TY - JOUR
AU - A. Gajaria
AU - A. Greenblatt
AU - M. Prebeg
AU - J. Relihan
AU - Szatmari Peter
AU - D. B. Courtney
A1 - 
AB - BACKGROUND: Depression is a common condition among adolescents, with rates continuing to rise. A gap exists between evidence-based recommendations for the treatment of depression and clinical practice. Integrated Care Pathways (ICPs) can help address this gap, but to date no study has examined how young people and their caregivers experience ICPs and whether these pathways are an acceptable form of care. This study used focus groups with adolescents, caregivers, and service providers to examine experiences of an ICP. METHODS: Six individual interviews with service providers, four focus groups with youth, and two focus groups with caregivers were completed. Data was analyzed consistent with Braun & Clarke's Thematic Analysis Framework within an interpretivist paradigm. RESULTS AND CONCLUSION: The study demonstrated that ICPs are acceptable to youth and their caregivers and that ICPs facilitate shared decision making between youth/caregivers and care providers. Findings also indicated that youth are willing to engage with ICPs particularly when there is a trusted clinician involved who helps interpret and tailor the ICP to the young person's experience. Further questions include how to best integrate these into the overall system and how to further tailor these pathways to support youth with diagnostic complexity and treatment resistance.
AD - Margaret and Wallace McCain Centre for Child, Youth, & Family Mental Health, Centre for Addiction and Mental Health, Toronto, ON, Canada. RINGGOLD: 7978; Department of Psychiatry, University of Toronto, Toronto, ON, Canada. RINGGOLD: 149914; Child Health Evaluative Sciences, Sick Kids Research Institute, Toronto, ON, Canada. RINGGOLD: 574189; Centre for Addiction and Mental Health, Toronto, ON, Canada. RINGGOLD: 7978; Cundill Centre for Child and Youth Depression, Centre for Addiction and Mental Health, Toronto, ON, Canada. RINGGOLD: 600152
AN - 37394898
BT - Clin Child Psychol Psychiatry
C5 - Healthcare Disparities;
CP - 2
DA - Apr
DO - 10.1177/13591045231184916
DP - NLM
ET - 20230702
IS - 2
JF - Clin Child Psychol Psychiatry
LA - eng
N2 - BACKGROUND: Depression is a common condition among adolescents, with rates continuing to rise. A gap exists between evidence-based recommendations for the treatment of depression and clinical practice. Integrated Care Pathways (ICPs) can help address this gap, but to date no study has examined how young people and their caregivers experience ICPs and whether these pathways are an acceptable form of care. This study used focus groups with adolescents, caregivers, and service providers to examine experiences of an ICP. METHODS: Six individual interviews with service providers, four focus groups with youth, and two focus groups with caregivers were completed. Data was analyzed consistent with Braun & Clarke's Thematic Analysis Framework within an interpretivist paradigm. RESULTS AND CONCLUSION: The study demonstrated that ICPs are acceptable to youth and their caregivers and that ICPs facilitate shared decision making between youth/caregivers and care providers. Findings also indicated that youth are willing to engage with ICPs particularly when there is a trusted clinician involved who helps interpret and tailor the ICP to the young person's experience. Further questions include how to best integrate these into the overall system and how to further tailor these pathways to support youth with diagnostic complexity and treatment resistance.
PY - 2024
SN - 1359-1045
SP - 453
EP - 465+
ST - Talking 'Bout Better outcomes for Adolescent Depression: Youth and Caregiver Perspectives on an Integrated Care Pathway for Depression
T1 - Talking 'Bout Better outcomes for Adolescent Depression: Youth and Caregiver Perspectives on an Integrated Care Pathway for Depression
T2 - Clin Child Psychol Psychiatry
TI - Talking 'Bout Better outcomes for Adolescent Depression: Youth and Caregiver Perspectives on an Integrated Care Pathway for Depression
U1 - Healthcare Disparities;
U3 - 10.1177/13591045231184916
VL - 29
VO - 1359-1045
Y1 - 2024
ER -