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Effect of Mental Health Screening and Integrated Mental Health on Adolescent Depression–Coded Visits.

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Title: Effect of Mental Health Screening and Integrated Mental Health on Adolescent Depression–Coded Visits.
Authors: Rinke, Michael L.1,2 mrinke@montefiore.org, German, Miguelina1,2, Azera, Bridget1,2, Heo, Moonseong2, Brown, Nicole M.1,2, Gross, Rachel S.3, Bundy, David G.4, Racine, Andrew D.1,2, Duonnolo, Carmen5, Briggs, Rahil D.1,2
Source: Clinical Pediatrics. Apr2019, Vol. 58 Issue 4, p437-445. 9p.
Subject Terms: *Adolescent psychology, *Longitudinal method, *Retrospective studies, *Adolescence, Diagnosis of mental depression, Confidence intervals, Integrated health care delivery, Medical appointments, Medical screening, Mental health, Primary health care, Psychiatrists, Disease incidence, Odds ratio
Abstract: Adolescent depression causes morbidity and is underdiagnosed. It is unclear how mental health screening and integrated mental health practitioners change adolescent depression identification. We conducted a retrospective primary care network natural cohort study where 10 out of 19 practices implemented mental health screening, followed by the remaining 9 practices implementing mental health screening with less coaching and support. Afterward, a different subset of 8 practices implemented integrated mental health practitioners. Percentages of depression-coded adolescent visits were compared between practices (1) with and without mental health screening and (2) with and without integrated mental health practitioners, using difference-in-differences analyses. The incidence of depression-coded visits increased more in practices that performed mental health screening (ratio of odds ratios = 1.22; 95% confidence interval =1.00-1.49) and more in practices with integrated mental health practitioners (ratio of odds ratios = 1.58; 95% confidence interval = 1.30-1.93). Adolescent mental health screening and integrated mental health practitioners increase depression-coded visits in primary care. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Pediatrics is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Effect of Mental Health Screening and Integrated Mental Health on Adolescent Depression–Coded Visits.
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  Data: <searchLink fieldCode="AR" term="%22Rinke%2C+Michael+L%2E%22">Rinke, Michael L.</searchLink><relatesTo>1,2</relatesTo><i> mrinke@montefiore.org</i><br /><searchLink fieldCode="AR" term="%22German%2C+Miguelina%22">German, Miguelina</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Azera%2C+Bridget%22">Azera, Bridget</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Heo%2C+Moonseong%22">Heo, Moonseong</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Brown%2C+Nicole+M%2E%22">Brown, Nicole M.</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Gross%2C+Rachel+S%2E%22">Gross, Rachel S.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Bundy%2C+David+G%2E%22">Bundy, David G.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Racine%2C+Andrew+D%2E%22">Racine, Andrew D.</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Duonnolo%2C+Carmen%22">Duonnolo, Carmen</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Briggs%2C+Rahil+D%2E%22">Briggs, Rahil D.</searchLink><relatesTo>1,2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Clinical+Pediatrics%22">Clinical Pediatrics</searchLink>. Apr2019, Vol. 58 Issue 4, p437-445. 9p.
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  Data: *<searchLink fieldCode="DE" term="%22Adolescent+psychology%22">Adolescent psychology</searchLink><br />*<searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br />*<searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br />*<searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis+of+mental+depression%22">Diagnosis of mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Integrated+health+care+delivery%22">Integrated health care delivery</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+appointments%22">Medical appointments</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+health+care%22">Primary health care</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatrists%22">Psychiatrists</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+incidence%22">Disease incidence</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Adolescent depression causes morbidity and is underdiagnosed. It is unclear how mental health screening and integrated mental health practitioners change adolescent depression identification. We conducted a retrospective primary care network natural cohort study where 10 out of 19 practices implemented mental health screening, followed by the remaining 9 practices implementing mental health screening with less coaching and support. Afterward, a different subset of 8 practices implemented integrated mental health practitioners. Percentages of depression-coded adolescent visits were compared between practices (1) with and without mental health screening and (2) with and without integrated mental health practitioners, using difference-in-differences analyses. The incidence of depression-coded visits increased more in practices that performed mental health screening (ratio of odds ratios = 1.22; 95% confidence interval =1.00-1.49) and more in practices with integrated mental health practitioners (ratio of odds ratios = 1.58; 95% confidence interval = 1.30-1.93). Adolescent mental health screening and integrated mental health practitioners increase depression-coded visits in primary care. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Clinical Pediatrics is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1177/0009922818821889
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        Text: English
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        PageCount: 9
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      – SubjectFull: Adolescent psychology
        Type: general
      – SubjectFull: Longitudinal method
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      – SubjectFull: Retrospective studies
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      – SubjectFull: Adolescence
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      – SubjectFull: Diagnosis of mental depression
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Integrated health care delivery
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      – SubjectFull: Odds ratio
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      – TitleFull: Effect of Mental Health Screening and Integrated Mental Health on Adolescent Depression–Coded Visits.
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              Text: Apr2019
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