Depression Care Standard 37: Specialist assessment and treatment is available for service users with treatment-resistant, recurrent and chronic depression.

Criteria
37a The care record shows that those who appear to be resistant to treatment when the local algorithm has been followed to its conclusion are referred for specialist assessment and treatment.

37b Where such specialist assessment and treatment cannot be provided locally, there are regional arrangements allowing service users to access appropriate services, eg tertiary referral.

Supporting material for standard 37:
Specialist assessment and treatment should be available for service users with treatment resistant, recurrent and chronic depression.