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STEPPED CARE IN DEPRESSION Dr Gabriel Ivbijaro MBBS, FRCGP, FWACPsych, MMedSci, DFFP, MA Family Doctor & Chair, Wonca Working Party on Mental Health
AIMS ,[object Object],[object Object],[object Object],[object Object]
mhGap Modules
Challenges - application of best evidence worldwide ,[object Object],[object Object],[object Object],[object Object]
Antidepressants: current controversies ,[object Object],[object Object],[object Object]
SSRI’s- what’s new? ,[object Object],[object Object],[object Object],[object Object]
SSRI vs placebo in depression
When do they work?
Meta-analysis conclusions ,[object Object],[object Object],[object Object]
What do we need? ,[object Object],[object Object],[object Object]
Stepped care in mental health ,[object Object],[object Object],[object Object]
Low level of resources – step A ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medium level of resources – step A + step B ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
High level of resources – step A + step B + step C ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
High level of resources – Step A + Step B + Step C ,[object Object],[object Object],[object Object],[object Object]
Stepped care in depression ,[object Object],[object Object],[object Object]
Risk Assessment
Primary Care Tips
LOOK What did you see? LISTEN What did you hear? TEST What has been tested and what needs to be tested?
 
Case Discussion ,[object Object],[object Object]
LOOK What did you see? LISTEN What did you hear? TEST What has been tested and what needs to be tested?

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Editor's Notes

  1. © Henk Parmentier 2005 © Henk Parmentier 2005