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Lost workdays, compromised productivity, accidents from lapses in judgment – whatever the symptom, depression poses a severe threat to industrial progress and financial stability. The tendency of depression to be coupled with other diseases results not only in heightened healthcare costs but also employee absenteeism, lost productivity and presenteeism while on the job. Depression management programs are aiming to address the multi-prong effects of depression through comprehensive care management.

In this special report, "Depression Disease Management: Healthcare's New Frontier," based on a recent audio conference and two in-depth case studies on depression management programs, you'll hear about the broad array of depression disease management programs, ranging from differences in treatment length to pharmaceutical trials to staff roles and patient responsibility.

You'll hear from Mary Beth Chalk, chief operating officer of Resources for Living, Dr. Elaine Mischler, chief medical officer at Wausau Benefits, Dr. Alex Rodriguez, chief medical officer, Magellan Health Services and Dr. Sam Toney, president and chief medical officer of Health Integrated, on disease management for depression, highlighting its merits, drawbacks and challenges.

This 47-page report is based on the May 25, 2005 audio conference "Depression & Disease Management" during which Chalk and Toney described their depression management programs. This report also includes case studies of Wausau Benefits and Magellan Health Services depression programs.

You'll get details on:

• Depression’s effect on the workplace;
• Identifying members for depression, including stratification levels;
• Using communication tools as part of an integrated approach;
• Measuring success through a statistical analysis;
• Managing multiple chronic conditions;
• Removing barriers to depression diagnosis

Table of Contents

• Reason for Reform
  • Identifying Members for Depression
  • Key Program Components
  • Stratification Levels
  • Communication Tools Part of Integrated Approach
  • An Integrated Approach
  • Key Clinical Measures
  • Evaluating Effects
  • Measuring Success: A Statistical Analysis
  • Disease Management Benefits
• Inside Depression Management
  • Measuring Success: A Statistical Analysis
  • Coaching Callers in Crisis
  • Clinical Measures and Methods
  • Program Participation through November 2004
  • Member Utilization through November 2004
  • Case Studies Highlight Complexity
  • Payor Outcomes
  • Outcomes: Productivity Impact on Clinically Distressed
  • Clinical Outcomes through November 2004
  • Program Nets Decline in ER Visits and Hospitalizations
  • Financial Implications
• Making the Case for Depression Disease Management
  • Case Study: Wausau Benefits Emphasizes Education
  • Depression’s Effect on the Workplace
  • Managing Multiple Conditions
  • Case Study: The Mission of Magellan
  • Co-morbid Depression Statistics
  • Removing Barriers to Depression Diagnosis
• Q&A: Ask the Experts
  • Assessing Staff-to-Patient Ratio
  • Getting the Message Across
  • Combining Depression and Anger Management
  • Clarifying Counselors’ Roles
  • Identifying Co-Morbidities
  • Rallying Resistant Members
  • Delivering Direct Care with Disease Management
  • Including the Indigent and Uninsured
  • Implementing Incentives
  • Promoting Awareness Inside & Out
  • Including Non-Clinical Personnel
• Glossary
• For More Information

"Depression Disease Management: Healthcare's New Frontier" is part of HIN's Disease Management Dimensions series. The Disease Management Dimensions provides an inside look at disease management programs to help you get the most of your disease management initiatives.