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- Title
Effect of Mental Health Screening and Integrated Mental Health on Adolescent Depression–Coded Visits.
- Authors
Rinke, Michael L.; German, Miguelina; Azera, Bridget; Heo, Moonseong; Brown, Nicole M.; Gross, Rachel S.; Bundy, David G.; Racine, Andrew D.; Duonnolo, Carmen; Briggs, Rahil D.
- 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.
- Subjects
DIAGNOSIS of mental depression; ADOLESCENT psychology; CONFIDENCE intervals; INTEGRATED health care delivery; LONGITUDINAL method; MEDICAL appointments; MEDICAL screening; MENTAL health; PRIMARY health care; PSYCHIATRISTS; DISEASE incidence; RETROSPECTIVE studies; ODDS ratio; ADOLESCENCE
- Publication
Clinical Pediatrics, 2019, Vol 58, Issue 4, p437
- ISSN
0009-9228
- Publication type
Article
- DOI
10.1177/0009922818821889