Web Statistics Collaborative Care Intervention Improves Depression Among Teens | Digital News Release

Collaborative Care Intervention Improves Depression Among Teens


Collaborative Care Intervention Improves Depression Among Teens

Media Advisory: To contact Laura P. Richardson, M.D., M.P.H., email Rose Ibarra at rose.ibarra@seattlechildrens.org. To contact editorial co-author Mark A. Riddle, M.D., email Ekaterina Pesheva at epeshev1@jhmi.edu.

Among adolescents with depression seen in primary care, a collaborative care intervention that included patient and parent engagement and education resulted in greater improvement in depressive symptoms at 12 months than usual care, according to a study in the August 27 issue of JAMA.

Depressed youth are at greater risk of suicide, substance abuse, early pregnancy, low educational attainment, recurrent depression and poor long-term health. Fourteen percent of adolescents between the ages of 13-18 years have major depression yet few receive evidence-based treatments for their depression. The failure to accurately diagnose and treat adolescents and an inadequate supply of child mental health specialists have led to increasing focus on improving the quality of depression treatment in pediatric primary care, according to background information in the article.

Laura P. Richardson, M.D., M.P.H., of Seattle Children’s Research Institute and the University of Washington School of Medicine, Seattle, and colleagues randomly assigned 101 adolescents (ages 13-17 years) at Group Health Cooperative who had screened positive for depression to a 12-month collaborative care intervention or usual care. The intervention included an education and engagement session, during which perspectives on symptoms were elicited, depression education was provided, and active treatment participation of adolescents and parents was encouraged. During the session, a depression care manager helped the youth and parent choose and initiate treatment with antidepressant medication, brief cognitive behavioral therapy, or both. The intervention youth then received ongoing follow-up with care provided in the primary care clinic. In the usual care group, youth received depression screening results and could access mental health services through Group Health.

Intervention youth (n = 50), compared with those who received usual care (n = 51), had greater decreases in depressive symptoms by 12 months. Sixty-eight percent of intervention youth had a 50 percent or greater reduction in depressive symptoms compared to 39 percent among control youth. The overall rate of depression remission at 12 months was 50.4 percent for intervention youth and 20.7 percent for control youth.

These findings suggest that mental health services for adolescents with depression can be effectively integrated into primary care, the authors conclude.

Editor’s Note: This project was funded by the National Institute of Mental Health. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, etc.

Editorial: A Practical and Effective Primary Care Intervention for Treating Adolescent Depression

Gloria M. Reeves, M.D., of the University of Maryland School of Medicine, Baltimore, and Mark A. Riddle, M.D., of the Johns Hopkins University School of Medicine, Baltimore, comment on this study in an accompanying editorial.

“Pediatric primary care clinicians have substantial potential to improve identification and treatment of adolescent depression. This study suggests that collaborative care treatment of adolescent depression can be structured to promote care that is evidence­based, personalized, and effective. Further research on this type of model has tremendous potential to benefit both families and clinicians.”

Editor’s Note: Both authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr. Riddle receives salary support from the Center for Mental Health Services in Pediatric Primary Care. No other disclosures were reported.

Related Documents...

3946 VIDEO FINAL.doc : Filesize 152Kb
Video Script in Doc FormatDownload
3946 VIDEO FINAL.pdf : Filesize 93Kb
Video Script in PDF FormatDownload
3946 RADIO FINAL.doc : Filesize 62Kb
Radio Script in DOC FormatDownload
3946 RADIO FINAL.pdf : Filesize 93Kb
Radio Script in PDF FormatDownload


Social Networks...

Facebook Myspace Twitter
LinkedIn Ning Hi5
Bebo Wordpress Blogger
Squarespace Tripod Typepad
Media Contact:

JAMA Media Relations
The JAMA Network
phone: 312.464.5262
email: mediarelations@jamanetwork.org

Technical Contact:

Rob Dalton
phone: 972.733.1595
email: rdalton@vnr1.com

Satellite Coordinates:

Satellite Feed Every Tuesday
9:00 - 9:15am (ET)
2:00 - 2:15pm (ET)
Galaxy 19
Transponder 12 C band, lower
18 mhz HD
Downlink: 3931 Horizontal
Symbol rate 12.8 FEC 3/4 QPSK
Trouble #: (312) 676-9855
Look for the JAMA Report Tab

Primary Video...

Primary JAMA Video | Length: 1:55Download SD Video
Download HD Video
Show Embed Link

Mobile Video...

Primary JAMA Video
Time: 1:55

Download for 3G
Primary JAMA Video
Time: 1:55

Download for iPhone
Related Broadcast Video...

Laura P. Richardson M.D.; M.P.H. - Seattle Children’s Hospital
Time: :26

Download SD Video
Download HD Video
B-Roll: Teens walking
Time: :05

Download SD Video
Download HD Video
B-Roll: Dr. Richardson in office
Time: :13

Download SD Video
Download HD Video
Related Broadcast Audio...

Full Radio News Release TRT :60

Download MP3 Audio
Download WAV Audio
Related Images...


JAMA Cover

Laura P. Richardson, MD, MPH