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C. Promotion of Best Practices Various strategies can be employed to enhance depression management in clinical practice. Staff education on depression and the strategies to manage it can improve knowledge and awareness of depression, thereby improving the ability of healthcare professionals to managethe condition more effectively. Ensuring that patients with depression are referred to appropriate mental specialty care is also important in ensuring they receive the best expertise care. Development and implementation of depression treatment guidelines within the organization can reduce care fragmentation and improve the quality of care for depressed patients (Unutzer & Park, 2012). Another strategy that can be used to improve depression management is collaborative care. In this strategy, the healthcare professionals work together in a collaborative care team to augment depression management. I would use this approach in my facility by
DEPRESSION 25including the care manager in pro-active and close follow-up, patient education, and evidence-based, brief psychosocial treatments, including problem solving and behavioral activation. The care manager would promote this in our facility (Unutzer & Park, 2012).C1. Strategies to Implement Best Practices The strategies that will be used to implement the intervention include staff education, multidisciplinary collaboration, and mentorship. It will be imperative to plan teaching sessions for members of the team in regard to implementation (Spruce, 2015). Staff education strategies can be implemented through training programs as part of in-service continuous professional development. Case reviews can be used during staff education to help staff identify their strengths and weaknesses in relation to depression management as well as help them come up with an improvement plan. Treatment guidelines for depression can be translated into clear operational manuals and job descriptions to ensure effective implementation (Unutzer & Park, 2012). Effective collaborative care should be based on stepped care principles whereby treatmentis stepped up, intensified or changed if patients do not show any signs of improvement as expected. A stepped care approach improves the cost-effectiveness of care of depression through focusing on limited resource use. Evidence has consistently demonstrated that collaborative depression management is effective in improving the quality of patient care while minimizing overall health care costs (Unutzer & Park, 2012). Mentoring less experienced staff on the proposed implementation will be used to increase awareness and confidence and therefore ensureeffective implementation as proposed (Spruce, 2015). C2. Evaluating Implementation StrategiesEvaluation of the effectiveness of these proposed strategies can be done during and after their implementation to determine the outcome. Formative evaluation will be performed to
DEPRESSION 26ensure continuous assessment of intervention outcomes during implementation and to allow for any modifications as appropriate. Counterfactual analysis will be used as a model to aid the