Depression
Conditions
Keywords
Adolescents
Brief summary
Major Depression is one of the most common mental health disorders in adolescence and is associated with significant impairments in development and functioning. This project will rigorously test the Adolescent Collaborative Care Treatment intervention, a health services intervention designed to improve management for depressive disorders among adolescents, via a randomized controlled trial comparing the intervention to usual care. Key components of the trial include enhanced education for youth and parents, youth involvement in choice of evidence-based treatments, care management by an allied health professional with regular supervision by a mental health specialist and pediatrician, and stepped care to advance treatment when youth are not improving. Additional features have been added to engage adolescents and parents including a moderated message board for youth to share with and learn from one another, formalized involvement of the parent, and availability of the care manager during after school hours. Our findings will provide key information on the effectiveness of a developmentally-sensitive adapted collaborative care intervention for the treatment of adolescent depression.
Interventions
Provision of depression care management in the primary care setting to improve delivery of evidence based treatments
Provision of screening results to provider, teen and parent with recommendation to seek further care
Sponsors
Study design
Eligibility
Inclusion criteria
* depression * age 13-17 years * enrollment in study Primary Care Clinics
Exclusion criteria
* suicidality * already enrolled Specialty mental health care * mental health hospitalization in the prior year * substance abuse * bipolar disorder * non-English speaker
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Child Depression Rating Scale | 12 months | Depressive symptoms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Columbia Impairment Scale | 12 months | Functional impairment |
Countries
United States