Guidelines for adolescent depression in primary care american. Guidelines for adolescent depression in primary care glad. Pdf screening adolescents for depression researchgate. The bsad brief screen for adolescent depression is a selfsurvey so you can check yourself for depression. Adolescent depression is a serious mental health problem. The strength of each recommendation and its evidence base are summarized. Major depression affects nearly 3% of children younger than, and 5. The psc is a 35item selfscreen used to identify cognitive, emotional, and behavioral problems in children and adolescents. Brief measures to screen for social anxiety in adolescents. Evaluation of the phq2 as a brief screen for detecting major depression among adolescents. The mood disorder questionnaire mdq overview the mood disorder questionnaire mdq was developed by a team of psychiatrists, researchers and consumer advocates to address the need for timely and accurate evaluation of bipolar disorder. The practice preparation, identification, assessment, and initial management.
The scoring scale is at the end of the questionnaire. Alcohol screening and brief intervention for youth. Percentage of patient visits for those patients aged 6 through 17 years. The american medical associations guidelines for adolescent preventive services gaps and bright futures suggest that primary care providers in pediatric settings begin screening for depression at age 11 and continue to do so annually thereafter. Obtain a family mental health history, including depression, suicide, and substance use. Screening teens for depression promoting healthy mental.
Adolescent screening, brief intervention, and referral to. The following screening tool will help us know more about your experiences with depression. The screeners in this kit include broad screens for primary surveillance as well as targeted screens for followup. Kads11 overview the kutcher adolescent depression scale kads is a selfreport scale specifically designed to diagnosis and assess the severity of adolescent depression, and versions include a 16item, a 11. The beck depression inventory bdi is widely used to screen for depression and to measure behavioral manifestations and severity of depression. Force uspstf now recommends screening all teens ages 1218 for major depressive disorder.
Two brief screens for adolescent depression in the pediatric emergency department maia s rutman, md1, edmond shenassa, scd2, thomas chun, md1 and bruce becker, md, mph1. Alcohol screening and brief intervention for youth a practitioners guide. Consider referral to a mental health professional pdf. Screening tools anxiety and depression association of. Child and adolescent major depressive disorder mdd. Improving validated depression screen among adolescent. Your bsad survey score will tell you whether you should see a school health professional psychologist, nurse, counselor or social worker for a followup discussion. Accurate and valid brief depression screening tools are needed for adolescent mothers. Cognitive behavioural therapy cbt is a well validated treatment for adults with depression nice. We found that the 10item edinburgh postnatal depression scale epds and 2 subscales, the epds7 and epds2, are highly accurate at identifying postpartum depression among adolescent mothers. Have you felt like nothing is fun for you and you just arent interested in anything. The practice preparation, identification, assessment. No permission required to reproduce, translate, display, or distribute.
Screening adolescents for depression contemporary pediatrics. Teens are unlikely to bring up risky behaviors on their own, especially if they think the information might not be kept confidential. Social workers offer consultation to providers, brief interventions, or shortterm 46 visits counseling for individuals with mild to moderate depression and alcohol or substance use disorders. Evaluation of the phq2 as a brief screen for detecting major depression among adolescents article pdf available in pediatrics 1255. The task force issued the new guidelines because major depression is so disabling, with longterm. Evaluation of the phq2 as a brief screen for detecting major. Williams, kurt kroenke, and colleagues, with an educational grant from pfizer inc. The mood disorder questionnaire mdq overview the mood disorder questionnaire mdq was developed by a team of psychiatrists, researchers and consumer advocates to address the need for. Pdf brief measures to screen for social anxiety in adolescents. Given to adults ages 18 and older when positive on the drug question on the brief screen. To examine the validity of the patient health questionnaire 2 phq2, a 2item depressionscreening scale, among adolescents. The following table is a snapshot of a work in progress of the american academy of pediatrics aap mental. Finally, we share opportunities for health plans to support.
The items on each of the checklists are parallel i. Rather, the goal is for the results of the test to be shared with your doctor to inform further conversations about diagnosis and treatment. To learn more, read evaluation of the phq2 as a brief screen for detecting major depression among adolescents pdf. Designed to assess the abilities of a broad range of children and adolescents, the brief is useful when working with children who have learning disabilities and attention disorders, traumatic brain injuries.
Decision support for clinicians the recommendations in this publication do not indicate an exclusive course of. Given the time constraints in primary care, many physicians tend to rely more on clinical questioning to screen depression. Research shows that many health care providers feel that they have inadequate tools, training, time, and treatment resources for alcohol and other drug use. Based on patient health questionnaire9 phq9 developed by drs. Screening for depression in children and adolescents. Bhi is currently implemented in all kaiser foundation health plan of washington clinics.
Adolescents who screen positive on the phq2 may be further administered the rest of the phq9. The american medical associations guidelines for adolescent preventive services gaps and bright futures suggest that primary care providers in pediatric settings begin screening for depression at age. Depression major depressive disorder is a medical illness that can interfere with your ability to handle your daily activities, such as sleeping, eating, or managing your school work. Brief screen for adolescent depression bsad author.
Depression in adolescents with asd autism ataglance brief. Depression is a relatively common mental health problem among teens. A brief, 17item, selfreport measure designed to screen for potentially traumatic events in a respondents lifetime. Share the results of the screening with the teen and parents. This report compares the diagnostic validity of the full 16item instrument. Evaluation of the phq2 as a brief screen for detecting. The task force issued the new guidelines because major depression is so disabling, with longterm consequences, and yet most youngsters who are depressed go undiagnosed and untreated. Research shows that many health care providers feel that they have inadequate tools, training, time, and treatment resources for alcohol and other drug use screening and brief intervention for all adolescent patients. The american academy of pediatrics aap recommends screening the adolescent population for depression with a validated screening tool at least once a year. Depression screening in adolescents harvard health.
Assesses consequences related to recreational drug use. We found that the 10item edinburgh postnatal depression scale epds and 2. Adolescent barriers to adolescent risk screening completing a confidential screening for highrisk behaviors in adolescents can be a challenge for health care providers. Screening for depression anxiety and depression association.
Adolescent depression, has been identified as one of the important risk factors for adolescent safety. In addition, the phq2, a very brief depression screening scale consisting of the first 2 items of the phq9, has been found to have good sensitivity and specificity for detecting major depression. Adolescent health services coding preventive medicine services if an illness or abnormality is encountered or a preexisting problem is addressed in the process of performing the preventive medicine service, and if the illness, abnormality, or problem is significant. One validated question for adult alcohol use, and one validated question for adult drug use. In addition, the phq2, a very brief depression screening scale consisting of the. Child and adolescent behavioral health screening toolkit this toolkit is designed to assist pediatric and primary care providers in screening patients for behavioral health and psychosocial concerns. Brief periods of sadness or irritability in response to disappointment or loss are a normal part. The lec assesses exposure to 16 events known to potentially result in ptsd or distress and includes one item assessing any other extraordinarily stressful event not captured in the first 16 items.
Center epidemiologic studies depression scale cesd pdf columbia disc depression scale pdf kutcher adolescent depression scale kads pdf. Adapting brief behavioural activation ba for adolescent. Accuracy of brief screening tools for identifying postpartum. The psc is a 35item self screen used to identify cognitive, emotional, and behavioral problems in children and adolescents. The inventory contains 21 selfreport items which individuals complete using multiple choice response formats.
The bdi takes approximately 10 minutes to complete. Screen yourself or a family member for an anxiety disorder, depression, ocd, ptsd, or a phobia. Your bsad survey score will tell you whether you should see a school. Aug 11, 2010 prevalence of depression in adolescents. Screen teens for depressionits quicker than you think. The university of north carolina, frank porter graham child development institute, csesa development team. Includes extra questions about types of drugs, injection of drugs, and drug treatment. The asq is a set of four screening questions that takes 20 seconds to administer. Adolescent depression scale kads, designed specifically to diagnose and assess the severity of adolescent depression. Adolescent health services coding preventive medicine services if an illness or abnormality is encountered or a preexisting problem is addressed in the process of performing the preventive. Policies and confidential care for adolescents naaah.
Rather, the goal is for the results of the test to be shared. Social workers offer consultation to providers, brief interventions, or. After completing a brief depression screen, 499 youth aged 17 years who were enrolled in an integrated health care system were invited to participate in a full assessment, including a longer depressionscreening scale patient health. It is available in spanish, as well as in a modified version for adolescents the macarthur. Preventive services task force, an influential government advisory body, has published a statement recommending that clinicians screen adolescents defined as ages 12 to 18 for depression with one important caveat. The american academy of pediatrics aap recommends screening the adolescent. The ask suicidescreening questions asq toolkit is a free resource for medical settings emergency department, inpatient medicalsurgical units, outpatient clinicsprimary care that can help nurses or physicians successfully identify youth at risk for suicide. Patient health questionnaire phq9 is the most common screening tool to identify depression. Adult and adoelscent depression screening, diagnosis, and.
The ask suicidescreening questions asq toolkit is a free resource for medical settings emergency department, inpatient medicalsurgical units, outpatient clinicsprimary care that can help nurses or. Screen teens for depressionits quicker than you think ncbi. Please tell us your thoughts about ways the school can bestbetter help support students. Guidelines for adolescent depression in primary care gladpc.
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