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Managing Mental Health Conditions in Primary Care Settings
Authors:Barbara Hackley CNM  MSN  Chanchal Sharma PsyD  Angela Kedzior MD  Shared Sreenivasan LMSW
Affiliation:1. Barbara Hackley, CNM, MSN, is an Associate Professor at Yale University School of Nursing, Nurse‐Midwifery Specialty. She earned her master's degree from Columbia University School of Nursing and is currently in clinical practice at Montefiore South Bronx Health Center, Bronx, NY.;2. Chanchal Sharma, PsyD, is currently a licensed child psychologist at Montefiore South Bronx Health Center, Bronx, NY, and an adjunct professor in the Department of Psychology at Pace University, New York, NY. Dr. Sharma earned her doctorate in child/adolescent clinical psychology from Pace University, her master's in clinical psychology from the Teachers College at Columbia University, and her master's in education in school psychology from Pace University.;3. Angela Kedzior, MD, is a graduate of Columbia University College of Physicians and Surgeons and completed her residency in psychiatry at the Payne Whitney Clinic of New York Hospital/Cornell Medical Center, New York, NY. She has worked in emergency psychiatry, directed a mobile crisis unit, and now is a general psychiatrist at the New York Children's Health Project. She is also an Assistant Professor of Psychiatry at the Albert Einstein School of Medicine.;4. Sharad Sreenivasan, LMSW, is a graduate of the Columbia University School of Social Work. For the last 7 years, he has been at the Montefiore South Bronx Health Center, Bronx, NY, where he currently directs their mental health and social services.
Abstract:Depression is one of the most commonly encountered conditions in women's health, but many providers lack the knowledge and skills needed to identify and manage depression in primary care settings. This article discusses strategies that can improve the identification and treatment of depression. In addition, it describes how these strategies were incorporated into an urban inner‐city health center. These strategies used in this setting can be adapted for use in either comprehensive health care centers or in practices providing primarily obstetric and gynecologic services.
Keywords:depression  screening  treatment
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