Implementing the evidence: Routine screening for depression and anxiety in primary care

Area of Science:

• Primary Care
• Mental Health
• Student Health

Background:

• Anxiety and depression are prevalent in college-aged students, with onset typically in late teens to early twenties.
• Primary care providers are well-positioned to diagnose and manage common mental health conditions.
• Screening tools are essential for identifying at-risk individuals.

Purpose of the Study:

• To implement evidence-based guidelines for screening and managing anxiety and depression in college students.
• To develop a management algorithm for healthcare providers in student health centers.
• To enhance the early identification and treatment of mental health issues.

Main Methods:

• Utilized two validated screening tools for anxiety and depression in all registered patients.
• Developed and implemented a clinical algorithm to guide provider assessment and treatment.
• Conducted screening over a 3-month period at two student health centers.

Main Results:

• Screened 366 patients for anxiety and depression.
• Patients received education and counseling referrals based on screening results.
• Medication therapy was prescribed when indicated for anxiety and/or depression.

Conclusions:

• Routine screening for anxiety and depression is now standard in primary care.
• Screening tools facilitate early identification and diagnosis by healthcare providers.
• Early intervention in anxiety and depression significantly improves treatment outcomes.