The key difference between DAWN and usual care/referral to specialty services is the integrated team approach, a standardized symptom assessment and tracking system, and the population-based view of care. The DAWN consultant team consists of the care manager, an Ob-Gyn provider and psychiatrist. This team reviews every patient on the care manager’s caseload each week. By discussing each patient, focusing on depression symptoms and behavioral changes, the team can be very responsive in making suggestions about additional behavioral techniques or modifications to medications. This intense approach provides consistency in review, and ensures that patients do not “fall through the cracks” because the care manager is contacting them frequently. This comprehensive approach does not rely on the patient making an appointment to come into the clinic. The care manager is reaching out to her.
This population-based approach is made possible by using a detailed longitudinal database of all patients on a care manager’s caseload that addresses: