Reaching Out to Adolescents With Depression

Not Applicable

Completed

• Conditions: Depression
• Interventions: Other: Enhanced Usual Care; Other: Collaborative care

• Registration Number: NCT01140464
• Lead Sponsor: Seattle Children's Hospital

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2010-04
• Study First Submitted: 2010-06-01
• Study First Submitted QC: 2010-06-07
• Study First Posted: 2010-06-09
• Primary Completion: 2013-04
• Study Completion: 2013-04
• Status Verified: 2017-04
• Last Update Submitted: 2017-04-27
• Last Update Posted: 2017-05-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 101

Inclusion Criteria

• depression
• age 13-17 years
• enrollment in study Primary Care Clinics

Exclusion Criteria

• suicidality
• already enrolled Specialty mental health care
• mental health hospitalization in the prior year
• substance abuse
• bipolar disorder
• non-English speaker

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Enhanced Usual Care	Enhanced Usual Care	Usual care treatment of depression in primary care settings. Usual care considered enhanced as patients and their parents were given screening results and encouraged to seek care from their primary care doctor and behavioral health services.
Collaborative Care	Collaborative care	Collaborative care intervention for depression. Involves care management, evidence based treatments in primary care setting, symptom monitoring and stepped care design

Primary Outcome Measures

Name	Time	Method
Child Depression Rating Scale	12 months	Depressive symptoms

Secondary Outcome Measures

Name	Time	Method
Columbia Impairment Scale	12 months	Functional impairment

Trial Locations

Locations (1)

Group Health Cooperative; 🇺🇸 Seattle, Washington, United States