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Depression Screening:
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Little interest or pleasure in doing things:
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Feeling down, depressed or hopeless
• • •
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Trouble falling or staying asleep, or sleeping too much
• • •
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Feeling tired or having little energy
• • •
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Poor appetite or overeating
• • •
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Feeling bad about yourself- or that you are a failure or have let yourself down
• • •
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Trouble concentrating on things, such as reading the newspaper or watching television
• • •
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Moving/ speaking slowly or being fidgety/ restless
• • •
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SI/ HI
• • •
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Total Score:
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Depression Screen: Positive or Negative?
• • •
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F/u plan if depression screen positive:
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