Adolescent Collaborative Care Treatment for Depression

青少年抑郁症的协作护理治疗

• 批准号: 7740781
• 负责人: LAURA P RICHARDSON
• 金额: $ 53.86万
• 依托单位: SEATTLE CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-24 至 2013-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7740781
• 关键词: Acute; Adherence; Adolescence; Adolescent; Adult; Antidepressive Agents; Boxing; Caring; Case Manager; Clinic; Country; Depressive disorder; Detection; Development; Diagnosis; Disease remission; Dose; Dysthymic Disorder; Education; Effectiveness; Evidence based treatment; Exposure to; Family; Feedback; Goals; Guidelines; Health Care Costs; Health Services; Hour; Impairment; Integrated Delivery of Health Care; Intervention; Intervention Trial; Learning; Major Depressive Disorder; Measures; Mental Health; Mental disorders; Modeling; Outcome; Outpatients; Parents; Pharmaceutical Preparations; Phase; Pilot Projects; Primary Health Care; Psychotherapy; Randomized; Randomized Controlled Trials; Relative (related person); Research; Sampling; Schools; Specialist; Supervision; System; Teenagers; Testing; Time; Time Study; United States Food and Drug Administration; Visit; Work; Youth; base; care systems; children' s depression rating scale; cognitive behavior therapy; collaborative care; cost effectiveness; depression; depressive symptoms; disorder later incidence prevention; evidence base; evidence based guidelines; follow-up; improved; model design; pediatrician; peer; post intervention; primary care setting; profession allied to medicine; programs; psychosocial; public health relevance; service intervention; suicidal risk; suicide rate; therapy design; treatment as usual; treatment strategy; trial comparing

DESCRIPTION (provided by applicant): Major Depression is one of the most common mental health disorders in adolescence and is associated with significant impairments in development and functioning. This project will rigorously test the Adolescent Collaborative Care Treatment intervention, a health services intervention designed to improve management for depressive disorders among adolescents, via a randomized controlled trial comparing the intervention to usual care. Key components of the trial include enhanced education for youth and parents, youth involvement in choice of evidence-based treatments, care management by an allied health professional with regular supervision by a mental health specialist and pediatrician, and stepped care to advance treatment when youth are not improving. Additional features have been added to engage adolescents and parents including a moderated message board for youth to share with and learn from one another, formalized involvement of the parent, and availability of the care manager during after school hours. Our findings will provide key information on the effectiveness of a developmentally-sensitive adapted collaborative care intervention for the treatment of adolescent depression. PUBLIC HEALTH RELEVANCE: The goal of the current adolescent depression intervention is to markedly improve the percentage of adolescents who are accurately diagnosed and effectively treated for depression. Fewer than 50% of youth with depression receive treatment. Most adolescents visit a primary care doctor at least once a year: improving the detection and treatment of depression in this setting could markedly improve depression outcomes in teenagers and decrease risk of suicide.

描述（由申请人提供）：重度抑郁症是青春期最常见的精神健康障碍之一，与发育和功能的严重损害有关。该项目将通过一项将干预措施与常规护理进行比较的随机对照试验，严格测试青少年协作护理治疗干预措施，这是一种旨在改善青少年抑郁症管理的卫生服务干预措施。该试验的关键组成部分包括加强对青少年和家长的教育、青少年参与循证治疗的选择、由专职医疗专业人员进行护理管理并由心理健康专家和儿科医生定期监督，以及在青少年出现问题时采取阶梯式护理以推进治疗。没有改善。为了吸引青少年和家长的参与，还添加了其他功能，包括供青少年相互分享和学习的经过管理的留言板、家长的正式参与以及放学后可提供护理经理的服务。我们的研究结果将为发育敏感的适应性协作护理干预治疗青少年抑郁症的有效性提供关键信息。 公共卫生相关性：当前青少年抑郁症干预的目标是显着提高青少年抑郁症得到准确诊断和有效治疗的比例。不到 50% 的抑郁症青少年接受治疗。大多数青少年每年至少去看一次初级保健医生：在这种情况下改善抑郁症的检测和治疗可以显着改善青少年的抑郁症结果并降低自杀风险。