title: Clinical experience of the modified nurse-assisted screening and psychiatric referral program.
abstract: OBJECTIVE
  We previously reported that the nurse-assisted screening and psychiatric referral program (NASPRP) facilitated the psychiatric treatment of depressive patients, but the high refusal rate was a problem even though referral was recommended by the nurse to all positively screened patients. We modified the program so that the nurses could judge the final eligibility of referral using the result of the screening. This study assessed if the modified NASPRP led to more psychiatric referral of depressive patients.
  
  
  METHODS
  We retrospectively evaluated the annual change of the psychiatric referral proportion and compared the findings among the usual care term, the NASPRP term, and the modified NASPRP terms.
  
  
  RESULTS
  The referral proportions of the modified NASPRP terms were 4.4% and 3.9%. These were not significantly higher than the usual care term (2.5%), and significantly lower than the NASPRP term (11.5%). SIGNIFICANT OF RESULTS: The modified NASPRP did not facilitate psychiatric treatment of depressive patients and another approach is needed.
authors.affiliation: Psychiatry Division, National Cancer Center Hospital East, Tokyo, Japan.
authors.forename: Ken
authors.initials: K
authors.lastname: Shimizu
authors.forename: Nobuya
authors.initials: N
authors.lastname: Akizuki
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Akechi
authors.forename: Masako
authors.initials: M
authors.lastname: Okamura
authors.forename: Akira
authors.initials: A
authors.lastname: Oba
authors.forename: Masaya
authors.initials: M
authors.lastname: Shimamoto
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Inagaki
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Uchitomi
mesh_terms: D000328:Adult; D000368:Aged; D003865:Major Depressive Disorder / Q000175:diagnosis* / Q000451:nursing / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000451:nursing*; D008499:Medical Records; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing / Q000523:psychology*; D009730:Nursing Assessment; D009741:Nursing Staff, Hospital; D010342:Patient Acceptance of Health Care; D011569:Psychiatric Status Rating Scales; D012017:Referral and Consultation; D012189:Retrospective Studies