Adolescent Collaborative Care Treatment for Depression

描述（由申请人提供）：重度抑郁症是青春期最常见的心理健康障碍之一，与发育和功能的严重损害有关。该项目将严格测试青少年协作护理治疗干预措施，这是一项旨在改善青少年抑郁症管理的卫生服务干预措施，通过随机对照试验将干预措施与常规护理进行比较。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，由心理健康专家和儿科医生定期监督的专职医疗专业人员进行护理管理，以及在青少年没有改善时进行分步护理以推进治疗。还增加了其他功能，以吸引青少年和家长，包括一个温和的留言板，供青少年相互分享和学习，家长的正式参与，并在放学后提供护理经理。我们的研究结果将提供关键信息的有效性的发展敏感的适应协作护理干预治疗青少年抑郁症。 公共卫生相关性：目前青少年抑郁症干预的目标是显着提高准确诊断和有效治疗抑郁症的青少年的百分比。只有不到50%的青少年抑郁症患者接受治疗。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预后，降低自杀风险。

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.