN/EAN: 0-8330-2832-4

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Contents

Chapter One:
Overview of the Role of the Depression Nurse Specialist

Chapter Two:
Initial Telephone Call to Study Patients

Chapter Three:
The Initial Visit and Post-Initial Visit Plan

Chapter Four:
Assuring Privacy and Confidentiality of Patient Information

Chapter Five:
Logging and Tracking Patients

Chapter Six:
Protocols for Follow-up Visits

Chapter Seven:
Maintenance Phase Treatment and Relapse Prevention

Chapter Eight:
Caseload Supervision

Appendix A:
Step-by-step Guide for DNS Initial Visit Assessment

Appendix B:
DNS Initial Assessment Queries

Appendix C:
SF-12 Health Survey

Appendix D:
Training Role Plays for Initial Assessment and Follow-up

Appendix E:
Course of Action for Relapse Prevention

Appendix F:
Commonly Asked Questions Regarding Antidepressants

This project was funded by the Agency for Healthcare Research and Quality (AHRQ), formerly the Agency for Health Care Policy and Research (AHCPR) and was conducted by RAND Health.

The monograph/report was a product of the RAND Corporation from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.

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