Integrated Care Pathway for Youth Depression (CARIBOU)
ICP1, Depression, Adolescent Behavior
About this trial
This is an interventional treatment trial for ICP1
Eligibility Criteria
Inclusion Criteria:
- Psychiatrist's impression is that depression is a primary psychiatric. concern
- 14-18 years old.
- DSM-5 criteria for Major Depressive Disorder or Persistent Depressive Disorder as per the Diagnostic Interview for Affective Symptoms for Children (DIAS-C19).
- Speak, read and write English at a grade 6 level.
Exclusion Criteria:
- Threshold psychotic symptoms.
- Bipolar disorder.
- Moderate-to-severe substance use disorder.
- Autistic spectrum disorder or intellectual disability.
- Eating disorder.
- Suicide-related behaviours requiring acute intervention.
Sites / Locations
- Sunnybrook Health Sciences Centre
- The Center for Addiction and Mental HealthRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Integrate Care Pathway
Treatment As Usual
The intervention is an Integrated Care Pathway with 3 key components. Clinical Practice Guidelines (CPG) recommendations: The initial template of the treatment protocol was based on the NICE CPGs for Depression in Children and Young People. Provider engagement: The clinicians at CAMH reviewed the template and collaboratively developed a flow chart defining the treatment protocol. Measurement-based care: Feedback measures are taken every four weeks and the results are provided to the clinician, patient and family to inform treatment decisions. The feedback measures are the Mood and Feelings Questionnaire, the Columbia Impairment Scale (CIS) and the General Functioning Domain of the McMaster Family Assessment Device (MFAD).
Treatment As Usual : Participants at SHSC will receive treatment at could include a psychiatric evaluation, possible medication management and various types of psychotherapy, including cognitive-behavioural therapy, interpersonal psychotherapy, psychodynamic psychotherapy and family therapy. There is no structured protocol and no systematic Measurement Based Care. A research assistant will record the interventions received in either group via chart review.