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Depression screenings: developing a model for use in a community pharmacy.

Hare SK, Kraenow K

Hen House Pharmacy, 13600 S. Blackbob Rd., Olathe, KS 66062, USA. sarah.hare@ballsfoods.com

OBJECTIVE: To develop a depression screening model that can be replicated by other community pharmacists, conduct a depression screening in a community pharmacy, identify and appropriately refer patients with symptoms consistent with depression. DESIGN: Uncontrolled study. SETTING: Four supermarkets in the Kansas City, Kans. and Mo" metropolitan area, on January 25, 2003. PARTICIPANTS: 18 supermarket shoppers, 6 community pharmacists, and 4 psychiatric pharmacy specialists. INTERVENTION: Identification of symptoms consistent with major depressive disorder (MDD). MAIN OUTCOME MEASURES: The feasibility and effectiveness of developed depression screening; identify and appropriately refer patients with symptoms consistent with depression. RESULTS: The depression screening model was tested as a pilot project to evaluate its feasibility and effectiveness. The mean (+/- SD) total score on the 10-item Harvard Department of Psychiatry/National Depression Screening Day Scale (HANDS) tool was 5.8 +/- 5.0. Overall, of 18 total participants, 14 were unlikely to have symptoms of MDD, 3 had symptoms consistent with MDD (including 1 reporting recent suicidal thinking), and 1 had symptoms strongly consistent with MDD. Patients followed the pharmacist's referral recommendations in all cases. CONCLUSION: The HANDS tool is easily used in community pharmacy as a screening form. With training, community pharmacists are capable of performing screenings and referring patients.

Published 14 January 2008 in J Am Pharm Assoc (2003), 48(1): 46-51.
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