概述
By many measures, depression is a devastating illness.In 2017, depressive disorders (including major depressive disorder [MDD] and persistent depressive disorder[PDD]) were ranked third in terms of years lived with disability, behind back pain and headache disorder . The economic burden was estimated at $326.2 billion in 2018 and continues to grow each year (2). However, there are a broad range of available interventions that have demonstrated efficacy and effectiveness. Unfortunately, a large proportion of people with depressive disorders do not receive adequate care. A survey of U.S. households found that only 29% of persons who screened positive for depression received treatment . This finding emphasizes the need to ensure that providers and patients have knowledge of and access to effective interventions and that treatment is appropriately made available to those with the greatest need. Of particular concern is evidence that there are extensive disparities in access to treatment for depressive disorders, with Hispanic Americans being three quarters as likely and African Americans being half as likely as White Americans to receive treatment ;