Major depression is an important complication of cancer. However, it is frequently inadequately treated. There are challenges both in identifying which cancer patients are depressed, and in ensuring that these patients receive effective treatment for their depression. Integration of depression management into cancer care has been advocated as a way to address these challenges. Such integrated approaches must include both the systematic identification of cases and the delivery of treatment. We describe here a system of depression care that includes both a screening programme to identify patients with depression and a linked treatment programme, based on the collaborative care model, called 'Depression Care for People with Cancer' (DCPC). The system of care was designed to be fully integrated with specialist cancer services and has been robustly evaluated in randomized trials. We describe how the system operates and explain why it is designed as it is. We also summarize the evidence for its effectiveness and cost-effectiveness and discuss its implementation in routine clinical practice.

Original publication

DOI

10.3109/09540261.2014.981512

Type

Journal article

Journal

Int Rev Psychiatry

Publication Date

12/2014

Volume

26

Pages

657 - 668

Keywords

Comorbidity, Delivery of Health Care, Integrated, Depressive Disorder, Major, Disease Management, Humans, Neoplasms