title: Depression Treatment by Bedford East Community Mental Health Team an Audit to assess how many patients in a Bedfordshire Community Mental Health Team might safely be transferred to Primary Care.
abstract: BACKGROUND
  Recently there has been pressure on Secondary Psychiatric services to discharge patients back into Primary care. This project is to show what depression treatments are used by Bedford East Community Mental Health Team (BECMHT) and therefore identify whether some of these patients could be appropriately managed in Primary care.
  
  
  METHODS
  We identified, using an anonymised database, patients being treated with different anti-depressant regimens in BECMHT. We compared these treatments with the steps described in NICE Guidelines, and other evidence based treatment modalities which we found on literature search. Based on this data, we attempted to predict which patients it might be safe to discharge to primary care for ongoing treatment.
  
  
  RESULTS
  Many different combinations of medications were found. Many patients had other intercurrent mental health diagnoses.
  
  
  CONCLUSIONS
  There are many possible evidence based treatments for depression which can be employed once those listed by NICE are exhausted. We review all of these. Some patients are, accordingly, on combinations of medication as augmentation strategies.It is responsible to only discharge patients into Primary care when their symptoms are controlled.
  
  
  CONCLUSIONS
  We identified groups of patients who might be transferred back to primary care for maintenance treatment, provided that shared care protocols are in Place, and there is easy access to secondary care services should the need arise.
authors.affiliation: School of Clinical Medicine, University of Cambridge, UK.
authors.forename: Sophie
authors.initials: S
authors.lastname: Butler
authors.forename: Kamilla
authors.initials: K
authors.lastname: Klepacka
authors.forename: Mark
authors.initials: M
authors.lastname: Agius
authors.forename: Rashid
authors.initials: R
authors.lastname: Zaman
mesh_terms: D000928:Antidepressive Agents / Q000009:adverse effects / Q000627:therapeutic use*; D003156:Community Mental Health Services; D003299:Cooperative Behavior; D003866:Depressive Disorder / Q000188:drug therapy*; D004359:Drug Therapy, Combination; D004739:England; D019317:Evidence-Based Medicine; D006801:Humans; D033183:Interdisciplinary Communication; D008134:Long-Term Care; D008485:Medical Audit; D010348:Patient Care Team; D010351:Patient Discharge; D017410:Practice Guidelines as Topic; D011320:Primary Health Care; D013222:State Medicine
chemical_list: D000928:Antidepressive Agents