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Adolescent depression screening in primary care: feasibility and acceptability.

Adolescent depression screening in primary care: feasibility and acceptability. Research Abstract Details 

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  • Adolescent depression screening in primary care: feasibility and acceptability. Abstract Text:

    rachel a zuckerbrotRachel A Zuckerbrot,laura maxonLaura Maxon,dana pagarDana Pagar,mark daviesMark Davies,prudence w fisherPrudence W Fisher,david shafferDavid Shaffer,

    OBJECTIVE: Despite available depression treatments, only one fourth to one third of depressed adolescents are receiving care. The problem of underdiagnosis and underreferral might be redressed if assessment of suicidality and depression became a more formal part of routine pediatric care. Our purpose for this study was to explore the feasibility and acceptability of implementing adolescent depression screening into clinical practice. METHODS: In this study we implemented a 2-stage adolescent identification protocol, a first-stage pen-and-paper screen and a second-stage computerized assessment, into a busy primary care pediatric practice. Providers tracked the number of eligible patients screened at both health maintenance and urgent care visits and provided survey responses regarding the burden that screening placed on the practice and the effect on patient/parent-provider relationships. RESULTS: Seventy-nine percent of adolescent patients presenting for health maintenance visits were screened, as were the majority of patients presenting for any type of visit. The average completion time for the paper screen was 4.6 minutes. Providers perceived parents and patients as expressing more satisfaction than dissatisfaction with the screening procedures and that the increased time burden could be handled. All providers wished to continue using the paper screen at the conclusion of the protocol. CONCLUSIONS: Instituting universal systematic depression screening in a practice with a standardized screening instrument met with little resistance by patients and parents and was well perceived and accepted by providers.

    Adolescent depression screening in primary care: feasibility and acceptability. Publishing Authors By Initials

    ra zuckerbrotRA Zuckerbrot,l maxonL Maxon,d pagarD Pagar,m daviesM Davies,pw fisherPW Fisher,d shafferD Shaffer,

    For similar behavioral disciplines and activities: psychological tests: psychometrics research abstracts see: behavioral disciplines and activities: psychological tests: psychometrics research

    PUBMED ID PMID:

    MEDLINE DATE:

    Adolescent depression screening in primary care: feasibility and acceptability. Journal Published:

    PUBLICATION TYPE: Research Support, N.I.H., Extr

    Journal: Pediatrics

    VOLUME: 119

    Page Numbers: 101-8

    Journal Abbreviation: Pediatrics

    ISSN: 1098-4275

    DAY: 3

    MONTH: Jan

    YEAR: 2007

    Adolescent depression screening in primary care: feasibility and acceptability. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 376422

    Adolescent depression screening in primary care: feasibility and acceptability. Keywords Mesh Terms:

    KEYWORDS: Psychometrics

    MESH TERMS: statistics & numerical data

    Chemical & Substance for Abstract: Adolescent depression screening in primary care: feasibility and acceptability. Information

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    Grant and Affiliation Information for Adolescent depression screening in primary care: feasibility and acceptability.

    AFFILIATION: Division of Child and Adolescent Psychiatry, Department of Psychiatry, Columbia University, New York, New York, USA. raz1@columbia.edu

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NIMH

    GRANT: T-32 MH 16434-22

    ACRONYM: MH

    MEDLINETA: Pediatrics

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