@article{ref1,
title="Implementation of universal adolescent depression screening: quality improvement outcomes",
journal="Journal of Pediatric Health Care",
year="2021",
author="Bose, Jeff and Zeno, Rosie and Warren, Barbara and Sinnott, Loraine T. and Fitzgerald, Elizabeth A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Despite the increasing incidence of adolescent depression, suicide and evidence-based recommendations for adolescent depression screening, 70% of teens report not discussing depression with their provider. The aim of this quality improvement project was to improve the identification and management of adolescent depression by implementing a practice-based, universal depression screening. <br><br>METHOD: The Patient Health Questionnaire-9 modified for Adolescents was implemented during annual wellness visits for adolescents aged 12-18 years over 3 months. Retrospective chart reviews were conducted to determine a change in the rates of depression screening, depression diagnoses, referrals to mental health, and pharmaceutical treatment of depression. <br><br>RESULTS: Pre/postimplementation data were compared. Documented adolescent depression screening increased from 0% to 74.5%. Increased rates of diagnosed depression (12.1%), mental health referrals (8%), and pharmaceutical treatment of depression (4.9%) were clinically and statistically significant. <br><br>DISCUSSION: Adopting evidence-based recommendations for universal depression screening in pediatric primary care can improve the early diagnosis and management of adolescent depression.<p /> <p>Language: en</p>",
language="en",
issn="0891-5245",
doi="10.1016/j.pedhc.2020.08.004",
url="http://dx.doi.org/10.1016/j.pedhc.2020.08.004"
}