Depressed man with couch stock photo
Resources

NCC change package (updated June 2023): click here

If you are having difficulty doing depression screening with your ESRD patients, here are 3 websites you could use. The Multicultural Mental Health Resource Centre, the Minnesota Department of Health, and The National Council below have translated the PHQ-9 in several different languages.  Please check out the websites below and see if you find them helpful:

https://multiculturalmentalhealth.ca/clinical-tools/screening-for-common-mental-disorders/ 

https://www.health.state.mn.us/docs/people/womeninfants/pmad/phq_kar.pdf 

https://www.thenationalcouncil.org/wp-content/uploads/2021/04/Hmong-_PHQ9.pdf 

Depression Resources for Dialysis Providers

Substance Abuse and Mental Health Services Administration:  https://www.samhsa.gov/find-help/national-helpline

https://www.kidney.org/newsletter/it-%E2%80%9Ckidney-blues%E2%80%9D-or-depression

https://www.pcori.org/evidence-updates/treating-depression-when-youre-on-dialysis

Dialysis Social Workers Resources developed in partnership with Network 5: Quick bits and Huddle Sheet

Depression and Suicide Flowchart adapted from the Ottawa Depression Algorithm. A decision tree to help renal social workers in possible next steps if patient has screened positive for depression.

PHQ Depression screening is required by CMS so social workers should be using a depression screening tool. The GAD-7 screens for anxiety. Anxiety and depression are often seen simultaneously so I have attached both for your review. If the patient screens with high scores on either or both screening tools, then the attached Depression and Suicide Screen Flow Chart is a tool that can be used for possible next steps.

Safety Planning Intervention: can be used as a step-by-step guide for the patient interaction processes once the mental health need has been determined.

Safety Plan Document

SAFE-T-Protocol

Stanley-Brown-Safety-Plan

Please do not send patient-specific data (name, SSN, DOB, etc.) to Midwest Kidney Network via email as this is a CMS Security Violation and will be reported as such. You may only use the EQRS ID/UPI # when referencing a patient via email message to Midwest Kidney Network.