Table 2A.

Extract from a disease-specific care plan template [49].

GP MANAGEMENT PLAN – MBS ITEM NO. 721 (DEPRESSION/ANXIETY DISORDER)
Patient problems/needs/relevant conditions	Goals – changes to be achieved (if possible)	Required treatments and services, including patient actions	Arrangements for treatments/services (when, who, and contact details)
1. General
Patient’s understanding of depression/anxiety	Patient to increase their understanding of depression/anxiety and how it can be managed	Patient education	GP
			Nurse
			Allied health professional
Symptoms	Improve mood, sleep, energy, attention, concentration, motivation, sexual function	Therapy consider:	GP
	Improve physical symptoms (e.g. fatigue, headache, muscle pains, weight loss)	– CBT	Allied health professional
	Increase self confidence	– Counselling	Psychiatrist
	Identify and address thoughts related to suicide	– Psychotherapy
		– Relaxation training
Causes/stressors and precipitants	Identify stressors and precipitants, such as relationship and family problems, negative thinking, loss and grief, coexisting physical conditions	Counselling consider:	GP
		– Problem solving	Patient
		– CBT	Allied health professional
		– Interpersonal therapy	Psychiatrist
		– Marital/family therapy
		– Loss/grief counselling
Maintenance/relapse prevention	Avoid relapse/decrease severity of relapse	Regular review	GP
	Increase awareness of stressors/circumstances that could trigger a relapse	Address stressors and known risk factors for relapse	Patient
		Early intervention of a recognized relapse	Allied health professional
			Psychiatrist

CBT, cognitive behavioural therapy; GP, general practitioner; MBS, Medicare Benefits Schedule.