USPSTF Recommendations for Depression and Anxiety Screenings Across All Ages
Ever since the was created in , the stature and weight of this volunteer group of in the fields of preventive medicine and primary care, including internal medicine, pediatrics, geriatrics, , obstetrics/gynecology, and nursing, has grown significantly. So much so that the created a link between and insurance coverage requirements. And since it’s linked to insurance, it is quite influential in defining the national health policies and public discourse.So long story short, when the USPSTF publishes recommendations, the primary care professionals must pay attention!The Task Force has issued many evidence-based recommendations about preventive services such as screenings, behavioral counseling, and preventive medications. These recommendations are created for primary care professionals by primary care professionals.Today we will focus on 4 broad-based recommendations issued by the Task Force on anxiety, depression, and suicide risk for Adolescent, Pediatric, Adult and Senior population. Since the recommendations created for primary care professionals, it is pragmatic for all mental health therapists, social workers and counselors, to be aware of these. As these recommendations get implemented, they are bound to impact how you practice. If you are really short on time, jump to the last section on how therapists should comply with the USPSTF’s recommendations on depression and anxiety.Unbundling USPSTF’s recommendations on Depression and AnxietyThe first question that comes to mind when you look at the table is the last column about ““. The U.S. Preventive Services Task Force USPSTF assigns one of five letter grades (A, B, C, D, or I) when it issues any recommendations. Since the letters B and I are crucial to understand the recommendations, let me define the Grade B and Grade I here.So as a therapist, one the services recommended in Grade B recommendation without any disclaimers. And services recommended in Grade I with a disclaimer on efficacy.The other grades are not relevant for this blog, but if you are curious about the other Grades, you can explore .Now let’s deep dive into each of the four recommendations one by one.Depression and Suicide Risk in Children and Adolescents: ScreeningRecommendation SummaryClinician Summary and Practice ConsiderationsAnxiety in Children and Adolescents: ScreeningRecommendation SummaryClinician Summary and Practice ConsiderationsDepression and Suicide Risk in Adults: ScreeningRecommendation SummaryClinician Summary and Practice ConsiderationsAnxiety Disorders in Adults: ScreeningRecommendation SummaryClinician Summary and Practice ConsiderationsChecklist for Implementing the USPSTF’s Recommendations on Depression and Anxiety Screening1. Incorporate Assessments and Repeated Measurements using tools like Incorporate Adopt standardized assessments as part of your routine to support both initial screenings and ongoing monitoring. The USPSTF recommends regular screenings to track treatment progress and adjust approaches as necessary.Using PsyPack to Streamline Assessments in line with USPSTF’s recommendationsPsyPack can help you easily incorporate USPSTF’s recommended screening tools in your practice. PsyPack offers preloaded assessments tailored for various age groups and needs, including tools like the PHQ-9, GAD-7, CESD-R, GDS, and EPDS. These assessments, available for adolescents, adults, elders, and specialized groups like pregnant individuals, come with automatic report generation.PsyPack’s Scheduling feature allows you to set recurring assessments at regular intervals, making it easy to track changes over time.PsyPack’s progress tracking feature visualizes scores from various assessments on a single timeline graph, helping you assess treatment impact at a glance.To get started, you can create a free account on PsyPack at .2. Identify and Consider Risk Factors in Intake FormsStay Educated on Risk FactorsDifferent age groups have distinct risk factors that can contribute to depression and anxiety. Understanding these factors—such as family history, trauma, social stressors, and comorbid conditions—enables you to recognize at-risk individuals early on.Incorporate Risk Factors in Intake FormsAdding questions related to risk factors in intake forms helps identify individuals who may benefit from closer monitoring and proactive support.3. Foster Collaborative Care by involving CaregiversInvolve Parents or GuardiansFor pediatric and adolescent clients, collaboration with parents or guardians is crucial. Work together to determine the best treatment plan, ensuring all parties are informed and engaged in the therapeutic process.Encourage Open CommunicationEncourage regular updates and open channels with family members to support children and adolescents effectively.4. Involve GPs and Psychiatrists when medication is involvedRefer to Medical Experts When NecessaryIf medications are required, ensure treatment aligns with the US Food and Drug Administration (USFDA) guidelines. Build partnerships with general practitioners and psychiatrists to ensure a comprehensive approach to care.