Table 1. Four-visit Episode of Care
Baseline visit goals:

  • Build relationship using OARS*

  • Provide symptom feedback

    • ○ Ask permission

    • ○ Provide depressive symptom score

    • ○ Ask: “What do you think of this result?”

  • Elicit-Provide-Elicit**

  • Develop follow-up and action plan

Follow-up visit goals:

  • Enhance treatment adherence with “rulers”***

  • Explore other relevant behavioral targets

  • Foster behavioral activation and problem solving

  • ↵* OARS: Open questions, Affirmations, Reflections, Summary statements.

  • ↵** Elicit-Provide-Elicit: A method of asking about current knowledge, providing information with permission, and asking patient to reflect on the new information. Goal is to elicit change talk.

  • ↵*** Rulers: 10 point scale of patient's confidence in and perceived importance of behavior change.