Patient self-management in the primary care treatment of depression.
Efforts to improve primary care treatment of depression incorporate elements of the chronic illness care model, including patient self-management strategies. Case studies, focus groups and the literature suggest six key components of depression self-management programs: (1) implement behavioral change interventions, (2) plan for crisis and relapse prevention, (3) re-establish personal meaning, (4) attend to patients' experience, context and community, (5) build a patient-clinician partnership and (6) create an integrated, self-management support structure. Successful implementation of these components is facilitated by (1) the care system's collective and empathic understanding of the disease itself; (2) sufficient time; (3) adequate funding and (4) robust clinical information systems.
Bachman
John
J
Robert Wood Johnson Foundation's "Depression in Primary Care", National Program Office, San Francisco, CA, USA. john94513@comcast.net
Swenson
Sara
S
Reardon
M Elizabeth
ME
Miller
Doriane
D
D003863:Depression / Q000628:therapy*; D017144:Focus Groups; D006801:Humans; D019982:Organizational Case Studies; D011320:Primary Health Care / Q000458:organization & administration*; D012648:Self Care; D014481:United States