At 08:23 AM 8/18/98 +0100, you wrote:
>In the Somerset Morbidity Project, we have agreed to use codes that were
>added 1-2 years ago. They are:
>[X] Mild depression
>[X] Moderate depression
>[X] Severe depression without psychosis
>[X] Severe depression with psychosis
>
>We have agree to use mild for people managed only in primary care,
>moderate for those referred to non psychiatrist care, and severe for
>those referred to the psychiatrist.
>
Is the problem with this approach that it defines severity according to
doctor action rather than looking for different doctor behaviour for those
with similar degrees of depression?
In a recent discussion elsewhere I suggested
Mild depression - Depressed but able to work / function normally
Moderate depression - Depressed in community but unable to work / function
normally
Severe depression - GP believes in-patient care to be appropriate (whether
or not provided / available)
Does anyone see any particular problems with this approach (not yet in use)
JB
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