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Anxiety, Phobias & Panic Disorders - 2013 Edition
Apollo Managed Care, Inc., January 2013, Pages: 83
The diagnosis, evaluation and management (non-pharmaceutical and pharmaceutical) of this common cluster (includes PTSD and OCD guidelines) of disabling disorders are supported by references, web links, screening tools, other resources.
Each guideline must be reviewed by the medical policy committee of the HMO or contracted/delegated medical group or other providers and modified and adapted as appropriate. It is strongly recommended that all applicable documents that will be used to manage medical care in the organization be sent to affected providers for review and comment prior to implementation. This will always promote an understanding of the guideline, avoid compliance issues, and frequently improve the document by the added input.
Cost effective health care is quality driven (true quality, that is; not excessive care) and attention must always be focused on the issues that will result in optimal medical/surgical outcomes in the specific local medical environment. Guideline compliance remains a major issue. Neither CQI teams nor academic detailing have proven to be particularly effective.
Once adopted, all policies, procedures, guidelines, protocols, benefit interpretations, review criteria, pathways and the like should be reviewed annually, or in some cases even more frequently, as clinically significant changes occur due to new technology, medications or practices entering the medical mainstream. The sources of the information in a guideline, whenever possible, should be included as a reference or footnote.
Use clear and unambiguous language in a stated policy or procedure. Avoid any implications of guaranteed clinical results or outcomes as a result of following a particular guideline. All policies, procedures, guidelines and similar criteria should be followed consistently and be in writing.
If the distribution of the guideline is not followed by feedback and reinforcement, compliance will be minimal.
When using this manual, it should be noted that the policies/guidelines are all subject to contractual limitations and changes that occur periodically based on objective studies in the medical literature, recommendations by national bodies such as the AMA, ACP or Medicare and/or other objective sources of new information.
Guidelines are a roadmap with options for the route to be traveled, not a standard of care.
To assure an organized process for the compilation, approval and distribution of medical policy and related information, all policies or guidelines proposed for use by any physician or medical organization should be submitted to the Medical Director or Vice President, Medical Services for detailed review, circulation to others in the organization and specific approval prior to implementation.
- Disease State Management Strategies - Behavioral Health Anxiety, Phobias and Panic Disorders Table of Contents
Table of contents
Introduction to this volume
References list for the introduction
Behavioral health resource list - general
JCAHO Behavioral Health Safety Goals 2007
Evidence-based Medicine web sites
Thoughts for the Unwary
- Clinical Guidelines
Anxiety, Phobias and Panic Disorders
Post-Traumatic Stress Disorder (PTSD)
Obsessive-compulsive Disorder (OCD)
Bibliography - a general reading list for patients and their families
Apollo publication list and order information
- Anxiety, Phobias and Panic Disorders - Evaluation and Management Table of Contents
Generalized anxiety disorder (update 7-06)
Other anxiety disorders: Phobias, social anxiety disorder (update 9-06, 3-07)
Common coexisting conditions
Cognitive behavioral therapy
Telephone management of panic and GAD (New 12-05, update 2-06)
Emergency department utilization – CM interventions to decrease utilization (New 2-07)
Anxiety disorders of childhood or adolescence
Medication useful for generalized anxiety, phobias and panic disorders
Drug therapy options useful for anxiety and/or depression
Anxiety and Panic Disorder Group – Is this group for you? (patient brochure)
Anxiety/Depression Group – for adolescents
Anxiety disorders – NIMH educational brochure
Long-term course and prognosis (New 6-05)
Diagnostic evaluation of conditions in this guideline
- Post-Traumatic Stress Disorder Table of Contents
Treatment options (update 12-06)
Inpatient treatment (New 5-04)
References/Resources/Recommended Reading (update 10-06, 3-07)
PTSD Notes & Quotes
- Obsessive Compulsive Disorder (OCD) and Body Dysmorphic Disorder (BDD) Table of Contents
General screening questions for OCD
Questions to ask when OCD is suspected
OCD Symptom Checklist
Body dysmorphic disorder (BDD) (New 11-05)
Treatment (CBT, Medications) (update 2-06)
Telephone therapy (New 10-06)
NICE treatment guidelines (OCD and BDD) (New 11-05)
CNS surgery (psychosurgery) for OCD (New 3-07)
Antidepressant therapy - table
Inpatient mental health services for OCD (New 5-04)
Organizations providing supportive services
Web sites pertaining to OCD
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