Table 1.

The Three-Component Model: A Depression Management Office System.

ComponentResponsibilitiesRoutinesTools
Primary care clinician in a prepared practiceRecognition ManagementDiagnostic assessment Follow-up visits*PHQ-913 Patient education materials Communication forms
Care managerPromote adherence Monitor responsePeriodic telephone calls†PHQ-9 Patient education materials Communication forms
Collaborating psychiatristSupport care manager and primary care clinicianWeekly supervisory calls Informal advicePHQ-9 Communication forms

  • * Typical intervals for follow-up office visits were 2, 6, and 12 weeks.

  • † Care managers called at 1, 4, 8 weeks, and as needed.