Abstract

Objective: This paper presents a brief overview of specialized mood disorders centres in North America, shedding light on the type of services it offers and exploring which types of specialized mood disorders service is more efficient. One-time consultation type service, which is the mandate of most specialized mood disorder services in Canada and USA functioning primarily as a consultation clinic in which patients receive an extensive single-visit assessment and recommendations. The other type employed offering short-term follow up. Advantages and disadvantages of each type of services were elaborated. Method: We searched PubMed, PsycINFO, Ovid Medline, Google Scholar, Cochrane Library and Google search for papers addressing organizational aspects of mood disorders services, systematic reviews and research papers comparing different type of specialized mood disorders services published in the past 10 years. The literature on this topic is sparse. Results: The available literature on the organizational aspects of specialized mood disorders services is extremely sparse. Based on the review of existing practices, the one-time consultation should be the standard of care in specialized mood disorders programs. Family medicine supported by collaborative mental health and ACTT would be viable follow-up options for patients with treatment resistant mood disorders. Conclusion: Applying the role of community services, aid moving back to one -time consultation type of mood disorders services, facilitating the access of clients who are most in need of specialized mood disorder programs is fundamental.

Highlights

  • ObjectiveThis paper presents a brief overview of specialized mood disorders centres in North America, shedding light on the type of services it offers and exploring which types of specialized mood disorders service is more efficient

  • It is not uncommon for adults with major depressive disorder (MDD) or bipolar depression to fail achieving remission by complying on indicted pharmacological treatment

  • This paper presents a brief overview of specialized mood disorders centres in North America, shedding light on the type of services it offers and exploring which types of specialized mood disorders service is more efficient

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Summary

Objective

This paper presents a brief overview of specialized mood disorders centres in North America, shedding light on the type of services it offers and exploring which types of specialized mood disorders service is more efficient. Method: We searched PubMed, PsycINFO, Ovid Medline, Google Scholar, Cochrane Library and Google search for papers addressing organizational aspects of mood disorders services, systematic reviews and research papers comparing different type of specialized mood disorders services published in the past 10 years. The literature on this topic is sparse. Conclusion: Applying the role of community services, aid moving back to one -time consultation type of mood disorders services, facilitating the access of clients who are most in need of specialized mood disorder programs is fundamental

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