4.4 Review

The Role of the Patient-Centered Medical Home in Treating Depression

Journal

CURRENT PSYCHIATRY REPORTS
Volume 22, Issue 9, Pages -

Publisher

SPRINGER
DOI: 10.1007/s11920-020-01167-y

Keywords

Depression; Primary care; Integrated behavioral health; Mental health integration; Evidence-based care; Implementation and dissemination

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Funding

  1. Division of Integrated Behavioral Health, Mayo Clinic
  2. HealthPartners Institute

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Purpose of ReviewThis review discusses the role of the patient-centered medical home (PCMH) in treating depression, focusing on findings from primary care-based studies and their implications for the PCMH.Recent FindingsPharmacotherapy, psychotherapy, and collaborative care are evidence-based treatments for depression that can be delivered in primary care and extended to diverse populations. Recent research aligns with the core components of the PCMH model.SummaryThe core components of the PCMH are critical elements of depression treatment. Comprehensive care within the PCMH addresses medical and behavioral health concerns, including depression. Psychiatric and psychological care must be flexibly delivered so services remain accessible yet patient-centered. To ensure the quality and safety of treatment, depression symptoms must be consistently monitored. Coordination within and occasionally outside of the PCMH is needed to ensure patients receive the appropriate level of care. More research is needed to empirically evaluate depression treatment within the PCMH.

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