Implementation of a Self-Help Depression Program Among Orthopedic Patients

The proposed study addresses the potential utility of providing an accessible self-help intervention for patients in a medical setting with an estimated diagnosis of MDD. Specifically, the study will explore whether a) such an intervention can be effectively implemented in a primary care setting and b) patients originally seeking medical attention for an orthopedic problem will be willing to seek psychological treatment and, c) improvement in depression symptoms will lead to improvement in upper and lower extremity functioning.

Inclusion Criteria: * All patients older than 18 years who present to a surgeon with an upper or lower extremity injury or disability at a participating center (see attached list) * A level of clinical depression more than minimal symptoms as defined by a score ≥ 10 on the Patient Health Questionnaire-9 (PHQ-9) * Willing and able to provide informed consent and comply with the protocol Exclusion Criteria: * Injury or illness best treated with prompt surgery