Other barriers to optimal treatment of depression mentioned in the report include the use of ineffective forms of psychotherapy, inadequate third-party coverage for mental health care, a limited availability of mental health facilities and restrictions placed on the use of newer antidepressants by managed care organizations. While a number of programs are under way to reduce barriers to the recognition and management of depression, undertreatment remains a serious problem. Public and professional education efforts, destigmatization and improvement in access to mental health care are all necessary. Many professional organizations and advocacy groups have publicly recognized the undertreatment of depression and the need to increase public and professional awareness. Attempts have also been made to identify critical skills and knowledge for primary care physicians.
Family physicians play a key role in the treatment of depression.
A model curriculum for the psychiatric training of family physicians has also been developed. Resources are available to guide physicians in the management of depression. The primary care version of the DSM-IV can assist physicians in the recognition and diagnosis of depression. The American Psychiatric Association, with input from many medical organizations, has also developed guidelines for the treatment of major depression in adults. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.