Adolescent Collaborative Care Treatment for Depression

描述（由申请人提供）：重度抑郁症是青少年最常见的心理健康障碍之一，与发育和功能的重大损害有关。该项目将严格测试青少年合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，通过将干预措施与常规护理进行随机对照试验进行比较。该试验的关键组成部分包括加强对青年和家长的教育，青年参与循证治疗的选择，由专职卫生专业人员在精神卫生专家和儿科医生的定期监督下进行护理管理，以及在青年没有改善时加强治疗的阶梯式护理。为了吸引青少年和家长，还增加了其他功能，包括一个供青少年相互分享和学习的适度留言板，父母的正式参与，以及在放学后照顾经理的可用性。我们的研究结果将为发展敏感适应的协作护理干预治疗青少年抑郁症的有效性提供关键信息。

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.