Page 97 - Depression in adults: treatment and management

Depression in adults: treatment and management (NG222)

antipsychotic medication could be stopped. As there was limited evidence, the committee made a

research recommendation on the most effective and cost-effective interventions for the treatment
and management of psychotic depression.

How the recommendations might affect practice How the recommendations might affect practice

The recommendations reflect current practice, but may reduce variation in practice across the

NHS.

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Access to services Access to services

Recommendations 1.16.1 to 1.16.6

Why the committee made the recommendations Why the committee made the recommendations

For recommendations on access to services for all people with depression, the committee used
their knowledge and experience of how access to services could be improved using a stepped care
or matched care approach by, good integration between primary and secondary care, ensuring

information on services was available and using a variety of different methods to deliver services.

There was some evidence that modifying the way interventions to treat depression were delivered,
such as the co-location of physical and mental health services, use of telephone or online video
interventions, collaborative care, and culturally adapted services, led to increased uptake and

engagement with services for some men, older people and those from black, Asian and minority
ethnic groups with depression. However, as there was limited evidence, the committee made a
research recommendation on the most effective and cost-effective methods to promote increased

access to, and uptake of, treatments for people with depression who are under-served and under-
represented in current services.

How the recommendations might affect practice How the recommendations might affect practice

Modifying the way treatments are delivered to improve access for certain groups may mean

modifications to services are needed, and may have resource implications. However, prompt and
effective treatment of depression may lead to reduced health and social care costs in the longer
term.

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