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Pediatricians Encouraged to Screen Teens for Mental Health Issues

Pediatricians Encouraged to Screen Teens for Mental Health Issues

A new study suggests training pediatric primary care providers to screen and assess depression and suicide risk in adolescent patients will improve care.

Researchers discovered additional training improved pediatrician’s confidence and knowledge of these conditions and led to increased frequency of screenings for this critical patient population.

The study, to be published in a forthcoming issue of Academic Pediatrics, demonstrates that screening by pediatricians is an effective tool for improving recognition of adolescent depression.

“Adolescent depression is woefully underrecognized and undertreated,” said Elise Fallucco, M.D., a lead author of the study and child and adolescent psychiatrist at Nemours Children’s Specialty Care in Jacksonville, Florida.

“Pediatric primary care providers are well-positioned help identify early signs of depression, but most do not have the tools or training to do so reliably.”

Sadly, many cases of adolescent depression are not recognize, sometimes leading to deadly consequences. Because only 50 percent of adolescent depression cases are identified and only 38 percent of diagnosed patients receive treatment, professional guidelines by the American Academy of Pediatrics and the United States Preventive Task Force both recommend primary care screening of the condition.

Pediatric primary care providers evaluate 70 percent of adolescents annually, including 45 percent of suicide victims within the month before they complete suicide.

In the study, researchers recruited 31 pediatric primary care providers from four practices to increase screening and identification of adolescent depression and improve providers’ confidence and knowledge of adolescent depression.

In total, providers had been in practice for an average of 16 years, but reported only an average of 2.9 weeks of prior mental health training including during residency. Each provider participated in baseline assessments, training and short and long-term follow-up measured by patient surveys.

The trainings included strategies for screening, assessment, and treatment for depression with an antidepressant medication and practice sessions with actors portraying adolescent patients.

Approximately 1,200 patients participated in the study. Each was provided a standardized tool to help providers screen their risk, as well as took a follow-up survey to evaluate if the provider screened or diagnosed depression and discussed treatment options.

As a result of the training, provider screening for depression increased and confidence and knowledge improved. In the duration of the long-term follow-up at 18 to 24 months post-training, 74 percent of patients reported that they had been verbally screened by their provider and 95 percent reported that they had completed a self-assessment prior to their visit.

Providers’ confidence and knowledge of adolescent depression was maintained more than four to six months following the initial training. The findings suggest that the tools had been integrated into regular well-child visits.

“Skills in assessing and managing depression will be increasingly necessary for primary care providers,” said Fallucco.

“Our simple intervention empowered providers to promote early identification and treatment of adolescent depression by equipping them with the tools and knowledge needed to deliver this care.”

Source: Academic Pediatrics/EurekAlert

Pediatricians Encouraged to Screen Teens for Mental Health Issues

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2015). Pediatricians Encouraged to Screen Teens for Mental Health Issues. Psych Central. Retrieved on June 22, 2018, from https://psychcentral.com/news/2015/04/03/pediatricians-encouraged-to-screen-teens-for-mental-health-issues/83121.html

 

Scientifically Reviewed
Last updated: 6 Oct 2015
Last reviewed: By John M. Grohol, Psy.D. on 6 Oct 2015
Published on PsychCentral.com. All rights reserved.