{"id":1527,"date":"2015-06-28T01:50:37","date_gmt":"2015-06-28T01:50:37","guid":{"rendered":"https:\/\/treatmentmaps.net\/?page_id=1527"},"modified":"2015-08-02T15:21:40","modified_gmt":"2015-08-02T15:21:40","slug":"depression-section-10","status":"publish","type":"page","link":"https:\/\/treatmentmaps.net\/?page_id=1527","title":{"rendered":"Depression Section 10"},"content":{"rendered":"<div style=\"overflow: auto; width: 482px; height: 720px; float: left;\">\n<div style=\"height: 720px;\"><a id=\"depressionmap1a\"><\/a><strong>DEPRESSION AND GRIEF MAPS:<\/strong> <a title=\"Depression Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=443\">1A<\/a> | <a title=\"Depression Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=445\">1B<\/a> | <a title=\"Depression Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=447\">2<\/a> | <a title=\"Depression Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=451\">3<\/a> | <a title=\"Depression Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=453\">4<\/a> | <a title=\"Depression Map 5\" href=\"https:\/\/treatmentmaps.net\/?page_id=455\">5<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1812\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr1Aa.jpg\" alt=\"depr1Aa\" width=\"448\" height=\"567\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr1Aa.jpg 448w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr1Aa-237x300.jpg 237w\" sizes=\"auto, (max-width: 448px) 100vw, 448px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1507\/#depressionmap1a\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1509\/#depressionmap1a\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1523\/#depressionmap1a\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1553\/#depressionmap1a\">23<\/a><\/div>\n<div style=\"height: 720px;\"><a id=\"depressionmap1b\"><\/a><strong>DEPRESSION AND GRIEF MAPS:<\/strong> <a title=\"Depression Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=443\">1A<\/a> | <a title=\"Depression Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=445\">1B<\/a> | <a title=\"Depression Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=447\">2<\/a> | <a title=\"Depression Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=451\">3<\/a> | <a title=\"Depression Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=453\">4<\/a> | <a title=\"Depression Map 5\" href=\"https:\/\/treatmentmaps.net\/?page_id=455\">5<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1814\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr1B.jpg\" alt=\"depr1B\" width=\"448\" height=\"556\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr1B.jpg 448w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr1B-242x300.jpg 242w\" sizes=\"auto, (max-width: 448px) 100vw, 448px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1511\/#depressionmap1b\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1513\/#depressionmap1b\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1523\/#depressionmap1b\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1525\/#depressionmap1b\">9<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1527\/#depressionmap1b\">10<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1529\/#depressionmap1b\">11<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1531\/#depressionmap1b\">12<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1533\/#depressionmap1b\">13<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1535\/#depressionmap1b\">14<\/a><\/div>\n<div style=\"height: 720px;\"><a id=\"depressionmap2\"><\/a><strong>DEPRESSION AND GRIEF MAPS:<\/strong> <a title=\"Depression Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=443\">1A<\/a> | <a title=\"Depression Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=445\">1B<\/a> | <a title=\"Depression Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=447\">2<\/a> | <a title=\"Depression Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=451\">3<\/a> | <a title=\"Depression Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=453\">4<\/a> | <a title=\"Depression Map 5\" href=\"https:\/\/treatmentmaps.net\/?page_id=455\">5<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1817\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr2a.jpg\" alt=\"depr2a\" width=\"442\" height=\"642\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr2a.jpg 442w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr2a-207x300.jpg 207w\" sizes=\"auto, (max-width: 442px) 100vw, 442px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1516\/#depressionmap2\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1523\/#depressionmap2\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1539\/#depressionmap2\">16<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1545\/#depressionmap2\">19<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1549\/#depressionmap2\">21<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1551\/#depressionmap2\">22<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1555\/#depressionmap2\">24<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1557\/#depressionmap2\">25<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1586\/#depressionmap2\">39<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1596\/#depressionmap2\">44<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1602\/#depressionmap2\">46<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1605\/#depressionmap2\">47<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1607\/#depressionmap2\">48<\/a><\/div>\n<div style=\"height: 720px;\"><a id=\"depressionmap3\"><\/a><strong>DEPRESSION AND GRIEF MAPS:<\/strong> <a title=\"Depression Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=443\">1A<\/a> | <a title=\"Depression Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=445\">1B<\/a> | <a title=\"Depression Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=447\">2<\/a> | <a title=\"Depression Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=451\">3<\/a> | <a title=\"Depression Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=453\">4<\/a> | <a title=\"Depression Map 5\" href=\"https:\/\/treatmentmaps.net\/?page_id=455\">5<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1820\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr3.jpg\" alt=\"depr3\" width=\"442\" height=\"636\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr3.jpg 442w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr3-208x300.jpg 208w\" sizes=\"auto, (max-width: 442px) 100vw, 442px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1523\/#depressionmap3\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1563\/#depressionmap3\">28<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1565\/#depressionmap3\">29<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1567\/#depressionmap3\">30<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1571\/#depressionmap3\">32<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1573\/#depressionmap3\">33<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1575\/#depressionmap3\">34<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1577\/#depressionmap3\">35<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1579\/#depressionmap3\">36<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1581\/#depressionmap3\">37<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1586\/#depressionmap3\">39<\/a><\/div>\n<div style=\"height: 720px;\"><a id=\"depressionmap4\"><\/a><strong>DEPRESSION AND GRIEF MAPS:<\/strong> <a title=\"Depression Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=443\">1A<\/a> | <a title=\"Depression Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=445\">1B<\/a> | <a title=\"Depression Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=447\">2<\/a> | <a title=\"Depression Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=451\">3<\/a> | <a title=\"Depression Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=453\">4<\/a> | <a title=\"Depression Map 5\" href=\"https:\/\/treatmentmaps.net\/?page_id=455\">5<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1822\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr4.jpg\" alt=\"depr4\" width=\"450\" height=\"453\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr4.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr4-150x150.jpg 150w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr4-298x300.jpg 298w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1523\/#depressionmap4\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1569\/#depressionmap4\">31<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1584\/#depressionmap4\">38<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1586\/#depressionmap4\">39<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1588\/#depressionmap4\">40<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1590\/#depressionmap4\">41<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1592\/#depressionmap4\">42<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1594\/#depressionmap4\">43<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1598\/#depressionmap4\">45<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1602\/#depressionmap4\">46<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1605\/#depressionmap4\">47<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1609\/#depressionmap4\">49<\/a><\/div>\n<div style=\"height: 720px;\"><a id=\"depressionmap5\"><\/a><strong>DEPRESSION AND GRIEF MAPS:<\/strong> <a title=\"Depression Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=443\">1A<\/a> | <a title=\"Depression Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=445\">1B<\/a> | <a title=\"Depression Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=447\">2<\/a> | <a title=\"Depression Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=451\">3<\/a> | <a title=\"Depression Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=453\">4<\/a> | <a title=\"Depression Map 5\" href=\"https:\/\/treatmentmaps.net\/?page_id=455\">5<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1825\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr5.jpg\" alt=\"depr5\" width=\"448\" height=\"453\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr5.jpg 448w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr5-297x300.jpg 297w\" sizes=\"auto, (max-width: 448px) 100vw, 448px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1518\/#depressionmap5\">6<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1521\/#depressionmap5\">7<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1523\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1602\/#depressionmap5\">46<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1611\/#depressionmap5\">50<\/a><\/div>\n<\/div>\n<div style=\"overflow: auto; width: 458px; height: 720px; float: right;\">\n<strong>10. LEVEL OF CARE DECISION<\/strong><\/p>\n<ul>\n<em>Follows <a title=\"Depression Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=1525\/#depressionmap1b\">Section 9<\/a> on Map 1B.<br \/>\n<\/em><\/ul>\n<p>This decision is also included in two sections on New Patient Map 2: <a title=\"New Patient Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=1265\/#newpatientmap2\">Section 13: Evaluating Risks<\/a> and <a title=\"New Patient Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=1265\/#newpatientmap2\">Section 14: Level of Care Decision<\/a><br \/>\nIf you have just linked from that map, it may seem soon to reconsider the issue.<\/p>\n<p>However, with a depressed patient, both the dangers and the choices tend to be more specific than with many other patients. And the risks may also be greater.<\/p>\n<p><strong>10a. Risks with a Depressed Patient<\/strong><\/p>\n<p>As always, our primary basis of choosing level of care is the physical safety of the patient and others close to the patient.<\/p>\n<ul>\n<li>for a moderately depressed person, physical safety often refers primarily to the neglecting of things that are important for his\/her own health or safety or the health or safety of others.<\/li>\n<li>in some cases, where the person covers over depression with anger and acting out behaviors, there is a chance of outwardly directed aggression.<\/li>\n<li>for a severely depressed person, you may also need to be concerned about suicide, and in some cases, violence followed by suicide<\/li>\n<\/ul>\n<p>A second level of concern is about the person failing to do other things necessary for self-maintenance and daily living:<\/p>\n<ul>\n<li>meeting responsibilities for work or child care.<\/li>\n<li>doing other tasks of daily life: bathing, eating the right foods, throwing out garbage, etc.<\/li>\n<li>getting to therapy sessions.<\/li>\n<\/ul>\n<p><strong>10b. Level of Care Options for a Depressed Patient<\/strong><\/p>\n<p>As in the more general case, our management options include&#8230;<\/p>\n<ul>\n<li>hospitalization.<\/li>\n<li>day care of some kind.<\/li>\n<li>outpatient psychotherapy.<\/li>\n<\/ul>\n<p>Choice among the options is determined, to a great extent, on the patient&#8217;s level of need. Need may be classified:<\/p>\n<ul>\n<li><u>emergency<\/u>, when the patient is at such risk that he\/she can&#8217;t be trusted to survive without substantial care. Immediate hospitalization is essential.<\/li>\n<li><u>very serious<\/u>, when hospitalization is needed to stabilize the patient or constant supervision is needed in order to avoid self destructive behavior. A person could also need constant supervision or removal from daily life if it seems that a slight increase in stress could precipitate a self destructive episode.<\/li>\n<li><u>substantial<\/u>, day care or daily attention is needed to give an adequate amount of treatment and help avoid self-destructive behavior<\/li>\n<li><u>less urgent<\/u>, if the patient can reasonably be treated by outpatient psychotherapy. Most patients tend to fall in this category.<\/li>\n<\/ul>\n<p><strong>10c. Other Issues in Selecting a Level of Care<\/strong><\/p>\n<ul>\n<li>\u2015mental status<\/li>\n<li>\u2015amount of available support<\/li>\n<li>\u2015need to detox<\/li>\n<li>\u2015principle of minimal effective interventions<\/li>\n<li>\u2015assessment of patient strengths<\/li>\n<li>\u2015cost and insurance issues<\/li>\n<\/ul>\n<\/div>\n<div style=\"overflow: auto; width: 458px; float: right;\"><div class=\"divider\" style=\"margin-bottom:10px;border-bottom-width:1px\"><\/div>\n<a href=\"http:\/\/www.treatmentmaps.com\/topics\/depression\/\" target=\"_blank\"><strong>CLICK HERE TO MAKE COMMENTS OR SUGGESTIONS<\/strong><\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>DEPRESSION AND GRIEF MAPS: 1A | 1B | 2 | 3 | 4 | 5 SECTIONS: 1 | 2 | 8 | 23 DEPRESSION AND GRIEF MAPS: 1A | 1B | 2 | 3 | 4 | 5 SECTIONS: 3 | 4 | 8 | 9 | 10 | 11 | 12 | 13 | &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":631,"menu_order":10,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1527","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1527","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1527"}],"version-history":[{"count":7,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1527\/revisions"}],"predecessor-version":[{"id":2216,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1527\/revisions\/2216"}],"up":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/631"}],"wp:attachment":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1527"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}