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34. Self-help and signposting
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Bipolar disorder
22. Management of acute mania
23. Management of bipolar depression
24. Keeping well and recovery
25. Monitoring of medication
+
Borderline personality disorder
26. Medication
+
Dementia
27. Treatment for cognitive impairment
28. Matched intervention
29. End of life care
+
Schizophrenia
30. Early intervention
31. Psychosocial therapies
32. Medication
+
Depression
33. Use of an objective measure
34. Self-help and signposting
35. Depression-focused brief psychological therapies
36. Therapies after objective measure of severity
37. Chronic and treatment-resistant depression
Assessment of need leading to self-help and signposting
Depression Care Standard 34: There is a record of the offer and uptake of assessment of need, leading to appropriate self-help and signposting within 4 weeks of initial presentation.
Criteria
34a The care record shows that service users receive an assessment of need which leads to interventions appropriate to identified need, with an emphasis on evidence-based self-help, lifestyle advice, physical activity and signposting. This should occur within 4 weeks of initial presentation.
34b The uptake of these interventions, in up to 3-4 sessions, are recorded:
• lifestyle advice (including physical activity, debt and relationships)
• evidence-based self-help material/guided self-help, and
• targeted information/signposting about local or national statutory or voluntary organisations.
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Rationale
For people presenting with low mood or an unclear diagnosis, an assessment of need is required, leading to evidence-based self-help materials and signposting. Interventions will depend on identified need and will often involve giving information and signposting to appropriate agencies. Advice should include lifestyle changes, such as planned exercise, healthy eating and sensible drinking.
For moderate to severe depression, the assessment of need will also allow wider issues to be addressed. The emphasis on a self-help/signposting approach encourages the service user to take an active role in their treatment and recovery.
In the watchful waiting period, it is possible that service care providers will wish to refer service users for a self-help assessment.
At higher levels of need/severity, the generic care standards (comprehensive assessment, risk assessment, single care plan) apply. This assessment would normally be undertaken by a member of a specialist team.
Examples of evidence required to meet standard 34:
- numbers of staff trained to deliver these interventions and their activity data