Managing Major Depressive Disorder in Rural Primary Care Settings

Activity Details
  • Credit Amounts:
    • CME: 1.00
    • CNE: 1.00
  • Cost: Free
  • Release: Feb 5, 2018
  • Expires: Feb 4, 2019
  • Estimated Time to Complete:
    1 Hour(s)
  • System Requirements:
  • Average User Rating:
    (8 Ratings)

 

Faculty

Bradley N.  Gaynes Bradley N. Gaynes, MD, MPH
Professor of Psychiatry
Department of Psychiatry
University of North Carolina School of Medicine
Chapel Hill, NC

Michael S.  Klinkman Michael S. Klinkman, MD, MS
Professor, Department of Family Medicine
University of Michigan Medical School
Director, Great Lakes Research into Practice Network
Medical Director, Jackson Health Network
Ann Arbor, MI

Denise Vanacore Denise Vanacore, PhD, CRNP, ANP-BC, PMHNP-BC
Associate Professor of Nursing
Director, Doctor of Nursing Practice and Nurse Practitioner Programs
Gwynedd Mercy University
Gwynedd Valley, PA

Needs Statement

Primary care remains the main access point for major depressive disorder (MDD) treatment in the United States, yet major gaps are evident at each step along the management continuum, including delayed diagnosis, inadequate monitoring, and insufficient use of evidence-based treatment. The rural setting presents barriers to the management of MDD as patients have limited access to psychiatrists and other mental health providers. Thus, primary care practitioners in rural settings are likely the sole providers of MDD management, suggesting that education efforts are needed that specifically target the unique challenges these practitioners face when managing MDD.

In this activity, expert faculty will review the instruments for screening and monitoring depression, therapeutic options for treatment-resistant MDD, measurement-based tools to detect and manage residual symptoms and side effects, and strategies for improving patient care and outcomes in the rural primary care setting. Case discussion will illustrate the practical application of these concepts to the management of MDD in rural primary care patients.

 

Target Audience

This program is designed specifically for primary care physicians and nurses in a rural health setting.

 

Objectives

After completing this activity, participants should be better able to:

  • Implement appropriate assessment tools to screen patients for depression.
  • Apply evidence-based strategies for managing patients with MDD who have inadequate response (partial or non-response) or residual symptoms with the goal of achieving remission.
  • Integrate measurement-based tools into the individualized treatment of MDD to better detect and manage inadequate treatment response, side effects, and residual symptoms.
  • Identify barriers to MDD management unique to the rural primary care setting and incorporate the collaborative care model, telepsychiatry, and other novel technologies to improve access to mental health care.

 

Accreditation

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Boston University School of Medicine and Talem Health. Boston University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Physicians
Boston University School of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses
This educational activity has been provided by Continuing Nursing Education Provider Unit, Boston University School of Medicine and jointly provided by Talem Health.

Continuing Nursing Education Provider Unit, Boston University School of Medicine is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Contact Hours: 1.0 of which 1.0 are eligible for pharmacology credit.

 

Faculty Disclosure

Boston University School of Medicine asks all individuals, and their spouses/partners, involved in the development and presentation of Continuing Medical Education (CME) and Continuing Nursing Education (CNE) activities to disclose all relevant financial relationships with commercial interests. This information is disclosed to CME activity participants prior to the start of the educational activity. Boston University School of Medicine has procedures to resolve all conflicts of interest. In addition, faculty members are asked to disclose when any unapproved use of pharmaceuticals and devices is being discussed.

Dr. Gaynes: grant support: M-3 Information. Dr. Gaynes does not plan to discuss unlabeled/investigational uses of a commercial product.

Dr. Klinkman: has no financial relationships to disclose. Dr. Klinkman does not plan to discuss unlabeled/investigational uses of a commercial product.

Dr. Vanacore: has no financial relationships to disclose. Dr. Vanacore does not plan to discuss unlabeled/investigational uses of a commercial product.

 

Planning Committee

Jason M. Worcester, MD, CME Course Director, Boston University School of Medicine

Shivani Patel, NP, CNE Nurse Planner, Boston Medical Center

Patti-Ann Collins, DNP, MSN/MBA, RN, Lead Nurse Planner, Boston University School of Medicine, CME/CNE

Joanna Krause, MPH, Grants Manager, Boston University School of Medicine, CME

Erica Rusie, PharmD, Senior Director, Scientific Affairs, Talem Health, LLC

Kristin Della Volpe, Medical Editor, Talem Health, LLC

Eric VanStone, Principal, Talem Health, LLC

The members of the Planning Committee have no financial relationships to disclose.

 

Acknowledgment

This activity is supported by an educational grant from Otsuka America Pharmaceutical, Inc and Lundbeck.

This activity is developed in collaboration with the National Rural Health Association.

 

Agenda

  • Screening and Assessment of MDD
  • Individualized Treatment Strategies for MDD Patients with Inadequate Response
  • Measurement-based Care in MDD
  • Overcoming Barriers to Care in Rural Primary Care Settings
  • Case Discussion

 

How To Obtain Credit

In order to receive credit, participants must view the entire activity and complete the posttest and evaluation. Participants who receive a score of 75% or better will receive credit. A certificate of credit will be available for immediate download to those who successfully complete the post-test and evaluation.

 

Disclaimer

THIS CONTINUING MEDICAL EDUCATION PROGRAM IS INTENDED SOLELY FOR EDUCATIONAL PURPOSES FOR QUALIFIED HEALTH CARE PROFESSIONALS. IN NO EVENT SHALL BOSTON UNIVERSITY OR TALEM HEALTH, LLC BE LIABLE FOR ANY DECISION MADE OR ACTION TAKEN IN RELIANCE ON THE INFORMATION CONTAINED IN THE PROGRAM. IN NO EVENT SHOULD THE INFORMATION CONTAINED IN THE PROGRAM BE USED AS A SUBSTITUTE FOR PROFESSIONAL CARE. NO PHYSICIAN-PATIENT RELATIONSHIP IS BEING ESTABLISHED.

 

Copyright Statement

©Talem Health, LLC 2018. All Rights Reserved. These materials may be used for personal use only. Any rebroadcast, distribution, or reuse of this presentation or any part of it in any form for other than personal use without the express written permission of Talem Health, LLC is prohibited.