BRITEPath, Component 3 of iCHART (Integrated Care to Help At-Risk Teens)
Depression, Suicidal Ideation
About this trial
This is an interventional health services research trial for Depression
Eligibility Criteria
Inclusion Criteria:
- Youth aged 12-26 yo
- Own a device (e.g. smartphone, ipod, tablet) with capability to download BRITE app
- Biological or adoptive parent is willing to provide informed consent for teen to participate
- Youth speaks and understands English
- Positive PHQ score or provider determines youth has depressive symptoms based on clinical interaction and refers youth to the study (in cases when PHQ is not available and study staff will complete the PHQ during the screening) OR Provider can refer if they are unclear if symptoms are depressive and PHQ scoring will be used to determine youth's eligibility. OR Screening Wizard screening questionnaire (which includes the PHQ and depressive symptom questions) indicates depression OR provider/parent have concern that youth/patient has a mood or behavioral problem
- Family agrees to see an (embedded) MH therapist at the practice
PHQ scores:
Score of 8 or higher on PHQ-8 -or- Score of 1 or higher on #9 of PHQ-9 suicidality item
Exclusion Criteria:
Non English speaking No parent willing to provide informed consent No cell phone capability of downloading BRITE app Is currently experiencing mania or psychosis Evidence of an intellectual or developmental disorder (IDD) Life threatening medical condition that requires immediate treatment (included emergent suicidality, homicidality, abuse/neglect, or other mental or physical condition) Other cognitive or medical condition preventing youth from understanding study and/or participating.
Currently receiving MH treatment/currently satisfied with treatment
Sites / Locations
- Northwell Hospital
- Children's Community Pediatrics (CCP-Moon) of Children's Hospital of Pittsburgh of UPMC
- STAR-Center
- Wesley Family Services
- Children's Community Pediatrics (CCP-Wexford) of Children's Hospital of Pittsburgh of UPMC
- Seattle Children's Hospital
Arms of the Study
Arm 1
Experimental
BRITEPath
Participants will receive the components in BRITEPath from a mental health (MH) clinician trained by the study staff/PI's on how to implement BRITE safety planning with fidelity. First, the MH clinician will review possible barriers to implementation of the safety plan and problem-solve appropriately with patient and parent(s); (2) BRITE is the emotion regulation/safety planning app loaded on the patient's smartphone that populated with support from Guide2BRITE.; and (3) BRITEBoard, a clinician dashboard that shows app use, change in distress and symptoms ratings, and can be used for shared decision making with parents, patients, and PCPs. Clinicians will review adolescent's skill development and app content with parents. Prior to discharge or following acute increases in suicide risk.