Youth Partners in Care: Depression and Quality Improvement (YPIC)
Depression
About this trial
This is an interventional health services research trial for Depression focused on measuring depression, quality improvement, treatment, adolescents
Eligibility Criteria
Inclusion Criteria:
- Met either of two criteria: 1) endorsed "stem items" for major depression or dysthymia from the 12-month Composite International Diagnostic Interview(CIDI-12,2.1) modified slightly to conform to diagnostic criteria for adolescents, 1-week or more of past-month depressive symptoms, and a total Center for Epidemiological Studies- Depression Scale(CES-D)40 score ≥ 16, or 2) CES-D score ≥ 24.
- Age 13-21
- Presented at primary care clinic
Exclusion Criteria:
- not English-speaking
- provider not in study
- sibling already in study
- completed eligibility screener previously
Sites / Locations
- University of California
- Kaiser Permanente Los Angeles Medical Center
- Venice Family Clinic
- Ventura County Medical Center
- University of Pittsburgh
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Usual Care
Quality Improvement for Depression
Patients received usual care through primary care, enhanced by provider education regarding depression evaluation and management (1-2 hour training, plus study manual)
Major intervention components included a) expert leader teams who planned and implemented the intervention at each clinic, b) care managers who supported primary care clinicians with depression evaluation and management, c) access to cognitive-behavior therapy for depression within each primary care clinic, and d) patient and provider choice regarding treatment modality.