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A Clinical Perspective on Workplace Depression: Current and Future Directions

Caruso, Garson M. MD, MPH

Journal of Occupational and Environmental Medicine: April 2008 - Volume 50 - Issue 4 - p 501-513
doi: 10.1097/JOM.0b013e31816de872
Original Articles

Objective: To identify and propose potential solutions to challenges encountered by clinical and consulting occupational and environmental medicine practitioners in the management of workplace depression.

Method: A review of English-language medical literature from 1960 to the present.

Results: Numerous consequences and challenges to clinical management of workplace depression are recognized. Several potential present and future roles of the practitioner—in prevention, initial recognition and management, appropriate referral, care integration, stakeholder advocacy and education, and administration—are identified, and specific interventions are proposed and explored.

Conclusion: Numerous opportunities exist for clinical and consulting practitioners to intervene to improve the current management of workplace depression.

From Private Practice, Sebring, Florida, and Johns Hopkins Medical Institutions, Baltimore, Md.

Address correspondence to: Garson M. Caruso, MD, MPH, Medical Director, Lakeview Occupational and Industrial Clinic, PA, 3750 Emergency Lane, Suite One, Sebring, FL 33870; E-mail:

©2008The American College of Occupational and Environmental Medicine