Bibliographic Details
| 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] |
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| Database: |
Education Research Complete |
