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

2. Psychological Assessment of Depression Symptoms

3. 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”

4. Examples of Diagnostic Assessments

5. 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!

6. 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

7. 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

8. 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

9. Measuring Outcomes/ Success
Formal Rating Assessments

10. Measuring Outcomes/ Success

11. Measuring Outcomes/ Success
Risk Management

12. 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