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Integrated Primary Medical-Behavioral Health Care for Adolescent and Young Adult Depression: Predictors of Service Use in the Youth Partners in Care Trial.
Rapp, Amy M; Chavira, Denise A; Sugar, Catherine A; Asarnow, Joan R.
Afiliación
  • Rapp AM; Department of Psychology, University of California.
  • Chavira DA; Department of Psychology, University of California.
  • Sugar CA; Department of Biostatistics, Los Angeles School of Public Health, University of California.
  • Asarnow JR; Department of Psychiatry and Biobehavioral Sciences, Los Angeles Semel Institute for Neuroscience and Human Behavior, University of California.
J Pediatr Psychol ; 42(9): 1051-1064, 2017 10 01.
Article en En | MEDLINE | ID: mdl-28369443
Objectives: Depression, a chronic and disabling condition, frequently has its first onset during adolescence, underscoring the value of early effective treatment and prevention. Integrated medical-behavioral health care provides one strategy for improving treatment access for adolescents and young adults (AYA). Methods: This study examined predictors of accessing treatment in a multisite randomized controlled trial evaluating an integrated collaborative care intervention aimed at improving access to evidence-based depression treatment through primary health care, compared with usual care. Results: The integrated care intervention was able to overcome barriers to care associated with an initial reluctance to pursue active treatment and older age. Service use was low in both conditions among less acculturated/non-English-speaking families. Conclusions: Results support the value of integrated medical-behavioral health care for improving rates of care. Findings highlight mechanisms by which integrated care may lead to improved rates of care and outcomes for AYA, an underserved and understudied group.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Servicios de Salud del Adolescente / Prestación Integrada de Atención de Salud / Depresión / Accesibilidad a los Servicios de Salud Tipo de estudio: Clinical_trials / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: J Pediatr Psychol Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Servicios de Salud del Adolescente / Prestación Integrada de Atención de Salud / Depresión / Accesibilidad a los Servicios de Salud Tipo de estudio: Clinical_trials / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: J Pediatr Psychol Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos