Management of mental disorders: lessons from India

摘要

For remission of depression, care management in primary care is superior to usual treatment. A metaanalysis of 37 collaborative-care trials yielded an overall effect size of 0-25. Depression care management might also prolong life and enhance its quality.Collaborative care for depression entails simple screening and guideline-based management by mental health professionals in primary care, or by general medical nurses who are trained in screening and management, supervised by primary care physicians with psychologists and psychiatrists as needed. Telephone-based depression care management is also better than usual care for some specialty-care patients, such as for those who have had coronary artery bypass surgery.