TY - JOUR
AU - J. P. Guevara
AU - M. Gerdes
AU - B. Rothman
AU - V. Igbokidi
AU - S. Doughterty
AU - R. Localio
AU - R. C. Boyd
A1 - 
AB - We sought to determine feasibility and acceptability of parental depression screening in urban pediatric practices. We recruited seven practices to participate. Patient Health Questionnaire-2, a validated two-item screening tool, was used to screen for depressive symptoms at 1-3 year old well visits. We conducted semi-structured interviews with clinicians to identify barriers and facilitators to screening. Of 8,621 eligible parents, 21.1% completed screening with site-specific rates ranging from 10.1% to 48.5%. Among those screened, 8.1% screened positive for depressive symptoms with site-specific rates ranging from 1.2% to 16.9%. Electronic alerts improved screening rates from 45 / month to 170 / month. Fifteen clinicians completed interviews and endorsed screening to provide help for families, build stronger ties with parents, and improve outcomes for children. However, insufficient time, need to complete activities with higher priority, lack of mental health availability, few resources for parents with limited English proficiency, and discomfort addressing depression were thought to limit screening.
BT - Journal of health care for the poor and underserved
C5 - Healthcare Disparities; Measures
CP - 4
CY - United States
IS - 4
JF - Journal of health care for the poor and underserved
N2 - We sought to determine feasibility and acceptability of parental depression screening in urban pediatric practices. We recruited seven practices to participate. Patient Health Questionnaire-2, a validated two-item screening tool, was used to screen for depressive symptoms at 1-3 year old well visits. We conducted semi-structured interviews with clinicians to identify barriers and facilitators to screening. Of 8,621 eligible parents, 21.1% completed screening with site-specific rates ranging from 10.1% to 48.5%. Among those screened, 8.1% screened positive for depressive symptoms with site-specific rates ranging from 1.2% to 16.9%. Electronic alerts improved screening rates from 45 / month to 170 / month. Fifteen clinicians completed interviews and endorsed screening to provide help for families, build stronger ties with parents, and improve outcomes for children. However, insufficient time, need to complete activities with higher priority, lack of mental health availability, few resources for parents with limited English proficiency, and discomfort addressing depression were thought to limit screening.
PP - United States
PY - 2016
SN - 1548-6869; 1049-2089
SP - 1858
EP - 1871
EP - 
T1 - Screening for Parental Depression in Urban Primary Care Practices: A Mixed Methods Study
T2 - Journal of health care for the poor and underserved
TI - Screening for Parental Depression in Urban Primary Care Practices: A Mixed Methods Study
U1 - Healthcare Disparities; Measures
U2 - 27818443
VL - 27
VO - 1548-6869; 1049-2089
Y1 - 2016
ER -