Mental Health: Consult for Depression Order Set

Description

The intent of the “Consult for Depression Order Set” is to present orders for referral to mental health for depression, and for patient and caregiver education.

Artifact Type
Creation Date
Version
1.0
Unique Identifier
086f4505-711d-5eaa-8841-5190ecd571ea
Status
Experimental
True

Artifact Creation and Usage

Contributors
William Becker, MD, Internist West Haven, CT
Katy Lysell, MD, National Mental Health Director for Informatics Honolulu, HI 96819
Elizabeth Oliva, , VA National OEND Coordinator VA Palo Alto Health Care System Menlo Park, VA 04025
Kendall Browne, MD, Post-Doctoral Fellow VAPSHCS – SEATTLE Seattle, WA 98108
Rani Hoff, PhD, MPH, Director, Northeast Program Evaluation Center Office of Mental Health and Suicide Prevention (10NC5) VA Central Office Professor of Psychiatry Yale University School of Medicine
License
IP Attestation The author asserts that this artifact has been developed in compliance with the intellectual property rights attributed to the source material.
Copyrights

Copyright © 2018 Veterans Health Administration, Department of Veterans Affairs. All rights reserved. Contributions from external parties are property of respective copyright holders.

Implementation Details
Technical Files
Order Set5.19 KB
Repository Information
Approval Date
Publication Date
Last Review Date
Knowledge Level

Structured code that is interpretable by a computer (includes data elements, value sets, logic)

Purpose and Usage
Usage

 

Target User
Primary Care Providers and Mental Health Providers embedded in primary care practice settings
Patient Age Group
Adult patients
Clinical Focus
Evaluation for depression
Clinical Focus
Treatment for depression
Clinical Venue
Outpatient
Cautions

THE CLINICAL CONTENT IN THIS DOCUMENT IS NOT DIRECTLY SUITABLE FOR CLINICAL USE AS PRESENTED SINCE IT HAS NOT BEEN TESTED IN A CLINICAL ENVIRONMENT. IT HAS NEVER BEEN PILOTED, NEVER 100% REPRESENTS THE INTENT OF THE CLINICAL SUBJECT MATTER EXPERTS, AND MAY CAUSE HARM IF APPLIED AS-IS. THIS WORK IS MADE AVAILABLE WITHOUT ANY WARRANTY WHATSOEVER, AND WITHOUT CLAIMS, EXPRESSED OR IMPLIED, OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

Supporting Evidence
Source Description
Derived From
Mental Health: Consult for Depression Clinical Content White Paper
Associated Resource
Mental Health: Consult for Depression Order Set Conceptual Structure Document
Associated Resource
Mental Health: Consult for Depression Order Set KNART Validation Report
Associated Resource
Veterans Crisis Line
References

See attached resource files for additional details. Department of Veterans Affairs, Veterans Health Administration, Office of Informatics and Information Governance, Clinical Decision Support (CDS) Content and Health Level 7 (HL7)-Compliant Knowledge Artifacts (KNARTs) Eye Care Clinical Content White Paper, VA118-16-D-1008, Task Order VA-118-16-F-1008-0007, June, 2018.

Arroll B, Goodyear-Smith F, Crengle S, Gunn J, Kerse N, Fishman T, Falloon K, Hatcher S. Validation of PHQ-2 and PHQ-9 to screen for major depression in the primary care population. Ann Fam Med. 2010;8(4):348-353
https://doi.org/10.1370/afm.1139
Dundon M, Dollar K, Schohn M, Lantinga LJ. Primary Care-Mental Health Integration Co-Located, Collaborative Care: An Operations Manual. U.S. Department of Veterans Affairs Mental Illness Research, Education and Clinical Centers (MIRECC)/Centers of Excellence (CoE) website. Updated March 2011
https://www.mirecc.va.gov/cih-visn2/Documents/Clinical/MH-IPC_CCC_Operations_Manual_Version_2_1.pdf
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-613
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495268/
U.S. Department of Veterans Affairs Mental Illness Research, Education and Clinical Centers (MIRECC)/Centers of Excellence (CoE) website: Primary Care Mental Health Integration (PCMHI): Providing Same Day Access to Mental Health. Accessed October 5, 2017
https://www.mirecc.va.gov/cih-visn2/Documents/Clinical/PCMHI_Same_Day_Access_Options_for_Implementation.pdf
Siu AL, Bibbins-Domingo K, Grossman DC, et al. US Preventive Services Task Force (USPSTF). Screening for Depression in Adults: US Preventive Services Task Force Recommendation Statement. JAMA. 2016;315(4):380-387
https://doi.org/10.1001/jama.2015.18392
Thibalut JM, Steiner RW. Efficient identification of adults with depression and dementia. Ann Fam Physician. 2004;70(6):1101-1110
https://www.ncbi.nlm.nih.gov/pubmed/15456119
Artifact Representation
Testing Experience
Pilot Experience

None