TY - JOUR
KW - Adolescent
KW - integrated behavioral health
KW - major depressive disorder
KW - primary care
KW - Screening
AU - L. H. Costello
AU - C. Suh
AU - B. Burnett
AU - K. Kelsay
AU - M. Bunik
AU - A. Talmi
A1 - 
AB - Early identification and treatment of depression during adolescence can contribute to healthier outcomes across the lifespan, yet adolescent depression has been underidentified and undertreated. The American Academy of Pediatrics' (AAP) Guidelines for Adolescent Depression in Primary Care (GLAD-PC) were created to enhance the identification and treatment of adolescent depression. Integrated psychologists in a pediatric primary care setting partnered with providers and clinic staff to implement an adolescent depression screening initiative and transform primary care practice around identification and management. From January 2017 through August 2018, 2107 adolescents between the ages of 11 and 18 were screened using the PHQ-9A. Eleven percent (n = 226) of adolescents had an elevated screen with a score of >/= 10 and 7% (n = 151) screened positive for suicidal ideation. Identification of depressive symptoms led to increased integrated behavioral health services delivered by psychologists, psychiatrists, and psychology trainees. Psychologists integrated in primary care can support primary care practices to develop service delivery systems aligned with AAP's GLAD-PC and address the diverse implementation barriers associated with incorporating clinical practice guidelines in real-world settings. Universal screening for adolescent depression and response protocols were successfully implemented in a pediatric primary care clinic under the leadership of psychologists and pediatrician partners.
AD - Department of Psychiatry, University of Colorado School of Medicine, and Pediatric Mental Health Institute, Children's Hospital Colorado, 13123 East 16th Avenue, B130, Aurora, CO, 80045, USA. lisa.costello@ucdenver.edu.; Department of Pediatrics, University of Colorado School of Medicine, General Pediatrics, Children's Hospital Colorado, Aurora, USA.; Department of Psychiatry, University of Colorado School of Medicine, and Pediatric Mental Health Institute, Children's Hospital Colorado, 13123 East 16th Avenue, B130, Aurora, CO, 80045, USA.; Department of Pediatrics, University of Colorado School of Medicine, General Pediatrics, Children's Hospital Colorado, Aurora, USA.; Department of Psychiatry, University of Colorado School of Medicine, and Pediatric Mental Health Institute, Children's Hospital Colorado, 13123 East 16th Avenue, B130, Aurora, CO, 80045, USA.; Department of Pediatrics, University of Colorado School of Medicine, General Pediatrics, Children's Hospital Colorado, Aurora, USA.; Department of Psychiatry, University of Colorado School of Medicine, and Pediatric Mental Health Institute, Children's Hospital Colorado, 13123 East 16th Avenue, B130, Aurora, CO, 80045, USA.; Department of Pediatrics, University of Colorado School of Medicine, General Pediatrics, Children's Hospital Colorado, Aurora, USA.
BT - Journal of clinical psychology in medical settings
C5 - Education & Workforce; Healthcare Disparities; Measures
CY - United States
DO - 10.1007/s10880-019-09680-w
JF - Journal of clinical psychology in medical settings
LA - eng
M1 - Journal Article
N2 - Early identification and treatment of depression during adolescence can contribute to healthier outcomes across the lifespan, yet adolescent depression has been underidentified and undertreated. The American Academy of Pediatrics' (AAP) Guidelines for Adolescent Depression in Primary Care (GLAD-PC) were created to enhance the identification and treatment of adolescent depression. Integrated psychologists in a pediatric primary care setting partnered with providers and clinic staff to implement an adolescent depression screening initiative and transform primary care practice around identification and management. From January 2017 through August 2018, 2107 adolescents between the ages of 11 and 18 were screened using the PHQ-9A. Eleven percent (n = 226) of adolescents had an elevated screen with a score of >/= 10 and 7% (n = 151) screened positive for suicidal ideation. Identification of depressive symptoms led to increased integrated behavioral health services delivered by psychologists, psychiatrists, and psychology trainees. Psychologists integrated in primary care can support primary care practices to develop service delivery systems aligned with AAP's GLAD-PC and address the diverse implementation barriers associated with incorporating clinical practice guidelines in real-world settings. Universal screening for adolescent depression and response protocols were successfully implemented in a pediatric primary care clinic under the leadership of psychologists and pediatrician partners.
PP - United States
PY - 2019
SN - 1573-3572; 1068-9583
T1 - Addressing Adolescent Depression in Primary Care: Building Capacity Through Psychologist and Pediatrician Partnership
T2 - Journal of clinical psychology in medical settings
TI - Addressing Adolescent Depression in Primary Care: Building Capacity Through Psychologist and Pediatrician Partnership
U1 - Education & Workforce; Healthcare Disparities; Measures
U2 - 31749100
U3 - 10.1007/s10880-019-09680-w
VO - 1573-3572; 1068-9583
Y1 - 2019
Y2 - Nov 20
ER -