Phq instruction manual patientcentered primary care collaborative. Physician uses clinical judgment about treatment, based on patients duration of symptoms and functional impairment. Results may be included in patient files to assist you in setting up a treatment goal, determining degree of. The phq 2 is a tool used to screen for depression, while the phq 9 tool is used to detect screen or diagnose depression, measure the severity of symptoms, and measure a patients response to treatment. Of the 9 items, b, c, or d are circled as at least more than half the days. Patient health questionnaire phq9 british columbia. The results of the phq 9 may be used to make a depression diagnosis according to dsmiv criteria and. Guide for interpreting phq9 scores score action 04 the score suggests the patient may not need depression treatment 514 mild major depressive disorder. Results may be included in patient files to assist you in setting up a treatment goal, determining degree of response, as well as guiding treatment intervention. The phq 2 is a tool used to screen for depression, while the phq 9 tool is used to detect screen or diagnose depression, measure the severity of symptoms, and measure a patients response to. Feb 19, 2019 the phq 9 scale is notable in this context because it is freely available and has been validated to detect depression across a wide range of clinical populations including chronic severe diseases such as cancer, diabetes mellitus, rheumatoid arthritis, and stroke. The phq 9 dep 9 in some sources is a 9 question instrument given to patients in a primary care setting to screen for the presence and severity of depression. The phq 9 9 items encompasses dsmiv criteria for major depression, the phq 8 8 items excludes the thoughts of death or suicide item, and the phq 2 2 items assesses depressed mood and anhedonia. Educational materials for patientfamily education discuss critical management concepts.
The phq 2 is a tool used to screen for depression, while the phq 9 tool is used to screen or diagnose depression, measure the severity of symptoms, and measure a patients response to treatment. Using a measurementbased approach to depression care, phq 9 results and side effect evaluation should be combined with treatment algorithms to drive patients toward remission. Phq9 questionnaire for depression scoring and interpretation guide for physician use only scoring. Depression screens used are the geriatric depression scale and the phq 9. Patient completes phq9 quick depression assessment on accompanying tearoff pad.
Phq9 depression scale university of washington aims center. Screening for clinical depression and followup plan. The phq9 is a brief, 9item scale that includes only the depressionrelated items from the phq. Phq9 patient depression questionnaire for initial diagnosis. Administering the patient health questionnaires 2 and 9 phq. Behavioral health screening, assessment, and treatment 2 webpwa000515 scoring and intervention guidelines for using the phq9 with adults phq9 scores and proposed treatment actions for depression in adults phq9 score depression severity proposed treatment recommendation 0 4 noneminimal none. The nine items cover experience of pleasure, feeling down, sleep disruption, energy levels, appetite, feeling a failure, trouble. Refer to the accompanying phq9 scoring box to interpret the total score. Oct 15, 2018 older adults can be screened for depression using an instrument such as the phq 2, phq 9, cornell scale for depression in dementia, or geriatric depression scale. The phq9 has been validated for use in primary care settings and can be. The correlation between the direct promisd score and the crosswalked phq9 was moderately strong at 0.
The phq9 dep9 in some sourcesis a 9question instrument given to patients in a primary care setting to screen for the presence and severity of depression. A fivepoint drop in phq 9 score is considered the minimal clinically significant difference trivedi, 2009. Phq9 questionnaire for depression scoring and interpretation guide. Older adults can be screened for depression using an instrument such as the phq2, phq9, cornell scale for depression in dementia, or geriatric depression scale. Refer to accompanying phq9 scoring card to interpret the total score. The phq9 is the depression module, which scores each of the nine diagnostic criteria for major depression in diagnostic and statistical manual fourth edition as 0 not at all to 3 nearly every day. Phq 9 scoring points from q1 9 are added up for a total score score of 10 or more indicates possible depression scores on the lower end tend to cause less impairment in the individual, so less motivation to fix the issue have handouts that you can discuss on depression it is treatable and not something they must suffer with. Brief description selfadministered 9item instrument based on the nine dsmv criteria listed under criterion a for major depressive disorder.
Results may be included in patients files to assist you in setting up a treatment goal, determining degree of response, as well as. To further evaluate patients with phq 2 scores of 3 or more, administer or have them complete the questionnaire on the next page. Patient health questionnaire9 national institute on drug abuse. Patient health questionnaire phq 9 for depression using phq 9 diagnosis and score for initial treatment selection a depression diagnosis that warrants treatment or treatment change, needs at least one of the first two questions endorsed as positive little pleasure, feeling depressed indicating the. Caregiverfocused health risk assessment may be billed only when a. Nine items, each of which is scored 0 to 3, providing a 0 to 27 severity score. The patient health questionnaire phq9 overview the phq9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. The phq9 9 items encompasses dsmiv criteria for major depression, the phq8 8 items excludes the thoughts of death or suicide item, and the phq2 2 items assesses depressed mood and.
Patient completes phq9 quick depression assessment. Basic coding for integrated behavioral health care. Basic coding for integrated behavioral health care february 2019. Psychometric properties of the phq9 depression scale in. The patient health questionnaire9 phq9 instructions. Instruction manual instructions for patient health. Patient health questionnaire phq9 for depression using phq9 diagnosis and score for initial treatment selection a depression diagnosis that warrants treatment or treatment. Adapted from the patient health questionnaire9 phq9. Of the 9 items, 5 or more are checked as at least more than half the days.
Provider update billing guidelines for developmental and. Patient education toolsother resources suicide prevention. Patient education toolsother resources this section contains a list of additional tools to educate providers and help increase awareness in patients, families, and communities about suicide. Administering the patient health questionnaires 2 and 9. Phq9 nine symptom checklist university of washington. The patient health questionnaire 9 phq 9 instructions. May 16, 2010 patient completes phq 9 quick depression assessment on accompanying tearoff pad. Also, alternative or abbreviated versions of the phq 9 and gad7 are sometimes used in certain screening or research settings 1014. The percentage of adolescent patients 12 to 17 years of age and adult patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed phq9 during each applicable 4. Results may be included in patient files to assist you in setting up a treatment goal, determining. Depression screens used are the geriatric depression scale and the phq9. Establishing a common metric for depressive symptoms. Patient health questionnaire phq9 nzgp web directory. Results may be included in patients files to assist you in setting up a treatment goal, determining degree of response, as well as guiding treatment intervention.
Click on the title of an individual tool for a short description and download options. The patient health questionnaire phq9 overview cqaimh. Depression screening by a nineitem patient health questionnaire phq9 in adults. Of the 9 items, 5 or more are circled as at least more than half the days either item 1a or 1b is positive, that is, at least more than half the days scoring method for diagnosis minor depressive syndrome is suggested if. The nine items of the phq 9 are based directly on the nine diagnostic criteria for major depressive. The instrument aids in guiding criteria based diagnosis of depressive symptoms, can assist in identifying treatment goals, determining severity of symptoms, as well as. The phq 9 is the nine item depression scale of the patient health questionnaire. Phq 9 questionnaire for depression scoring and interpretation guide for physician use only scoring. Of the 9 items, 5 or more are circled as at least more than half the days either item 1a or 1b is positive, that is, at least more than half the days scoring method for diagnosis minor depressive. Severity measure for depression, adultpatient health.
It is the 9 question depression scale from the patient health questionnaire phq. Over the last two weeks, how often have you been bothered by any of the following problems. Using a measurementbased approach to depression care, phq9 results and side effect evaluation should be combined with treatment algorithms to drive patients toward remission. Behavioral health screening, assessment, and treatment 2 webpwa000515 scoring and intervention guidelines for using the phq9 with adults phq9 scores and proposed treatment actions for. Providers may prescreen with patient health questionnaire2 phq 2 to determine if a longer standardized screening tool is needed. Phq9 scoring points from q19 are added up for a total score score of 10 or more indicates possible depression scores on the lower end tend to cause less impairment in the individual, so less motivation. The public awareness materials include items that may be ordered for posting in your clinic as well as items that may be disseminated to patients and. Providers may prescreen with patient health questionnaire2 phq2 to determine if a longer standardized screening. To further evaluate patients with phq2 scores of 3 or more, administer or have them complete the questionnaire on the next page.