Yale School of Medicine, New Haven, Connecticut 06511, USA.
Yale J Biol Med. 2013 Jun 13;86(2):139-46. Print 2013 Jun.
The bulk of mental health services for people with depression are provided in primary care settings. Primary care providers prescribe 79 percent of antidepressant medications and see 60 percent of people being treated for depression in the United States, and they do that with little support from specialist services. Depression is not effectively managed in the primary care setting. Collaborative care based on a team approach, a population health perspective, and measurement-based care has been proven to treat depression more effectively than care as usual in a variety of settings and for different populations, and it increases people's access to medications and behavioral therapies. Psychiatry has the responsibility of supporting the primary care sector in delivering mental health services by disseminating collaborative care approaches under recent initiatives and opportunities made possible by the Affordable Care Act (ACA).
大多数抑郁症患者的心理健康服务都是在初级保健环境中提供的。在美国，初级保健提供者开出了 79%的抗抑郁药物处方，并且治疗了 60%的抑郁症患者，而他们几乎没有得到专业服务的支持。在初级保健环境中，抑郁症的管理效果并不理想。以团队为基础、以人群健康为视角、以基于测量的护理为基础的协作式护理已被证明在各种环境和不同人群中比常规护理更有效地治疗抑郁症，并且它增加了人们获得药物和行为疗法的机会。精神病学有责任通过在最近的《平价医疗法案》（ACA）带来的倡议和机会下传播协作式护理方法，来支持初级保健部门提供精神卫生服务。
