Supported Self-Management: A Simple, Effective Way to Improve Depression Care

Abstract

Objectives:To introduce supported self-management (SSM) for depression, examine it through the use of a quality assessment framework, and show its potential for enhancing the Canadian health care system. Method: SSM is examined in terms of quality criteria: relevance, effectiveness, appropriateness, efficiency, safety, acceptability, and sustainability. Critical research is highlighted, and a case study is presented to illustrate the use of SSM with depressed patients.

Phase II trial of a depression self-care intervention for adult cancer survivors

“…Depression self-care interventions are based on principles of cognitive-behavioural therapy (CBT) (Bandura, 2004); they aim to reduce depressive symptoms by teaching knowledge and coping skills for effective management of mood problems-behavioural activation, cognitive restructuring and problem-solving (Bilsker, Goldner, & Anderson, 2012). The use of self-care interventions follows Canadian guidelines for psychosocial supportive care for cancer survivors which recommend supporting the active engagement of survivors in self-management (Howell et al, 2011).…”

Yoga for Chronic Depressive Symptoms in Pregnancy: A Commentary and Call to Action

“…However, individuals with depressive symptoms have reduced self-regulation and self-efficacy related to PA and report great difficulty following-through with PA behaviors [47,48]. Negative perseverative self-talk (ruminations), a hallmark symptom of depression in women, can lead to further Yoga for depression in pregnancy 5 reductions in PA and reinforce already low levels [49,50]. This is problematic because a depression-related sedentary lifestyle during pregnancy is associated with continued depressive symptoms, risk for poor pregnancy outcomes, and additional chronic illness [51].…”

Random but Controlled Thoughts on Mental Health Epidemiology and Services Research

“…I became particularly interested in relatively simple solutions that could enhance the quality of care and support received by people with mental disorders. These included low-cost but effective ways to enhance primary health care services 23,24 and workplaces 25 to become more effective and efficient at recognizing, treating, and supporting people with mental disorders.…”