Care pathways for people with major depressive disorder
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Publication Date: | 2022 |
Other Authors: | , , , , , , , , , , , , , , , |
Format: | Article |
Language: | eng |
Source: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Download full: | http://hdl.handle.net/10362/142066 |
Summary: | Funding: This work was supported by the European Brain Council (EBC). This work is also supported by the National Institute for Health Research (NIHR) Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London. |
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Care pathways for people with major depressive disorderA European Brain Council Value of Treatment studycare pathwaysdiagnosismajor depressive disordertreatmentPsychiatry and Mental healthSDG 3 - Good Health and Well-beingFunding: This work was supported by the European Brain Council (EBC). This work is also supported by the National Institute for Health Research (NIHR) Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London.Background: Despite well-established guidelines for managing major depressive disorder (MDD), its extensive disability burden persists. This Value of Treatment mission from the European Brain Council aimed to elucidate the nature and extent of 'gaps' between best-practice and current32 practice care, specifically to: 1. Identify current treatment gaps along the care pathway and determine the extent of these gaps in comparison with the stepped-care model. 2. Recommend policies intending to better meet patient needs (i.e., minimise treatment gaps). Methods: After agreement upon a set of relevant treatment gaps, data pertaining to each gap were gathered and synthesised from several sources across six European countries. Subsequently a modified-Delphi approach was undertaken to attain consensus amongst an expert panel on proposed recommendations for minimising treatment gaps. Results: 4 recommendations were made to increase the depression diagnosis 40 rate (from ~50% episodes), aiming to both increase the number of patients seeking help, and the likelihood of a practitioner to correctly detect depression. These should reduce time to treatment (from ~1-8 years after illness onset) and increase rates of treatment; 9 further recommendations aimed to increase rates of treatment (from ~25-50% of patients currently treated), mainly focused on targeting the best treatment to each patient. To improve follow-up after treatment initiation (from ~30-65% followed up within 3 months), 7 recommendations focused on increasing continuity of care. For those not responding, 10 recommendations focused on ensuring access to more specialist care (currently at rates of ~5-25% of patients). Conclusions: The treatment gaps in depression care are substantial and concerning, from the proportion of people not entering care pathways to those stagnating in primary care with impairing and persistent illness. A wide range of recommendations can be made to enhance care throughout the pathway.Centro de Estudos de Doenças Crónicas (CEDOC)NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNStrawbridge, RebeccaMcCrone, PaulUlrichsen, AndreaZahn, RolandEberhard, JonasWasserman, DanutaBrambilla, PaoloSchiena, GiandomenicoHegerl, UlrichBalazs, JuditCaldas De Almeida, JoseAntunes, AnaBaltzis, SpyridonCarli, VladimirQuoidbach, VincianeBoyer, PatriceYoung, Allan H.2022-07-18T22:26:57Z2022-06-152022-06-15T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/142066eng0924-9338PURE: 45304460https://doi.org/10.1192/j.eurpsy.2022.28info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:19:22Zoai:run.unl.pt:10362/142066Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:50:06.997849Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Care pathways for people with major depressive disorder A European Brain Council Value of Treatment study |
title |
Care pathways for people with major depressive disorder |
spellingShingle |
Care pathways for people with major depressive disorder Strawbridge, Rebecca care pathways diagnosis major depressive disorder treatment Psychiatry and Mental health SDG 3 - Good Health and Well-being |
title_short |
Care pathways for people with major depressive disorder |
title_full |
Care pathways for people with major depressive disorder |
title_fullStr |
Care pathways for people with major depressive disorder |
title_full_unstemmed |
Care pathways for people with major depressive disorder |
title_sort |
Care pathways for people with major depressive disorder |
author |
Strawbridge, Rebecca |
author_facet |
Strawbridge, Rebecca McCrone, Paul Ulrichsen, Andrea Zahn, Roland Eberhard, Jonas Wasserman, Danuta Brambilla, Paolo Schiena, Giandomenico Hegerl, Ulrich Balazs, Judit Caldas De Almeida, Jose Antunes, Ana Baltzis, Spyridon Carli, Vladimir Quoidbach, Vinciane Boyer, Patrice Young, Allan H. |
author_role |
author |
author2 |
McCrone, Paul Ulrichsen, Andrea Zahn, Roland Eberhard, Jonas Wasserman, Danuta Brambilla, Paolo Schiena, Giandomenico Hegerl, Ulrich Balazs, Judit Caldas De Almeida, Jose Antunes, Ana Baltzis, Spyridon Carli, Vladimir Quoidbach, Vinciane Boyer, Patrice Young, Allan H. |
author2_role |
author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Centro de Estudos de Doenças Crónicas (CEDOC) NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
dc.contributor.author.fl_str_mv |
Strawbridge, Rebecca McCrone, Paul Ulrichsen, Andrea Zahn, Roland Eberhard, Jonas Wasserman, Danuta Brambilla, Paolo Schiena, Giandomenico Hegerl, Ulrich Balazs, Judit Caldas De Almeida, Jose Antunes, Ana Baltzis, Spyridon Carli, Vladimir Quoidbach, Vinciane Boyer, Patrice Young, Allan H. |
dc.subject.por.fl_str_mv |
care pathways diagnosis major depressive disorder treatment Psychiatry and Mental health SDG 3 - Good Health and Well-being |
topic |
care pathways diagnosis major depressive disorder treatment Psychiatry and Mental health SDG 3 - Good Health and Well-being |
description |
Funding: This work was supported by the European Brain Council (EBC). This work is also supported by the National Institute for Health Research (NIHR) Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-07-18T22:26:57Z 2022-06-15 2022-06-15T00:00:00Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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http://hdl.handle.net/10362/142066 |
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eng |
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eng |
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0924-9338 PURE: 45304460 https://doi.org/10.1192/j.eurpsy.2022.28 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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