Module 2 - Challenges in the Primary Care of Depression: A Patient Huddle Activity

Challenges in the Primary Care of Depression: A Patient Huddle Activity

Activity Details
  • Credit Amounts:
    • CME: 0.50
    • Other: 0.50
    • ANCC: 0.50
    • ASWB: 0.50
  • Cost: Free
  • Release: Nov 21, 2019
  • Expires: Nov 20, 2021
  • Estimated Time to Complete:
    30 Minutes
  • System Requirements:
  • Average User Rating:
    ( Ratings)


Caroline Barnhart Caroline Barnhart, MSS, LCSW
Director of Behavioral Health
Penn Medicine
Lancaster General Health
Lancaster, Pennsylvania

James D.  Hawthorne III James D. Hawthorne III, MD
Medical Director, Adult Inpatient Unit
UK Good Samaritan Hopsital
Assistant Professor, Psychiatry
University of Kentucky College of Medicine
Lexington, Kentucky

Needs Statement

Major depressive disorder (MDD) is common and costly. Because half of all patients with MDD are diagnosed and managed in the primary care setting, primary care clinicians play a central role in improving care for people with this disabling condition. In fact, the US Preventive Services Task Force (USPSTF) now recommends routine screening for depression in all adult primary care patients, when support is in place to ensure accurate diagnosis and effective treatment and follow up.

To support busy primary care practices, this activity reviews the use of evidence-based methods to facilitate the efficient detection and management of MDD. Using a case-based “patient huddle” format, experts in the management of depression discuss common challenges faced by clinicians. In this activity, we will review:

  • Integrating the Patient Health Questionnaire-9 (PHQ-9) into the electronic health record (EHR) and the corresponding patient app
  • Managing side effects and nonresponse to initial antidepressant therapy
  • Recognizing challenging patients and working with specialists
  • Employing a collaborative care model for depression

Target Audience

This activity is intended for health care professionals and social workers involved with the management or treatment of patients with major depressive disorder (MDD).


Upon completion of this activity, participants will be able to:

  • Identify patients whose MDD is not diagnosed or whose MDD is not being adequately treated in the primary care setting.
  • Create a comprehensive plan to work with patients in managing their MDD.
  • Evaluate specific patient cases to determine when mental health consult is necessary.
  • Design a collaborative plan to work with specialists in managing patients with complicated or difficult-to-treat MDD.
  • Integrate measurement-based tools available in the EHR into the management of patients with MDD. 


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Kentucky College of Medicine, and DKBmed. The University of Kentucky College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Kentucky College of Medicine designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

ACGME Competencies - 
Medical knowledge

ABIM MOC Recognition Statement

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.50 MOC point in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

 Joint Accreditation

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and the University of Kentucky. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The maximum number of hours awarded for this Continuing Nursing Education activity is 0.50 contact hour.


As a Jointly Accredited Organization, Postgraduate Institute for Medicine is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Postgraduate Institute for Medicine maintains responsibility for this course.

Social workers completing this course receive 0.50 clinical continuing education credits.

UK Healthcare CECentral certifies this activity for 0.50 hour of participation.

Faculty Disclosure

No speakers, authors, planners or content reviewers have any relevant financial relationships to disclose.

The material presented in this course represents information obtained from the scientific literature as well as the clinical experiences of the speakers. In some cases, the presentations might include discussion of investigational agents and/or off-label indications for various agents used in clinical practice. Speakers will inform the audience when they are discussing investigational and/or off-label uses.

Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.


The program is jointly provided by the University of Kentucky College of Medicine and DKBmed in collaboration with Postgraduate Institute for Medicine.

This activity is supported by an independent educational grant from Takeda Pharmaceuticals North America, Inc. and Otsuka America Pharmaceutical, Inc.

CE Content Concerns


Concerns or complaints related to ACPE or ACCME standards may be submitted in writing to the Director of UK HealthCare CECentral by fax to 859-323-2920, or by mail to 2365 Harrodsburg Road, Ste B475, Lexington, KY 40504


  • The Director or his/her designee will review, investigate, forward and/or respond to complaints and will put forth a best effort to adjudicate the issue(s), along with CECentral staff members, within two (2) weeks of receipt of the grievance or complaint.
  • If needed, concerns, complaints, or grievances will be brought before the UK HealthCare CECentral Advisory Board.
  • Issues regarding activity content also will be reviewed and addressed by the Activity Director.
  • A written decision will be issued in a timely manner by the Director of UK HealthCare CECentral or his/herdesignee.
  • Grievances will be considered when planning future activities.

Appeal Procedure

  • Persons who wish to appeal a decision should address the appeal by email, fax or in writing to the Director of UK HealthCare CECentral within two (2) weeks of receipt of the response.
  • The Director will bring the appeal to the UK HealthCare CECentral Advisory Board.
  • The results of the appeal will be sent to the participant no later than two (2) weeks following the meeting of the board.