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Adolescent Depression in Primary Care

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The American Academy of Pediatrics published a few weeks ago the second part of the Guidelines for Adolescent Depression in Primary Care (GLAD-PC). This comprehensive approach is available at http://pediatrics.aappublications.org/content/141/3/e20174082 .

As it says that “Studies have revealed that up to 9% of teenagers meet criteria for depression at any one time, with as many as 1 in 5 teenagers having a history of depression at some point during adolescence. In primary care (PC) settings, point prevalence rates are likely higher, with rates up to 28%” in the U.S. “…in this article, we (they) describe the updated recommendations regarding treatment, ongoing management, and follow-up, along with the supporting empirical evidence for these recommendations….”

The AAP calls for an Organizational Adoption of Integrative Care and offers the “following list representing many of the components described in 1 or more of some health care models:

  1. a treatment team that includes the patient, the family, and access to mental health expertise;

  2. education (including decision tools) for PC providers, patients, and family;

  3. tools and/or procedures to systematically identify, assess, and diagnose patients who are at risk or are currently experiencing depressive symptoms;

  4. a care plan for target patients (which may involve the family when possible and includes resources at other agencies or in the community);

  5. improved communication and coordination of care across providers and/or between patient, family, and provider;

  6. case management and/or patient and family support;

  7. routine tracking of patient progress, with appropriate follow-up action as needed;

  8. routine evaluation of staff performance metrics to inform ongoing quality improvement efforts; and

  9. increased patient and family motivation and capacity to self-manage symptoms, including education, feedback, etc.

 

Worth to read in full. And read also the Part I: Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Practice Preparation, Identification, Assessment, and Initial Management.

 

X. Allué (editor)

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Written by pedsocial

11 junio 2018 at 6:50