Depression Screening in a Primary Care Setting: Examining Perceptions and Experiences of English- and Spanish-Speaking Patients

2020 ◽  
Author(s):  
Nataliya Pilipenko ◽  
Christian Vivar-Ramon
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Depression Screening ◽  
Spanish Speaking

The Implementation of a Clinical Toolkit and Adolescent Depression Screening Program in Primary Care

2014 ◽  
Vol 53 (14) ◽  
pp. 1336-1344
Author(s):  
Jonathan M. Libby ◽  
Eileen Stuart-Shor ◽  
Almas Patankar
Keyword(s):  
Primary Care ◽  
Adolescent Depression ◽  
Care Setting ◽  
Primary Care Setting ◽  
Screening Program ◽  
Primary Care Providers ◽  
Depression Screening ◽  
Care Providers ◽  
Comfort Levels ◽  
Survey Results

Problem/Background. Adolescent depression is a growing problem for today’s society with only 30% receiving services. Aim and Methods. The aim of this project was to increase identification and treatment of depressed adolescents, and comfort levels of primary care providers with the implementation of a depression-screening program and use of a clinical depression toolkit within a primary care setting. Setting. The setting was a private pediatric practice in central Maine. Results. Over an 8-week period, 266 adolescents were screened. Twelve adolescents (4.5%) received a diagnosis of depression and 11 received treatment within 8 days. Survey results showed a significant increase in providers’ feelings of comfort and accountability. Conclusion. This project demonstrates that it is feasible to implement a depression screening and treatment program in primary care. It demonstrates that primary care providers can increase their comfort and feelings accountability in treating depression in primary care, thus increasing access for this monumental and potential catastrophic problem.

Caregivers’ Experiences With Food Insecurity Screening and Impact of Food Insecurity Resources

2019 ◽  
Vol 58 (14) ◽  
pp. 1484-1492 ◽  
Author(s):  
Colin J. Orr ◽  
Christina Chauvenet ◽  
Holly Ozgun ◽  
Claudia Pamanes-Duran ◽  
Kori B. Flower
Keyword(s):  
Primary Care ◽  
Food Insecurity ◽  
Thematic Analysis ◽  
Care Setting ◽  
Primary Care Setting ◽  
Infants And Children ◽  
Future Studies ◽  
Spanish Speaking ◽  
Semistructured Interviews ◽  
The Impact

We explored caregivers’ experiences with food insecurity screening in a primary care setting and the impact of resources provided. English- and Spanish-speaking food insecure caregivers of children aged 1 to 5 years were recruited. In-depth individual semistructured interviews were conducted (n = 17) eliciting caregivers’ experiences with food insecurity, clinic screening, and resources provided. Interviews were audio-recorded and transcribed verbatim. Interviews were double-coded and thematic analysis was used to identify themes and subthemes. All caregivers described multiple and repeat experiences with food insecurity. Food insecurity screening was acceptable, but families were not always connected with resources. Caregivers described WIC (Women, Infants, and Children) as the most commonly used program to address food insecurity and infrequently utilized other food insecurity resources. Screening for food insecurity in primary care was generally well accepted by this sample of food insecure caregivers. Future studies are needed to determine how to improve connecting resources with families most in need.

Developmental Screening With Spanish-Speaking Families in a Primary Care Setting

2015 ◽  
Vol 55 (4) ◽  
pp. 347-355 ◽  
Author(s):  
Noelle Huntington ◽  
Kelly Horan ◽  
Alexandra Epee-Bounya ◽  
Alison Schonwald
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Developmental Screening ◽  
Spanish Speaking

scholarly journals Postnatal depression screening in a paediatric primary care setting in Italy

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Antonio Clavenna ◽  
◽  
Elena Seletti ◽  
Massimo Cartabia ◽  
Anna Didoni ◽  
...  
Keyword(s):  
Primary Care ◽  
Postnatal Depression ◽  
Care Setting ◽  
Primary Care Setting ◽  
Depression Screening ◽  
Paediatric Primary Care

Diagnostic Accuracy of the Screening Instruments Used to Identify Postpartum Depression in the Primary Care Setting: Protocol for a Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Russy Novita Andriani ◽  
Siti Solichatul Makkiyyah ◽  
Amanda Safira Dea Hertika ◽  
Wahyudi Istiono ◽  
Mohammad Hakimi
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Postpartum Depression ◽  
Diagnostic Accuracy ◽  
Care Setting ◽  
Primary Care Setting ◽  
Meta Analysis ◽  
Depression Screening ◽  
Screening Instruments ◽  
Meta Analyses

Abstract Background Postpartum depression (PPD) is a prevalent complication of pregnancy, this condition affects maternal and child well-being and functioning. Results from a meta-analysis showed an incidence of 13% PPD cases in the first 12 weeks after labor. Primary care is the first gate and continuing point of care for patients. Despite the controversy of screening and early identification in primary care settings, many PPD cases remain undetected. Given the uncertainty about this issue, screening instruments must be effective in identifying the cases. This systematic review and meta-analyses aim to identify the most suitable postpartum depression screening instrument for use in primary care. Methods PubMed, ScienceDirect, and ProQuest databases were used to search using relevant keywords or MeSH, with limitation of publication from January 1st, 2010 through December 31st, 2020. We will include screening studies on postpartum women using validated screening tools followed by validated structured or semi-structured interview for Diagnostic and Statistical Manual of Mental Disorders (DSM) as the reference standard in the primary care setting. Study designs included in the review are cross-sectional and randomized controlled trial without no screening arm on the diagnostic study. We will use a liberal accelerated method on the title and abstract review stage, then perform full-text article reviews on selected studies. Methodological quality will be assessed independently by two authors according to QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies-2). Extraction of the study data will be undertaken by one reviewer and checked by a second reviewer. Disagreements will be resolved by consensus and including a third investigator as necessary. The test characteristics will be extracted into 2x2 tables for all included studies. Study-specific estimates of sensitivity and specificity with 95% confidence intervals will be displayed in forest plots. Discussion The proposed systematic review and meta-analyses will allow us to obtain the most suitable postpartum depression screening instrument for use in primary care. Systematic review registration: PROSPERO CRD42020216067

When nurses double as interpreters: a study of Spanish-speaking patients in a US primary care setting

2001 ◽  
Vol 52 (9) ◽  
pp. 1343-1358 ◽  
Author(s):  
Virginia Elderkin-Thompson ◽  
Roxane Cohen Silver ◽  
Howard Waitzkin
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Spanish Speaking

Depression screening in uninsured patients in a primary care setting

2013 ◽  
Vol 3 (4) ◽  
pp. 198-201
Author(s):  
Nancy Borja-Hart ◽  
Audrey Wooten ◽  
Tina Debile
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Care Setting ◽  
Primary Care Setting ◽  
Primary Care Providers ◽  
Depression Screening ◽  
Mild Depression ◽  
Moderate Depression

There is a strong correlation between chronic disease and depression; however, screening patients for depression is not typical in the primary care setting due to factors such as time constraints and the provider's ability to diagnose and manage depression. This study sought to: (1) determine the prevalence of depression in uninsured or underinsured patients with chronic diseases using a screening instrument validated for use in the primary care setting, (2) provide a referral to the patient's primary care provider (PCP) for depression management prior to disease management as needed, and (3) enroll patients for chronic disease management services. The study utilized a cross-sectional design consisting of a self-administered survey and medical record review after physician and nursing appointments. Patients completed the Beck Depression Inventory for Primary Care (BDI-PC) upon program enrollment. Patients that screened positively for depression were referred to the PCP for follow-up services prior to entry into one of the disease management programs. After PCP appointments took place, medical records were reviewed to obtain medical and depression diagnoses, along with mediation recommendations. Forty-one patients were enrolled in the clinic program and completed the depression screening. Eight patients were found to have mild depression and two patients had moderate depression as determined by the BDI-PC, which accounted for 24% of the clinic patients. Four of the patients with mild depression and both patients with moderate depression initiated antidepressant therapy. Additionally, three patients with minimal scores on the screening began medication therapy based on symptoms reported to the PCP. The results of this study suggest that it is feasible to incorporate a depression-screening tool in a primary care setting with further evaluation and follow-up by primary care providers.

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