Adolescent Collaborative Care Treatment for Depression

青少年抑郁症的协作护理治疗

基本信息

批准号：
7919256
负责人：
LAURA P RICHARDSON
金额：
$ 66.61万
依托单位：
SEATTLE CHILDREN'S HOSPITAL
依托单位国家：
美国
项目类别：
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/7919256
关键词：
Acute Adherence Adolescence Adolescent Adult Antidepressive Agents Boxing Caring Case Manager Clinic Cognitive Therapy 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 Depression 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&apos s depression rating scale collaborative care cost effectiveness 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

项目摘要

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，与开发和功能的重大损害有关。该项目将严格测试青少年协作护理治疗干预措施，这是一种旨在通过比较干预措施与常规护理的随机对照试验，旨在改善青少年抑郁症的管理。该试验的关键组成部分包括增强对青年和父母的教育，青年参与循证治疗方法，由盟军卫生专业人员的护理管理，并在心理健康专家和儿科医生的定期监督下进行监督，并在青年没有改善时施加了护理，以提高治疗。已经添加了其他功能，以吸引青少年和父母，包括一个适度的留言板，供青年人分享和学习父母的正式参与，以及在放学后的护理经理的可用性。我们的发现将提供有关发展对发展敏感的协作护理干预措施以治疗青少年抑郁症的有效性的关键信息。公共卫生相关性：当前青少年抑郁干预措施的目标是明显提高被准确诊断并有效治疗抑郁症的青少年的百分比。抑郁症的年轻人中只有不到50％接受治疗。大多数青少年每年至少拜访初级保健医生：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状，并降低自杀的风险。