Treatment of Clients Experiencing Depression

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Presentation transcript:

Treatment of Clients Experiencing Depression A Collaborative Approach to Care January 27, 2018 * Tex-CHIP Training Series

Psychological Assessment of Depression Symptoms

Understanding Provider Role in Treating Depression Diagnostic Assessment Clinical Interview Standardized Screening measures or assessments (e.g. PHQ-9, SCL-90, Million, MMPI, etc.) Risk Assessment Can be formal or informal Psychoeducation following diagnosis Developing Treatment Plan Includes Informed Consent Providing Referrals Includes sharing rational with client Ensuring “buy in”

Examples of Diagnostic Assessments

Considerations when Interacting with Clients BIGGEST FACTOR: INSTALLATION OF HOPE Assessment validity Remember the cognitive impacts of depression Comprehension and engagement in treatment planning Ability to follow through with referrals Amotivation and anhedonia and key depression symptoms Treatment timeline within limitations of center’s policies Treatment resistant depression DOES exist!

Goals & Related Interventions Risk Assessment Diagnostic determinations Treatment Planning & Providing Referrals Interventions: Clinical Interview *know your risk factors!; CAMS; Safety Contracting; “Coping Cards” Clinical Interview; Formal assessment; *Rule out GMC* Psychoeducation; Motivational Interviewing; Preparing for Obstacles

Example of Coping Card (their pet’s name) (favorite youtube channel) *it is important that they be the writer of the card but you generate it collaboratively

Measuring Outcomes/ Success Subjective Scaling- use the client’s language Ex: “If 0 is the worst day of your life and 10 is the best day, what is today?” Mood Tracking Many widely available, but also can self-generate

Measuring Outcomes/ Success Formal Rating Assessments

Measuring Outcomes/ Success

Measuring Outcomes/ Success Risk Management

Communication with Counselors Diagnostic Impressions Including co-morbidity Level of Risk Treatment Plan Including recommended referrals Perceived potential barriers to treatment Including cognitive, social, or motivational issues