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CA Medicaid Referred for Phone Protocol PATIENT HEALTH QUESTIONNAIRE (PHQ9) + 3 Nine Symptom Checklist for Depression Screening Name: DOB: Medicaid #: Practice #: Provider: Diagnosis/ICD9 Code: Date
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How to fill out phq-9 screening and diagnosis:

01
Begin by reviewing the individual questions included in the PHQ-9 screening tool. There are a total of nine questions, each focused on assessing the severity of depressive symptoms.
02
For each question, the patient is required to rate their experiences over the past two weeks on a scale of 0 to 3, with 0 indicating "not at all" and 3 indicating "nearly every day".
03
Encourage the patient to answer honestly and to the best of their abilities, as this will help in accurately assessing their level of depression.
04
Once all the questions have been answered, calculate the total score by adding up the values assigned to each question. The total score can range from 0 to 27.
05
Different total score ranges signify varying levels of depression severity. These ranges typically include:
5.1
0 to 4: Minimal to no depressive symptoms
5.2
5 to 9: Mild depression
5.3
10 to 14: Moderate depression
5.4
15 to 19: Moderately severe depression
5.5
20 to 27: Severe depression
06
The results of the PHQ-9 screening can assist healthcare professionals in determining the appropriate course of action, such as additional assessments, treatment plans, or referrals to mental health specialists.

Who needs PHQ-9 screening and diagnosis:

01
Individuals displaying symptoms of depression: The PHQ-9 screening tool is commonly used to evaluate individuals who are experiencing depressive symptoms. It helps in assessing the severity of their symptoms, diagnosing depression, and determining the most suitable treatment approach.
02
Patients seeking mental health support: People who are actively seeking mental health support can benefit from the PHQ-9 screening and diagnosis. It provides valuable insights and aids healthcare professionals in developing personalized treatment plans.
03
Healthcare professionals and clinicians: PHQ-9 screening and diagnosis are essential tools for healthcare professionals and clinicians involved in mental health care. By administering this screening tool, they can identify and diagnose depressive symptoms accurately, monitor progress, and adjust treatment plans as necessary.
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PHQ-9 screening and diagnosis is a standardized tool used to assess depression by evaluating nine specific criteria over the past two weeks.
Healthcare providers such as doctors, nurses, and therapists may be required to administer and document PHQ-9 screenings.
Patients can fill out the PHQ-9 questionnaire by rating how often they have experienced each symptom listed over the past two weeks.
The purpose of PHQ-9 screening is to identify and diagnose depression in patients so that appropriate treatment and support can be provided.
The PHQ-9 screening tool requires patients to provide information about their mood, energy level, sleep patterns, appetite changes, and other symptoms related to depression.
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