Recommendation

The USPSTF (2002) recommends screening adults for depression in clinical settings that have systems in place to ensure accurate diagnosis, effective treatment, and follow-up. AAFP and CTFPHC endorse similar recommendations, and ACOG recommends that clinicians remain alert to symptoms of depression and ask questions about psychosocial stressors when taking a patient's history (Pignone et al., 2002a). USPSTF recommends screening adolescents (12-18 years of age) for major depressive disorder when systems are in place to ensure accurate diagnosis, psychotherapy, and follow-up. Routine screening has been recommended by Medicaid's EPSDT program and the American Academy of Pediatrics (AAP), and the American Medical Association (AMA) recommends screening for depression among adolescents who may be at increased risk for depression (USP-STF, 2009).

Screening for depression in adults and adolescents improves the accurate identification of depressed patients in primary care settings, and treatment of depressed patients identified in these settings decreases clinical morbidity. Screening should be offered to adults in clinical practices that have systems in place to ensure accurate diagnosis, effective treatment, and follow-up (USPSTF, 2002). Screening for major depressive disorder should be offered to adolescents when systems are in place to ensure accurate diagnosis, psychotherapy, and follow-up (USPFTF, 2009).

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