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Addressing Adolescent Depression in Primary Care: Building Capacity Through Psychologist and Pediatrician Partnership.
Costello, Lisa H; Suh, Christina; Burnett, Bridget; Kelsay, Kimberly; Bunik, Maya; Talmi, Ayelet.
Afiliación
  • Costello LH; 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.
  • Suh C; Department of Pediatrics, University of Colorado School of Medicine, General Pediatrics, Children's Hospital Colorado, Aurora, USA.
  • Burnett B; 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.
  • Kelsay K; Department of Pediatrics, University of Colorado School of Medicine, General Pediatrics, Children's Hospital Colorado, Aurora, USA.
  • Bunik M; 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.
  • Talmi A; Department of Pediatrics, University of Colorado School of Medicine, General Pediatrics, Children's Hospital Colorado, Aurora, USA.
J Clin Psychol Med Settings ; 28(1): 53-66, 2021 03.
Article en En | MEDLINE | ID: mdl-31749100
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Depresión / Creación de Capacidad Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Screening_studies Límite: Adolescent / Child / Humans Idioma: En Revista: J Clin Psychol Med Settings Asunto de la revista: PSICOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Depresión / Creación de Capacidad Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Screening_studies Límite: Adolescent / Child / Humans Idioma: En Revista: J Clin Psychol Med Settings Asunto de la revista: PSICOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos