Preview Mode Links will not work in preview mode

MMOA (Modern Management of the Older Adult) helps rehab & fitness pros get results with older adults. Brought to you by the Institute of Clinical Excellence, tune in to hear pertinent geriatric discussions, relevant research, & treatment ideas. Good for Physical Therapists, Occupational Therapists, Assistants, Students, New Grads, Seasoned Veterans, Geriatricians, & Fitness Professionals. Find out more at

Jun 22, 2017

SHORTS: Depression in Older Adults - Screening and Referral #YouCouldSaveALife

Vieira E, Brown E, Raue P. Depression in Older Adults: Screening and Referral. Journal of Geriatric Physical Therapy, 2014;37(1), 24-30.

PHQ-2 Tips:

Link to PHQ-2:

Patients with a PHQ-2 score of 2 or 3 (depending on the patient population) should be referred for further evaluation.

Scoring involves adding the results from the two items. The PHQ-2 with a cutoff score of 3 has 87% sensitivity and 78% specificity for depression

The following suggested information content, organizational format, and example come from “Nuts and Bolts: Organization for Depression Case Presentation”

  • Identify yourself, your place or employment and your relationship with the patient
  • Identify Patient: I am calling you about your patient Mr./Ms. __________whom I suspect has depression.
  • Age, Marital Status, Race, Gender
  • Current Symptoms (duration, pervasiveness)
  • Suicidal Ideation
  • Psychiatric History (if any)
  • Psychosocial (living situation, social support, stressors)
  • Medical illness and medications (dose for psycho-tropics)
  • Recommendation for further evaluation by physician or Mental Health (MH) specialist.

Assessment and management of depression in older adults can be conceptualized in the following 4 steps:  

Step 1: Accurate depression recognition and screening is needed. But assessment is only the FIRST step in caring for depression   

Step 2: Depression-related information needs to be conveyed to the patient’s physician or mental health specialist for further evaluation

Step 3: Depression treatment needs to be initiated or adjusted as indicated   

Step 4: Ongoing monitoring of symptoms


Questions or comments? Find me here:

Twitter: @jdaniels_DPT

Facebook: Joe Daniels




If you like what you hear, consider Joining the Senior Rehab Project to get access to:

  • Monthly Mastermind Meetup
  • Newsletter
  • Private FB Group

Go to


*This podcast is sponsored by GREAT Seminars And Books. As a fan of SRP, YOU can get $25 off by using promo code: SRP25 at