Adolescent Collaborative Care Treatment for Depression

青少年抑郁症的协作护理治疗

• 批准号: 8268516
• 负责人: LAURA P RICHARDSON
• 金额: $ 41.82万
• 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 2014-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8268516
• 关键词: Acute; Adherence; Adolescence; Adolescent; Adult; Antidepressive Agents; Boxing; Caring; Case Manager; Clinic; Cognitive Therapy; 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; Prevention; Primary Health Care; Psychotherapy; Randomized; Randomized Controlled Trials; Relative (related person); 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; collaborative care; cost effectiveness; depressive symptoms; evidence base; evidence based guidelines; follow-up; improved; model design; pediatrician; peer; post intervention; primary care setting; profession allied to medicine; programs; psychosocial; service intervention; suicidal risk; suicide rate; therapy design; treatment as usual; treatment strategy; trial comparing

PROJECT SUMMARY 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.

项目摘要 重度抑郁症是青少年最常见的心理健康障碍之一， 在发展和功能上的重大障碍。该项目将严格测试青少年 协作护理治疗干预，一种旨在改善以下管理的卫生服务干预： 青少年抑郁障碍，通过一项随机对照试验，比较干预措施和常规措施 在乎试验计划的主要内容包括加强对青少年和家长的教育， 选择循证治疗，由专职健康专业人员进行护理管理， 在心理健康专家和儿科医生的监督下， 没有改善。还增加了其他功能，以吸引青少年和家长，包括 * 为青年人建立了一个有节制的留言板，供他们相互交流和学习， 家长，并在放学后的时间照顾经理的可用性。我们的发现将提供关键信息 对发展敏感的适应性协作护理干预治疗的有效性 青春期抑郁症

项目成果

Association of Adolescent Depressive Symptoms With Health Care Utilization and Payer-Incurred Expenditures.

• DOI: 10.1016/j.acap.2015.08.013
• 发表时间: 2016-01
• 期刊: Academic pediatrics
• 影响因子: 3.1
• 作者: Wright DR;Katon WJ;Ludman E;McCauley E;Oliver M;Lindenbaum J;Richardson LP
• 通讯作者: Richardson LP

The Costs and Cost-effectiveness of Collaborative Care for Adolescents With Depression in Primary Care Settings: A Randomized Clinical Trial.

初级保健机构中抑郁症青少年协作护理的成本和成本效益：随机临床试验。

• DOI: 10.1001/jamapediatrics.2016.1721
• 发表时间: 2016
• 期刊: JAMA pediatrics
• 影响因子: 26.1
• 作者: Wright,DaveneR;Haaland,WrenL;Ludman,Evette;McCauley,Elizabeth;Lindenbaum,Jeffrey;Richardson,LauraP
• 通讯作者: Richardson,LauraP