Laura Zacharin - U of T Health Service
Sandra Yuen - University of Toronto, Health & Wellness
Andrea Levinson - The University of Toronto
David Lowe - University of Toronto Health and Wellness
Background: The prevalence of depression is highest among youth, capturing the majority of post-secondary students1. At the University of Toronto, we adapted and implemented an evidence- based2, 3 Integrated Care Pathway (ICP) for the treatment of depression in a university health centre. Although used in other areas of medicine, ICPs are still rare in mental health. Methods: We adopted an interdisciplinary approach to designing the pathway, through a series of focus groups and educational sessions. The ICP incorporates evidence-based pharmacological and psychotherapeutic approaches delivered in a coordinated fashion. Measurement-based care is included in the ICP (PHQ-9 & GAD-7 scales) as reliable and valid measures to inform treatment. Findings: Students have been admitted to this pilot ICP since November 2019. Providers have shared positive accounts of the value of an ICP in the clinic setting. Conclusion: An ICP offers a feasible framework for the treatment of depression, while incorporating measurement-based care. 1.Findlay. 2019. Statistics Canada. 2.Kennedy et al. 2016. Can J Psychiatry. 3.CAMH MDD ICP, 2018.