DescriptionPurpose: Adult patients commonly experience depressive symptoms, negatively impacting their mood and overall well-being. Unfortunately, many adult primary care providers fail to screen for depression, resulting in missed opportunities to identify and treat. The aim of this project was to determine if the implementation of a depression screening tool could identify adults with depression in the primary care setting that did not routinely screen and to evaluate feasibility.
Methodology: The project used a quality improvement approach to increase depression screening to contribute to the identification of depression. A new policy was created for the staff to follow. Once reviewed, the staff administered the Patient Health Questionnaire (PHQ-9) form to all adult patients, 18 years old or older, who spoke English, and who presented for scheduled visit at the site. Patients with cognitive disabilities and those who had already answered the PHQ-9 during the period of the implementation were excluded. Patients with scores of ten or greater received a mental health resource list or a referral to the in-house psychologist. The number of those identified with depression were examined to establish prevalence and feasibility was evaluated via observations and the feedback provided by patients and staff.
Results: Of the 40 PHQ-9 forms administered in the four weeks of implementation, there were ten (n=25%) of patients identified with depression, with scores of ten or greater. Of the 25% of patients, 60% of them received a list of local resources and 40% of them were referred to the in-house psychologist. Patients and staff provided constructive feedback that confirmed the project’s successful feasibility and sustainability.
Implications for Practice: The findings from this project demonstrated the need of expanding the use of universal screening in all primary care practices and the importance of exploring sleep patterns among adult patients.