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Objectives New to Healthy People 2020
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MHMD HP2020–15:
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Increase depression screening by primary care providers.
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a. Increase the percentage of primary care physician office visits that screen adults aged 19 years and older for depression.
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b. Increase the percentage of primary care physician office visits that screen youth aged 12 to 18 years for depression.
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Status: New to Healthy People 2020.
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View Objective Comments
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Objective Clarification:
Resubmitting Anonymous on 12/30/2009 2:18:00 PM
Women develop depression at twice the rate of men, so all women’s health care providers serve a vital function in screening their female patients for mood disorders.
The College also supports screening for risk factors for perinatal depression. (see proposed objective in MICH Section)
Clinical practices that screen for depression should have systems in place to ensure that positive screening results are followed by accurate diagnosis, implementation of treatment, and follow-up either within the practice or through referral.
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Objective Clarification:
Centerstone Research Institute supports the addition of this new objective and encourages revision of the language to promote partnerships between primary care providers and community mental health centers so that individuals who screen positive for depression can be referred as needed. Depression screening in the primary care setting can combat the perceived stigma that may accompany seeking treatment for mental illness and is an important tool in identifying patients who suffer from depression.
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Objective Text:
MHMD15 Needs to be consistent with new USPSTF recommendation
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Objective Clarification:
Women develop depression at twice the rate of men, so all women’s health care providers serve a vital function in screening their female patients for mood disorders.
The College also supports screening for risk factors for perinatal depression. (see proposed objective in MICHSection)
Clinical practices that screen for depression should have systems in place to ensure that positive screening results are followed by accurate diagnosis, implementation of treatment, and follow-up either within the practice or through referral.
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Objective Text:
The Psoriasis Foundation supports the inclusion of this new objective. However, we are concerned that it is too narrow, given that many people with psoriasis likely see a specialist (e.g., dermatologist, rheumatologist) more frequently than a primary care provider. Moreover, we know that few health professionals understand or appreciate the severe adverse mental health impact that psoriasis has on affected individuals. As such, we have additional recommended new objectives below for your consideration.
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Objective Clarification:
Include gender breakouts
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Objective Clarification, Objective Text:
Recommendation: “Increase depression screening, including postpartum depression (PPD) screening, by primary care providers.”
Rationale: PPD is a chronic, debilitating condition that can affect the well-being of both mothers and babies.
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Objective Clarification, Objective Text:
Recommendation: “Increase depression screening, including postpartum depression (PPD) screening, by primary care providers.”
Rationale: PPD is a chronic, debilitating condition that can affect the well-being of both mothers and babies.
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Objective Text:
Also include routine screening for depression in older adults 65+.
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Objective Clarification:
Depression screening, including post partum depression screening, could provide young children with a significant advantage if screening led to effective treatment.
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Objective Clarification:
A. Increase the percentage of primary care physician office visits that screen adults aged 19 years and older for depression.
B. Increase the percentage of primary care physician office visits that screen youth aged 12 to 18 years for depression.
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Objective Clarification:
With postpartum depression (PPD) being the #1 complication of childbirth--and with PPD (not to mention, antepartum depression as well) comes the potentially negative long-term impact on child development--I find it UNFATHOMABLE that perinatal mood disorders are not included on your list of objectives under Maternal, Infant and Child Health!
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Objective Text:
There appears to be a very important population that is being overlooked in this objective. Please make a specific objective to include routine screening of women in the perinatal and postpartum phases of life, as routine screening is something often overlooked, and so many women go untreated.
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Objective Clarification, Objective Text:
Target population must include children (add subobjective “c”). Suggest “increase depression screening and referrals, when appropriate, by primary care providers. Within a Medical Home, the primary care provider, whether a pediatrician, internist or specialist, is the link to care coordination.
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Objective Clarification:
We know that at least 10-20% of postpartum women experience postpartum depression. Imagine how many more suffer in silence. We routinely screen for many other conditions of pregnancy, including gestational diabetes, despite the fact that the incidence is much smaller (2-5%). Screening is a way to help identify and provide early intervention for women.
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Objective Clarification:
Need to specifically encourage the screening of women who have had children within the last year for postpartum depression.
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Objective Clarification:
Should specifically mention pregnant and post partum women who are at higher risk for depression
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Objective Clarification, Objective Text:
Change b to read from 3-18 years. Add a new sentence that says "this should include screening and referral (as necessary) for pregnant and postpartum women." Do you really mean not to screen children?
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Objective Text:
Add comments that suggest Objective Clarification, recommendations to update the Objective Text, information on the Data Source, and detail on the Status.
Increase the percentage of primary care provider office visits that screen adults and children for depression.
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Objective Clarification:
a. Increase the percentage of health provider office visits that screen adults aged 19 years and older for depression.
b. Increase the percentage of health provider office visits that screen youth aged 12 to 18 years for depression.
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Content for this site is maintained by the Office
of Disease Prevention & Health Promotion,
U.S. Department of Health and Human Services.
Last revised:
October 30, 2009
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