@article{ref1,
title="Identifying and responding to depression in adolescents in primary care: a quality improvement response",
journal="Clinical child psychology and psychiatry",
year="2022",
author="Dalal, Michelle and Holcomb, Juliana M. and Sundaresan, Devi and Dutta, Anamika and Riobueno-Naylor, Alexa and Peloquin, Gabrielle D. and Benheim, Talia S. and Jellinek, Michael and Murphy, J. Michael",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="The American Academy of Pediatrics (AAP) recommends adolescent depression screening and subsequent follow-up for those scoring at-risk. The current study assessed the outcomes of a Quality Improvement (QI) project that implemented these guidelines during annual well-child visits in a network of pediatric practices. This project used a two-stage screening process. First, adolescents were screened with the Pediatric Symptom Checklist (PSC-17). Second, adolescents who screened at-risk on the PSC-17 were asked to complete the Patient Health Questionnaire (PHQ-9). QI-participating providers received training on how to categorize the severity of their patient's depression based on PHQ-9 cut-off scores and clinical interview, and to implement and document appropriate options for follow-up. Patients in the QI group were significantly more likely to be screened with both the PSC-17 (93.8% vs. 89.1%, p <.001) and the PHQ-9 (54.8% vs. 16.4%, p <.001) compared to those in the non-QI group. Of the 80 adolescents in the QI group at-risk on the PSC-17 and with a completed PHQ-9, 65 (81.3%) received at least one type of referral for mental health, ranging from behavioral health services to lifestyle interventions. <br><br>FINDINGS support the feasibility of adolescent depression screening and referrals within pediatric primary care.<p /> <p>Language: en</p>",
language="en",
issn="1359-1045",
doi="10.1177/13591045221105198",
url="http://dx.doi.org/10.1177/13591045221105198"
}