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

2. Role of Nutrition & Lifestyle in Prevention/Management of Depression Symptoms

3. Understanding Provider Role in Preventing and Treating Depression
Dietitians: Community vs. Clinical
Community – prevention is goal
Clinical – treatment, with some prevention opportunities
Disease self-management and self-efficacy
No food support
Children: parents not giving independence to child w/disease
Young Adults: eating disorders, excessive drinking
Older Adults: loneliness
I work in community and clinical in a way with the diabetes program. One place where I see depression is in diabetes, and especially in the complications such as dialysis.

4. Considerations when Interacting with Clients
Overweight or obese
Lack quality sleep
Sedentary lifestyle
Disease state
Food security
Food patterns with no vegetables, fruits, processed foods
Poor appetite, skipping meals, dominant desire for sweet foods

5. Deficiencies in Key Nutrients
Omega 3 (essential fatty acid)
Amino Acids: Tryptophan (essential) & Tyrosine
Carbohydrates from whole grains
Proteins
B-complex Vitamins
Folate
Chromium
Selenium
Zinc

6. Goals & Related Interventions
Knowledge of disease
Food
security
intake
quality
variety
Interventions:
Education for disease
Food support: food bank, gardening, SNAP, Meals on Wheels, Congregate meal sites
Fruits, vegetables, whole grains, meats, dairy, eggs
Supplement Omega 3 (1-3g/day)

7. Measuring Outcomes/ Success
2-Question Food Insecurity Screener:
1. Within the past 12 months we worried whether our food would run out before we got money to buy more
2. Within the past 12 months the food we bought just didn't last and we didn't have money to get more.
Often, Sometimes, Never True
Food support given
More confidence in managing disease
Eating healthier (however small improvement)
“Feel better”

8. Communication with Counselors
We need you!
Source of depression
Report on diet quality
Food security status/socio-economic
Ask if they enjoyed working with RD
What RDs want to know from you