Treatment for depression following the 1996 National Depression Screening Day

Am J Psychiatry. 2000 Nov;157(11):1867-9. doi: 10.1176/appi.ajp.157.11.1867.

Abstract

Objective: Characteristics of the subsequent treatment received by people who screened positive for depression in the 1996 National Depression Screening Day were investigated.

Method: A follow-up telephone survey was completed by 1,502 randomly selected participants from 2,800 sites.

Results: Of 927 people for whom additional evaluation was recommended, 602 (64.9%) obtained evaluations and 503 (83.6%) received treatment. Of these 503, 260 (51.7%) received psychotherapy and medication, 130 (25.8%) received medication only, and 93 (18.5%) received psychotherapy only. Compared with people without health or mental health insurance, individuals with health insurance (66.7% versus 57.5%) and mental health insurance (74.6% versus 55.3%) were more likely to comply with the recommendation to obtain follow-up evaluation.

Conclusions: One-half of the people treated for depression received a combination of psychotherapy and medication. Lack of insurance was associated with not following the recommendation to obtain further evaluation and treatment.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antidepressive Agents / therapeutic use*
  • Canada
  • Combined Modality Therapy
  • Depressive Disorder / diagnosis
  • Depressive Disorder / epidemiology*
  • Depressive Disorder / therapy*
  • Female
  • Follow-Up Studies
  • Hospitalization
  • Humans
  • Insurance, Health / statistics & numerical data
  • Insurance, Psychiatric / statistics & numerical data
  • Male
  • Mass Screening / statistics & numerical data
  • Middle Aged
  • Patient Acceptance of Health Care
  • Patient Compliance
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Psychotherapy*
  • Severity of Illness Index
  • Sex Factors
  • United States / epidemiology

Substances

  • Antidepressive Agents