Page 71 - Depression in adults: treatment and management

Depression in adults: treatment and management (NG222)

1.14 1.14 Transcranial magnetic stimulation for depression Transcranial magnetic stimulation for depression

1.14.1 See the NICE interventional procedures guidance on repetitive transcranial
magnetic stimulation for depression.

1.15 1.15 Implanted vagus nerve stimulation for treatment-Implanted vagus nerve stimulation for treatment-

resistant depression resistant depression

1.15.1 See the NICE interventional procedures guidance on implanted vagus nerve
stimulation for treatment-resistant depression.

1.16 1.16 Access, coordination and delivery of care Access, coordination and delivery of care

Access to services Access to services

1.16.1 Commissioners and providers of mental health services should consider using

models such as stepped care or matched care for organising the delivery of care
and treatment of people with depression. See the matched care model visual
summary.

Pathways should:

• promote easy access to, and uptake of, the treatments covered

• allow for prompt assessment of adults with depression, including assessment of
severity and risk

• ensure coordination and continuity of care, with agreed protocols for sharing
information

• support the integrated delivery of services across primary and secondary care, to
ensure individuals do not fall into gaps in service provision

• have clear criteria for entry to all levels of a stepped care service

• have multiple entry points and ways to access the service, including self-referral

• have routine collection of data on access to, uptake of and outcomes of the specific

treatments in the pathway. [2022] [2022]

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