Abstract
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.
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Bachman, J., Swenson, S., Reardon, M.E. et al. Patient Self-Management in the Primary Care Treatment of Depression. Adm Policy Ment Health 33, 76–85 (2006). https://doi.org/10.1007/s10488-005-4238-y
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DOI: https://doi.org/10.1007/s10488-005-4238-y