Recommendation | Determinant [14] |
---|---|
Social contact | Finding volunteers |
Lack of awareness of local community/services | |
Social withdrawal in elderly patients with depression | |
Lack of connection between the patient and volunteers | |
Requires organising the service | |
Collaborative care plan | 1. Actionable plans with shared ownership increases the plan’s feasibility |
2. Lack of coordination within municipalities, especially between GPs and other municipal services | |
3. Implementation of the plan | |
Depression case manager | 1. A description for how the doctor should proceed |
2. Good relationship between patient and depression case manager | |
3. If the person is completely alone in the task | |
Counselling | 1. GP’s time constraint |
2. Health professionals believe self-help program is not beneficiary for this population | |
3. There is a shortage of this type of service | |
4. Lack of expertise for counselling among GPs and other health professionals | |
Antidepressants in mild depression | 1. GPs time constraint |
2. Patient information that drugs do not help in mild depression | |
3. Difficult to reverse a trend where the doctor has been told that they prescribe antidepressants too seldom | |
4. Lack of other types of services makes it difficult to adhere | |
5. GP wants to “do something”, drugs are simple actions | |
Severe, recurrent and chronic depression, dysthymia | 1. GPs do not have this expertise (psychotherapy) |
2. Elderly are not prioritised for this type of service | |
3. Lack of health professionals who can provide this type of service |