Depression Screening

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Depression Screening

• Training

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Depression Screening Training

• Purpose of Screening
• Depression Myths and Facts
• Depression Treatment
• Administering the Screening Tool
• Scoring the Screening Tool
• Interpreting Scores and Making Referrals

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Purpose of Screening

• Provide early detection, education and
  intervention for people who may be displaying or
  experiencing symptoms of a depressive disorder.
• Screening does NOT provide a diagnosis or
  recommendations for treatment.
• Make depression screening widely available to the
  community through different mediums.

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Depression Facts and Myths

• Depression is prevalent among the general
  population and affects approximately 15 million
  Americans in a given year. Most common among
  adults ages 25-44. Women experience depression
  at a rate nearly twice that of men.
• Depression is not a character flaw or solely
  the result of personal life choices. A person
  cannot simply snap out of it or get over it.
• Depression is a biological disorder that affects
  the brains functioning.
• Depression responds well to treatment although
  66 of those who experience it do not receive or
  seek proper treatment.
• Although 1 out of 5 older adults experience
  depression, it should not be considered a normal
  part of aging. For older adults the number who
  seek treatment drops to 10.

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Depression Facts and Myths Continued

• It is not uncommon for most people to experience
  some of the symptoms of depression at some point
  in their lives. It is when those symptoms persist
  and begin to impact the persons ability to live
  their life that it may be termed clinical
  depression.
• Direct causes are unclear but it is known that
  body chemistry changes can bring on a depressive
  disorder due to illness, hormonal changes, trauma
  or substance abuse.
• Since the symptoms are related to how a person
  feels and thinks, they may not always be aware
  that they are suffering from a depressive
  disorder.

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Depression Treatment

• Depression is a biological disorder and can be
  successfully treated through a combination of
  prescription medication, talk therapy, and
  support and education to prevent relapse and
  promote lifestyle changes.
• Medication can be prescribed by a primary care
  physician but more complex cases are usually
  referred to a psychiatrist.

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Depression Treatment Continued

• Common symptoms of depressions include
• Prolonged feelings of sadness
• Irritability, anger, mood swings for no reason
• Low energy level
• Poor appetite
• Difficulties falling or staying asleep
• Poor concentration, indecisiveness
• Feelings of guilt or worthlessness
• Unexplained aches and pains
• Loss of interest and ability to experience
  pleasure
• Recurring thoughts of death or suicide

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The HANDS Depression Screening Tool

• Easy to administer.
• Developed by Harvard University.
• Can be conducted in person or online at
• www.depressionaz.com
• Screenings completed in person using the paper
  screening form need to be scored by a depression
  screening volunteer.
• The score results in a recommendation of whether
  the person should seek evaluation by a medical
  professional.

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Administering the Screening

• First 7 items are self-explanatory demographic
  information and help with collecting information
  on the prevalence of depression among different
  ages, genders and ethnic groups. It also looks at
  the co-existence of depression with other common
  chronic health conditions.
• Submission of this information is voluntary and
  although it is not needed in order for the
  depression screening to be effective, it is very
  helpful to further refine and improve screening,
  education and treatment efforts.
• The participant number box is filled in with a
  unique identifier to make sure that screening
  tools and their scores are accurately matched
  while protecting a persons confidentiality.
  Volunteers should use sequential numbers, i.e.,
  101, 102, 103, 120 in order to keep track of the
  screenings conducted.

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Administering the Screening Continued

• The next 10 items on the screening directly
  relate to symptoms of depression. Please ask the
  screening participant to answer to the best of
  their ability.
• The screening asks if the participant has
  experienced any of the following conditions
  within the last 2 weeks. Participants can then
  choose from a series of 4 responses for each item
  that best describes their personal experience and
  enter a mark in the corresponding box. The
  responses are
• None, or little of the time
• Some of the time
• Most of the time
• All of the time
• Responses are subjective and it should be left up
  to the participant to rate the significance of
  their experience. There are no wrong answers.
  Once all ten items are completed the screening is
  ready for scoring.

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Scoring the HANDS Screening

• Scoring of the HANDS Screening is quickly
  accomplished using the HANDS Screening Scoring
  Instruction and Interpretation Guide and the
  participants completed screening tool.
• Using the scoring guide, each of the 10 inventory
  items is given a numeric score. The score for
  each item is marked in the Staff Use Only column
  at the far right of the form.
• Once all 10 items are scored, the column is
  totaled for a final sum that is then entered into
  the Total Score box at the lower right of the
  screening tool.

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Interpreting Scores

• The final score of the screening tool is compared
  against the guidelines located on the bottom half
  of the HANDS Scoring Instruction and
  Interpretation Guide.
• Scores of 0-8 indicate that presence of a
  depressive disorder is unlikely. Further
  evaluation by a medical professional is not
  recommended.
• Scores of 9-16 indicate the likely presence of
  some form of depressive disorder and an
  evaluation by a mental health professional is
  recommended.
• Scores of 17-30 indicate strong likelihood of a
  depressive disorder and an evaluation by a mental
  health or medical professional is strongly
  recommended.

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Interpreting Scores Continued

• Note regarding Inventory question 9
• If a participant scores any point on question 9,
  even 1 point, it is strongly recommended that
  they seek further evaluation, regardless of the
  rest of their HANDS score.

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Referral
If a participant wishes to proceed with further
mental health evaluation they can be referred to
their medical Primary Care Provider. If a
participant does not have a primary care
physician they can be referred to the local
Regional Behavioral Health Authority (RBHA) for
their region. The RBHAs are

• Maricopa County
• Pinal, Gila, Yuma and La
  Paz Counties
• Mojave, Apache, Coconino, Navajo and Yavapai
  Counties
• Pima, Graham, Cochise, Greenlee and
  Santa Cruz Counties

• Magellan Health Services
  1-800-564-5465
• Cenpatico
  1-888-495-6738
• Northern Arizona Regional Behavioral Health
  Authority
  1-800-640-2123
• Community Partnership of Southern Arizona
  
  1-800-771-9889

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Online Depression Screening Addendum

• Users can arrive at the www.depressionaz.com
  website through a variety of methods.
• From a link on another website
• From a link embedded in an e-mail
• Typing the address in the web address bar on
  their internet browser
• Through an internet search engine

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Online Screening-Entry Web Portal
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Online Screening-Disclaimer

• Opening disclaimer and privacy policy

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Online Screening-Select Screening Tool

• Screening selection. Currently only depression is
  being screened but other options
• may be made available.

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Online Screening-Demographics

• Demographic information

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Online Screening-Questions

• Depression screening questions

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Online Screening-Results

• Self assessment results and recommendations

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Online Screening-Recommendations

• Self assessment results and recommendations

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Online Screening-Feedback

• Feedback page

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Questions?

• Thank you!