Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management

@article{Zuckerbrot2018GuidelinesFA,
  title={Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management},
  author={Rachel A. Zuckerbrot and Amy Cheung and Peter S. Jensen and Ruth EK Stein and Danielle Laraque},
  journal={Pediatrics},
  year={2018},
  volume={141}
}
OBJECTIVES: To update clinical practice guidelines to assist primary care (PC) clinicians in the management of adolescent depression. This part of the updated guidelines is used to address practice preparation, identification, assessment, and initial management of adolescent depression in PC settings. METHODS: By using a combination of evidence- and consensus-based methodologies, guidelines were developed by an expert steering committee in 2 phases as informed by (1) current scientific evidence… 

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References

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Guidelines for Adolescent Depression in Primary Care (GLAD-PC): I. Identification, Assessment, and Initial Management
TLDR
This part of the guidelines is intended to assist primary care clinicians in the identification and initial management of depressed adolescents in an era of great clinical need and a shortage of mental health specialists but cannot replace clinical judgment.
Guidelines for Adolescent Depression in Primary Care ( GLAD-PC ) : I . Identification , Assessment , and Initial Management
TLDR
This part of the guidelines is intended to assist primary care clinicians in the identification and initial management of depressed adolescents in an era of great clinical need and a shortage of mental health specialists but cannot replace clinical judgment.
Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part II. Treatment and Ongoing Management
TLDR
The Guidelines for Adolescent Depression in Primary Care cannot replace clinical judgment, and they should not be the sole source of guidance for adolescent depression management, but they may assist PC clinicians in the management of depressed adolescents in an era of great clinical need and a shortage of mental health specialists.
Guidelines for Adolescent Depression in Primary Care (GLAD-PC): II. Treatment and Ongoing Management
TLDR
These guidelines cannot replace clinical judgment, and they should not be the sole source of guidance for adolescent depression management, but they may assist primary care clinicians in the management of depressed adolescents in an era of great clinical need and a shortage of mental health specialists.
Expert Survey for the Management of Adolescent Depression in Primary Care
TLDR
Survey results support the identification and management of adolescent depression in the primary care setting and, in specific situations, referral and co-management with specialty mental health professionals.
Adolescent Depression Screening in Primary Care: Feasibility and Acceptability
TLDR
Instuting universal systematic depression screening in a practice with a standardized screening instrument met with little resistance by patients and parents and was well perceived and accepted by providers.
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TLDR
Among adolescents with depression seen in primary care, a collaborative care intervention resulted in greater improvement in depressive symptoms at 12 months than usual care, suggesting that mental health services for adolescence with depression can be integrated into primary care.
The Implementation of a Clinical Toolkit and Adolescent Depression Screening Program in Primary Care
TLDR
This project demonstrates that it is feasible to implement a depression screening and treatment program in primary care and can increase primary care providers’ comfort and feelings accountability in treating depression, thus increasing access for this monumental and potential catastrophic problem.
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