Measure Review

Confirm adult or youth variant and date completed.

Lookback period (e.g., past 2 weeks):

Review PHQ-9 total score, severity band, and functional impact.

Route any nonzero item 9 response into same-day suicide-risk follow-up.

Care Response

Compare with prior score and reliable change threshold when available.

Document Dx impression, treatment response, barriers, and next reassessment interval.

0/27 Score

0 of 9 Answered

minimal 0-4 minimal · 5-9 mild · 10-14 moderate · 15-19 mod-severe · 20-27 severe

Little Interest or Pleasure in Doing Things

0123

Unanswered

Feeling Down, Depressed, or Hopeless

0123

Unanswered

Trouble Falling/Staying Asleep, or Sleeping Too Much

0123

Unanswered

Feeling Tired or Having Little Energy

0123

Unanswered

Poor Appetite or Overeating

0123

Unanswered

Feeling Bad About Yourself — or That You Are a Failure

0123

Unanswered

Trouble Concentrating on Things

0123

Unanswered

Moving or Speaking Slowly, or Restless/Fidgety

0123

Unanswered

Thoughts of Being Better off Dead or Hurting Yourself

0123

Unanswered

Plan and Follow-Up

Focus	Documentation
Score / interpretation	Record result, severity band or screen status, functional impact, and confidence in response quality. PHQ-9 bands: 0-4 none/minimal; 5-9 mild; 10-14 moderate; 15-19 moderately severe; 20-27 severe. Score trend vs. prior: Severity / functional impact: Clinical interpretation:
Clinical response	Tie the result to symptoms, risk, differential diagnosis, and treatment response. Response to care: Risk or differential considerations: Plan change:
Next measurement	Set reassessment interval and responsibility for repeat measurement. Repeat measure date: Owner: Escalation threshold:

Focus

Documentation

Score / interpretation

Record result, severity band or screen status, functional impact, and confidence in response quality. PHQ-9 bands: 0-4 none/minimal; 5-9 mild; 10-14 moderate; 15-19 moderately severe; 20-27 severe.

Score trend vs. prior:

Severity / functional impact:

Clinical interpretation:

Clinical response

Tie the result to symptoms, risk, differential diagnosis, and treatment response.

Response to care:

Risk or differential considerations:

Plan change:

Next measurement

Set reassessment interval and responsibility for repeat measurement.

Repeat measure date:

Owner:

Escalation threshold:

Measure Review

Care Response

Over the past 2 weeks, how often have you been bothered by...

Plan and Follow-Up

Counseling - PHQ-9 Measurement-Based Care

Preview