{"id":41782,"date":"2025-08-01T01:00:21","date_gmt":"2025-08-01T05:00:21","guid":{"rendered":"https:\/\/www.ncqa.org\/?page_id=41782"},"modified":"2026-01-30T07:55:48","modified_gmt":"2026-01-30T12:55:48","slug":"depression-remission-or-response-for-adolescents-and-adults-drr-e","status":"publish","type":"page","link":"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/depression-remission-or-response-for-adolescents-and-adults-drr-e\/","title":{"rendered":"Depression Remission or Response for Adolescents and Adults (DRR-E)"},"content":{"rendered":"<p><span data-contrast=\"auto\">The percentage of persons 12 years of age and older with a diagnosis of depression and an elevated PHQ-9 score, who had evidence of response or remission within 120\u2212240 days (4\u20138 months) of the elevated score.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"auto\">Depression Follow-Up PHQ-9. The percentage of persons who have a follow-up PHQ-9 score documented within 120\u2212240 days (4\u20138 months) after the initial elevated PHQ-9 score.<\/span><\/li>\n<li><span data-contrast=\"auto\">Depression Remission. The percentage of persons who achieved remission within 120\u2212240 days (4\u20138 months) after the initial elevated PHQ-9 score.<\/span><\/li>\n<li><span data-contrast=\"auto\">Depression Response. The percentage of persons who showed response within 120\u2212240 days (4\u20138 months) after the initial elevated PHQ-9 score.<\/span><\/li>\n<\/ul>\n<h2>Why it Matters:<\/h2>\n<p><span data-contrast=\"none\">Depressive disorders are common mental disorders that occur in people of all ages. Major depressive disorder (MDD) is a leading cause of disability worldwide, affecting an estimated 120 million people <sup><a href=\"#ref-1\">1<\/a><\/sup>. The lifelong prevalence is estimated to range from 10%\u201315% <sup><a href=\"#ref-2\">2<\/a><\/sup>. In the United States, the 12\u2010month prevalence of MDD is 10.4%, with a lifetime prevalence of 20.6% <sup><a href=\"#ref-3\">3<\/a><\/sup>.<\/span><\/p>\n<p><span data-contrast=\"none\">Depression is associated with other chronic medical conditions and increased morbidity and mortality. The mortality risk for suicide in depressed patients is more than 20-fold greater than in the general population <sup><a href=\"#ref-3\">3<\/a><\/sup>. Depression is associated with a 60% increased risk of type 2 diabetes, and has been identified as a risk factor for development of cardiovascular disease <sup><a href=\"#ref-4\">4<\/a><\/sup>. In addition, depression adversely affects the course, complications and management of other chronic medical illnesses <sup><a href=\"#ref-4\">4<\/a><\/sup>. In adolescents, depression can also result in serious long-term morbidities such as generalized anxiety disorder and panic disorder, or lead to engagement in risky behaviors, such as substance use <sup><a href=\"#ref-3\">3<\/a><\/sup>. Adolescent-onset depression increases the risk of attempted suicide by five-fold in comparison to non-depressed adolescents. Most adolescents who commit suicide\u2014the third leading cause of death among 15\u201324-year-olds\u2014have a previous history of depression <sup><a href=\"#ref-4\">4<\/a><\/sup>.<\/span><\/p>\n<p><span data-contrast=\"none\">Depression has long been recognized as a major contributor to disease burden <sup><a href=\"#ref-5\">5<\/a><\/sup>. This accounts for an estimated 10% of years lived with disability worldwide, which is three times the impact of diabetes, 8 times the impact of heart disease, and 40 times the impact of cancer <sup><a href=\"#ref-6\">6<\/a><\/sup>. These findings underscore the need for attention to depressive disorders and the implementation of effective interventions to reduce their disease burden.<\/span><\/p>\n<p><span data-contrast=\"none\">Numerous studies have demonstrated the effectiveness of screening and treatment for depression. Literature has focused on the care processes needed to treat and manage depression in primary care settings, where the majority of depression cases first present.<\/span><\/p>\n<p><span data-contrast=\"none\">Studies have found that patient outcomes improve when there is collaborative care between a primary care doctor, case manager and a mental health specialist to screen for depression, monitor symptoms, provide treatment and refer to specialty care as needed <sup><a href=\"#ref-4\">4<\/a><\/sup> <sup><a href=\"#ref-7\">7<\/a><\/sup>. The PHQ-9 is widely used by clinicians in the U.S. and commonly accepted in the behavioral health field as well. Furthermore, the PHQ-9 is quick to complete, score, and is recommended by the International Consortium for Health Outcomes Measurement (ICHOM) as the tool to be used to track depression symptoms in their standard set of outcome measures for depression and anxiety <sup><a href=\"#ref-8\">8<\/a><\/sup>.<\/span><\/p>\n<p><span data-contrast=\"none\"><i>Adapted with financial support from the Agency for Healthcare Research and Quality and the Centers for Medicare &amp; Medicaid Services under the CHIPRA Pediatric Quality Measures Program Centers of Excellence grant number U18HS020503, and with permission from the measure developer, Minnesota Community Measurement.<\/i><\/span><\/p>\n<h2>Results &#8211; National Averages<\/h2>\n","protected":false},"excerpt":{"rendered":"<p>The percentage of persons 12 years of age and older with a diagnosis of depression and an elevated PHQ-9 score, who had evidence of response or remission within 120\u2212240 days (4\u20138 months) of the elevated score.\u00a0 Depression Follow-Up PHQ-9. The percentage of persons who have a follow-up PHQ-9 score documented within 120\u2212240 days (4\u20138 months) [&hellip;]<\/p>\n","protected":false},"author":45,"featured_media":0,"parent":733,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-41782","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Depression Remission or Response for Adolescents and Adults (DRR-E) - NCQA<\/title>\n<meta name=\"description\" content=\"Assesses adults 19\u201364 years of age who have schizophrenia and were dispensed and remained on an antipsychotic medication for at least 80% of their treatment period.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/depression-remission-or-response-for-adolescents-and-adults-drr-e\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Depression Remission or Response for Adolescents and Adults (DRR-E) - 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