Developing a Treatment-Resistant Depression Consultation Program, Part I

• DOI: 10.4088/jcp.24cs15335
• Publication Date: 2025-04-28T14:59:42Z
• Authors: Vitaliy L. Voytenko; Susan K. Conroy; Anna R. Docherty; Diana K. Burnett; Joao Quevedo; Michael J. Flood; Patricio Riva Posse; Subhdeep Virk; Jesse H. Wright; William V. Bobo; Jay C. Fournier; Sagar V. Parikh
• Keywords: Depression; Treatment-Resistant Depression

Objective: To provide recommendations for creating and sustaining a treatment-resistant depression (TRD) consultation program at an academic health center. This is complementary manuscript to Part II, which discusses critical elements of the assessment package such subspecialized consultations. Participants: Participants were working group 12 clinicians, researchers, administrators, patient advocates from National Network Depression Centers (NNDC) TRD Task Group. Evidence: The are based on expert opinion. programs can offer individualized treatment roadmap be implemented by their providers with goal maximizing likelihood response or full remission symptoms. However, there currently no published work addressing practical logistical considerations establishing programs. consensus statement puts forth set that could serve as basis future empirical work. Consensus Process: Members provided written descriptions relevant procedures used institutions, during day-long in-person forum achieve each major aspect program. Subgroups formed draft recommendations, points disagreement resolved subsequent meetings group. Conclusions: We describe key considerations, including systems-level financial issues; equity access care diverse population; selecting target population facilitating referral process; product consultation; communication between program, patient, community providers; postconsultation contact.