title: Management of recurrent depression.
abstract: BACKGROUND
  Depression is a potentially recurring or chronic disorder. The provision of evidence based treatment and effective practice organisation is central to chronic disease management, and these principles can be applied to managing depression.
  
  
  OBJECTIVE
  This article outlines the principles of chronic disease management, including the use of management plans and a team care approach, and their application to the management of depression.
  
  
  CONCLUSIONS
  Treatment approaches that systematically assist patients in managing their chronic disease are more effective than those based on acute care. Depression treatment guidelines are available, as well as primary care initiatives which facilitate comprehensive and long term mental health care, including relapse prevention strategies. A number of risk factors for depression relapse have been identified, and research has recommended that novel intensive relapse prevention programs need to be developed.
authors.affiliation: The University of Adelaide, South Australia. cate.howell@adelaide.edu.au
authors.forename: Cate
authors.initials: C
authors.lastname: Howell
authors.forename: Charlotte
authors.initials: C
authors.lastname: Marshall
authors.forename: Melissa
authors.initials: M
authors.lastname: Opolski
authors.forename: Wendy
authors.initials: W
authors.lastname: Newbury
mesh_terms: D002908:Chronic Disease; D003866:Depressive Disorder / Q000175:diagnosis* / Q000628:therapy*; D019468:Disease Management; D005194:Family Practice; D006801:Humans; D012008:Recurrence