Table 1.

Indicators covering five areas of depression care

Indicators
I Early recognition and indicated prevention
1.1	Use of a screening instrument in patients who are suspected of having a depression
II Self-management and e-health interventions
2.1	Providing self-management and/or e-health interventions to patients with depressive symptoms or a mild depression
III Diagnosis and treatment according to the stepped care model
IIIa.	Diagnosis and symptom severity
3.1	Measurement of the severity of the depression prior to possible treatment
IIIb.	Applying basic interventions
*3.2	Providing educational material to patients with depression
IIIc.	Providing stepped care treatment
3.3	Providing first step and brief interventions to patients with a mild depression#
3.4	Providing psychotherapy and/or pharmacotherapy to patients with a moderate to severe major depressive disorder or a recurrent depression#
3.5	Systematically monitoring changes in the severity of the depression in patients with a validated instrument
IV Disease management and collaborative care in recurrent or severe or prolonged depression
4.1	Making collaborative care agreements when multiple health care providers are involved in the treatment of a patient with a (severe or prolonged) depression (“who does what”)
*4.2	Making agreements about referral of patients from secondary mental health care to primary care
V Relapse prevention, rehabilitation and participation
5.1	Providing relapse prevention#
5.2	Providing ongoing counselling to patients with chronic depression (who are referred back from secondary care)#

^#Indicator that was developed for this study.

*Some indicators belong in more than one area:

- Indicator 3.2 belongs to area II and III.

- Indicator 4.2 belongs to area IV and V.