Presentation Title (IN ALL CAPS)

A Clinical Framework for Treatment of Depressed Women in a Primary Care Setting:

Departmental Affiliation and City, State, Zip for All Authors

*Metrocare Services Behavioral Health, 3330 S Lancaster Rd., Dallas, Texas 75216, **University of Arlington in Texas, 701 S Nedderman Dr., Arlington, Texas 76019, ***Health Resources and Services Administration Office of Regional Operations/Dallas Regional Division, 1301 Young Street, Dallas, Texas 75202

Classification

Other

Research Presentation Category

Community Health and Prevention

Brief Narrative or Summary

The Clinical Framework for Treatment of Depressed Women in a Primary Care Setting: Implementing Physical Activity as a Treatment Options. The PAID-W Program- Physical Activity in Depressed Women is a innovated framework of treatment that decreases the severity of depressive symptoms by implementing physical activity in conjunction with/ or without antidepressant medications. Problem statement There is a high incidence of women diagnosed with depression that never achieve remission and have residual symptoms that are unrelenting that are not resolved when treated with medication, and or psychotherapy (USDHHS, 2012). Increasing physical activity in women is another treatment option that has proven to decrease severity of depression symptoms and or remission of depression symptoms (Trivedi et al., 2006). Currently there is not a clinical framework for integrating physical activity as a treatment option for depression in HRSAs’ primary care clinics. Purpose of the Clinical Framework The purpose of the clinical framework is to examine, and implement an evidence base program that demonstrates the potential benefit of increased physical activity in relationship to decreasing severity of depression symptoms, partial remission and remission of depression symptoms in women. A detail description of steps to take to implement this clinical framework “Physical Activity in Depression-Women (PAID-W)”is described in the methodology. Physical activity is not a substitute for medication, but used in combination in mild, moderate and severe depression. In certain circumstances as in mild depression it may be implemented alone after careful consideration and consultation with primary care clinician and or behavioral health clinician (Trivedi et al., 2006). Objectives The literature review will discuss the association among reduced depression symptoms in women when physical activity in increased. 1. Describe the components of the PAID-W Program, design, budget, staff requirement, physical activity involved, program process, group sessions, outcome measures, and evaluation process. 2. Discuss how to successfully plan and implement the evidence- based PAID-W Program into HRSA primary care setting. 3. Discuss how the potential outcomes of PAID-W Program in the treatment of depression in women. The evidence-base PAID-W Program will increase the ability of depressed women to have a more productive and fulfilling life by reducing the severity of depression symptoms. Physical activity improves mood, cognition, thinking, and learning, which enhances motivation and improves decision making in depressed women. The PAID-W Program will encourage social networking and build peer groups for depressed women. The PAID-W Program initiates positive behaviors in depressed women that can be imitated and implemented with friends and family. Increased physical activity will also help depressed women with weight management and reduce risk of obesity. In addition to improving social interaction, and communication skills, the PAID–W Program will have a positive effect on depressed women physical health. There are several health benefits to the PAID-W Program. First The PAID-W Program will increase life the span of depressed women by 40% compared to inactive women, and decrease the risk of morbidity and mortality. Secondly the PAID-W Program will decrease women risk of cardiovascular disease, Diabetes Mellitus, cancer, and metabolic syndrome, and improves sleep. Thirdly the PAID-W Program will improve health outcomes of depression women with co-morbidities. Lastly the PAID-W Program improve outcomes of depressed women, by decreasing severity of symptoms of depression, acute episodes of depression, and improving remission rates. Depression is a crippling multifaceted disease, achieving partial remission –remission can be challenging to clinicians and frustrating to patients. Physical activity has numerous health benefits and is an effective treatment option for depression and the countless co-morbidity associated to depression.

Scientific Abstract

A Clinical Framework for Treatment of Depressed Women in a Primary Care Setting: Implementing Physical Activity as a Treatment Option Natasha D. Simmons *, Diana Snow **, Princess D. Jackson *** *Metrocare Services Behavioral Health, 3330 S Lancaster Rd., Dallas, Texas 75216, **University of Arlington in Texas, 701 S Nedderman Dr., Arlington, Texas 76019, ***Health Resources and Services Administration Office of Regional Operations/Dallas Regional Division, 1301 Young Street, Dallas, Texas 75202. Abstract The integration and collaboration of behavioral health care and primary care to treat depression is essential to improve quality of care and health outcomes. The U.S. Preventive task force recommends routine screening for depression in adults in primary care settings only if a behavioral health clinician is available to ensure accurate diagnosis, treatment and follow up (Mitchell et al., 2013). Currently there is not a program implemented at the Health Resource Services Administration (HRSA) to address this problem. The evidence -based program Physical Activity in Depressed Women (PAID-W) was developed to serve as a model for incorporating benefits of physical activity at HRSA primary care clinics to improve outcomes in depressed women. Objectives: (a) Describe the components of the PAID-W Program including;, design, budget, staffing, space requirements, physical activity, program process, group sessions, outcome measures, and evaluation process, (b) Discuss how to successfully plan and implement the evidence- based PAID-W Program into HRSA primary care clinics, (c) Discuss the potential outcomes of the PAID-W Program in the treatment of depression in women. Conclusion: A physical activity based intervention program that integrates behavioral health care in the primary care setting has the potential to significantly impact the treatment of depression in women. Keywords: Women, Major Depression Disorder, Physical activity

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A Clinical Framework for Treatment of Depressed Women in a Primary Care Setting:

A Clinical Framework for Treatment of Depressed Women in a Primary Care Setting: Implementing Physical Activity as a Treatment Option Natasha D. Simmons *, Diana Snow **, Princess D. Jackson *** *Metrocare Services Behavioral Health, 3330 S Lancaster Rd., Dallas, Texas 75216, **University of Arlington in Texas, 701 S Nedderman Dr., Arlington, Texas 76019, ***Health Resources and Services Administration Office of Regional Operations/Dallas Regional Division, 1301 Young Street, Dallas, Texas 75202. Abstract The integration and collaboration of behavioral health care and primary care to treat depression is essential to improve quality of care and health outcomes. The U.S. Preventive task force recommends routine screening for depression in adults in primary care settings only if a behavioral health clinician is available to ensure accurate diagnosis, treatment and follow up (Mitchell et al., 2013). Currently there is not a program implemented at the Health Resource Services Administration (HRSA) to address this problem. The evidence -based program Physical Activity in Depressed Women (PAID-W) was developed to serve as a model for incorporating benefits of physical activity at HRSA primary care clinics to improve outcomes in depressed women. Objectives: (a) Describe the components of the PAID-W Program including;, design, budget, staffing, space requirements, physical activity, program process, group sessions, outcome measures, and evaluation process, (b) Discuss how to successfully plan and implement the evidence- based PAID-W Program into HRSA primary care clinics, (c) Discuss the potential outcomes of the PAID-W Program in the treatment of depression in women. Conclusion: A physical activity based intervention program that integrates behavioral health care in the primary care setting has the potential to significantly impact the treatment of depression in women. Keywords: Women, Major Depression Disorder, Physical activity