Abstract
Adolescent depression causes morbidity and is underdiagnosed. It is unclear how mental health screening and integrated mental health practitioners change adolescent depression identification. We conducted a retrospective primary care network natural cohort study where 10 out of 19 practices implemented mental health screening, followed by the remaining 9 practices implementing mental health screening with less coaching and support. Afterward, a different subset of 8 practices implemented integrated mental health practitioners. Percentages of depression-coded adolescent visits were compared between practices (1) with and without mental health screening and (2) with and without integrated mental health practitioners, using difference-in-differences analyses. The incidence of depression-coded visits increased more in practices that performed mental health screening (ratio of odds ratios = 1.22; 95% confidence interval =1.00-1.49) and more in practices with integrated mental health practitioners (ratio of odds ratios = 1.58; 95% confidence interval = 1.30-1.93). Adolescent mental health screening and integrated mental health practitioners increase depression-coded visits in primary care.
Original language | English (US) |
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Pages (from-to) | 437-445 |
Number of pages | 9 |
Journal | Clinical Pediatrics |
Volume | 58 |
Issue number | 4 |
DOIs | |
State | Published - Apr 1 2019 |
Keywords
- adolescent
- depression
- integrated behavioral health
- mental health
- pediatrics
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health