Table 1.

CTIC Training for the Treatment of Depression in Primary Care

Learning Units	Main Learning Objectives
Framework for CTIC in treating depression	Recognize and differentiate the characteristics and treatment challenges associated with complex depression, TRD, and DTD.
Trauma-informed care	Understand and apply the fundamental principles of trauma-informed care, including its epidemiological foundations, neurobiological mechanisms, and clinical implications to improve diagnosis, treatment, and patient management.
Attachment and mentalization in the helping relationship	Integrate the concepts of bonding, mentalization, and attachment styles to understand their impact on depression and develop tailored therapeutic strategies.
Resilience	Understand and apply the concepts of resilience to understand their impact on depression, and develop tailored therapeutic strategies for enhancing patient resilience in treatment plans.
Multi-professional comprehensive diagnostic workshop	Conduct a multidimensional and interprofessional evaluation of depression cases based on complexity. This includes categorizing the type of depression, evaluating its severity, establishing differential medical and psychiatric diagnoses, and sensitively inquiring into adverse biographical history.
Multi-professional comprehensive treatment workshop	Develop a comprehensive and multi-professional plan of treatment for depression in primary care based on clinical complexity.
Multi-professional comprehensive monitoring workshop	Develop a comprehensive and multi-professional monitoring plan for depression in primary care tailored to the clinical complexity.
Collaborative model workshop	Integrate elements that can be implemented in primary care to support CTIC for depression including use of a case manager, follow-ups with standardized scales, and consultation with psychiatric experts.

CTIC - collaborative trauma-informed care; DTD = difficult-to-treat depression; TRD = treatment resistant depression.