Depression in primary care: Treating depression with interpersonal psychotherapy.

1991 ◽  
pp. 153-170 ◽  
Author(s):  
Herbert C. Schulberg ◽  
C. Paul Scott
Keyword(s):  
Primary Care ◽  
Interpersonal Psychotherapy

Treating late-life depression with interpersonal psychotherapy in the primary care sector

2007 ◽  
Vol 22 (2) ◽  
pp. 106-114 ◽  
Author(s):  
Herbert C. Schulberg ◽  
Edward P. Post ◽  
Patrick J. Raue ◽  
Thomas Ten Have ◽  
Mark Miller ◽  
...  
Keyword(s):  
Primary Care ◽  
Late Life ◽  
Interpersonal Psychotherapy ◽  
Late Life Depression ◽  
Primary Care Sector

scholarly journals Cost-effectiveness of interpersonal psychotherapy for elderly primary care patients with major depression

2007 ◽  
Vol 23 (4) ◽  
pp. 480-487 ◽  
Author(s):  
Judith E. Bosmans ◽  
Digna J. F. van Schaik ◽  
Martijn W. Heymans ◽  
Harm W. J. van Marwijk ◽  
Hein P. J. van Hout ◽  
...  
Keyword(s):  
Primary Care ◽  
Cost Effectiveness ◽  
Major Depression ◽  
Elderly Patients ◽  
Health Workers ◽  
Controlled Trial ◽  
Interpersonal Psychotherapy ◽  
Future Research ◽  
Depressed Patients ◽  
The Cost

Objectives:Major depression is common in elderly patients. Interpersonal psychotherapy (IPT) is a potentially effective treatment for depressed elderly patients. The objective of this study was to evaluate the cost-effectiveness of IPT delivered by mental health workers in primary care practices, for depressed patients 55 years of age and older identified by screening, in comparison with care as usual (CAU).Methods:We conducted a full economic evaluation alongside a randomized controlled trial comparing IPT with CAU. Outcome measures were depressive symptoms, presence of major depression, and quality of life. Resource use was measured from a societal perspective over a 12-month period by cost diaries. Multiple imputation and bootstrapping were used to analyze the data.Results:At 6 and 12 months, the differences in clinical outcomes between IPT and CAU were small and nonsignificant. Total costs at 12 months were €5,753 in the IPT group and €4,984 in the CAU group (mean difference, €769; 95 percent confidence interval, −2,459 – 3,433). Cost-effectiveness planes indicated that there was much uncertainty around the cost-effectiveness ratios.Conclusions:Based on these results, provision of IPT in primary care to elderly depressed patients was not cost-effective in comparison to CAU. Future research should focus on improvement of patient selection and treatments that have more robust effects in the acute and maintenance phase of treatment.

Interpersonal Psychotherapy for Elderly Patients in Primary Care

2006 ◽  
Vol 14 (9) ◽  
pp. 777-786 ◽  
Author(s):  
Anneke van Schaik ◽  
Harm van Marwijk ◽  
Herman Adèr ◽  
Richard van Dyck ◽  
Marten de Haan ◽  
...  
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Interpersonal Psychotherapy

“When Grief Breaks Your Heart”: A Case Study of Interpersonal Psychotherapy Delivered in a Primary Care Setting

2016 ◽  
Vol 72 (8) ◽  
pp. 807-817 ◽  
Author(s):  
Maria Fatima Gomes ◽  
Neerja Chowdhary ◽  
Eleni Vousoura ◽  
Helen Verdeli
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Interpersonal Psychotherapy

Fool’s Gold: Psychologists Using Disingenuous Reasoning to Mislead Legislatures into Granting Psychologists Prescriptive Authority

2003 ◽  
Vol 29 (4) ◽  
pp. 489-524
Author(s):  
Brent Pollitt
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Nurse Practitioners ◽  
Primary Care Physicians ◽  
American Psychological Association ◽  
The United States ◽  
Psychotropic Medications ◽  
American Psychological ◽  
Training Requirements ◽  
Prescriptive Authority

Mental illness is a serious problem in the United States. Based on “current epidemiological estimates, at least one in five people has a diagnosable mental disorder during the course of a year.” Fortunately, many of these disorders respond positively to psychotropic medications. While psychiatrists write some of the prescriptions for psychotropic medications, primary care physicians write more of them. State legislatures, seeking to expand patient access to pharmacological treatment, granted physician assistants and nurse practitioners prescriptive authority for psychotropic medications. Over the past decade other groups have gained some form of prescriptive authority. Currently, psychologists comprise the primary group seeking prescriptive authority for psychotropic medications.The American Society for the Advancement of Pharmacotherapy (“ASAP”), a division of the American Psychological Association (“APA”), spearheads the drive for psychologists to gain prescriptive authority. The American Psychological Association offers five main reasons why legislatures should grant psychologists this privilege: 1) psychologists’ education and clinical training better qualify them to diagnose and treat mental illness in comparison with primary care physicians; 2) the Department of Defense Psychopharmacology Demonstration Project (“PDP”) demonstrated non-physician psychologists can prescribe psychotropic medications safely; 3) the recommended post-doctoral training requirements adequately prepare psychologists to prescribe safely psychotropic medications; 4) this privilege will increase availability of mental healthcare services, especially in rural areas; and 5) this privilege will result in an overall reduction in medical expenses, because patients will visit only one healthcare provider instead of two–one for psychotherapy and one for medication.

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