Adolescent depression is a prevalent and disabling condition resulting in emotional suffering and social and educational dysfunction. Care for adolescent depression is suboptimal and could be improved through the development and use of quality indicators (QIs). This article reports on the development of a care pathway and QIs for the primary and specialty care management of adolescent depression from case identification through symptom remission. It presents evidence from a review of adolescent clinical practice guidelines and research literature to support QIs at critical nodes in the pathway, and describes implications for practice based on existing evidence. Barriers to measure development are identified, including gaps in empirical evidence, and a research agenda is suggested.
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October 2013
Special Article|
October 01 2013
Evidence for the Management of Adolescent Depression
R. Eric Lewandowski, PhD;
aDepartment of Child and Adolescent Psychiatry, New York University School of Medicine New York, New York;
Address correspondence to R. Eric Lewandowski, PhD, MSc, Department of Child and Adolescent Psychiatry, NYU School of Medicine, 1 Park Ave, New York, NY 10016. E-mail: eric.lewandowski@nyumc.org
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Mary C. Acri, PhD;
Mary C. Acri, PhD
aDepartment of Child and Adolescent Psychiatry, New York University School of Medicine New York, New York;
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Kimberly E. Hoagwood, PhD;
Kimberly E. Hoagwood, PhD
aDepartment of Child and Adolescent Psychiatry, New York University School of Medicine New York, New York;
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Mark Olfson, MD;
Mark Olfson, MD
bDepartment of Psychiatry, and
cNew York State Psychiatric Institute, New York, New York;
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Greg Clarke, PhD;
Greg Clarke, PhD
dKaiser Permanente Center for Health Research, Portland, Oregon;
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William Gardner, PhD;
William Gardner, PhD
eDepartment of Pediatrics, Dalhousie University, Halifax, Nova Scotia;
fDepartment of Pediatrics, The Ohio State University, Columbus, Ohio;
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Sarah Hudson Scholle, DrPH;
Sarah Hudson Scholle, DrPH
gNational Committee for Quality Assurance, Washington District of Columbia;
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Sepheen Byron, MHS;
Sepheen Byron, MHS
gNational Committee for Quality Assurance, Washington District of Columbia;
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Kelly Kelleher, MD;
Kelly Kelleher, MD
fDepartment of Pediatrics, The Ohio State University, Columbus, Ohio;
hNationwide Children’s Hospital, Columbus, Ohio;
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Harold A. Pincus, MD;
Harold A. Pincus, MD
bDepartment of Psychiatry, and
iIrving Institute for Clinical and Translational Research, Columbia University, New York, New York;
jNew York-Presbyterian Hospital, New York, New York; and
kRAND Corporation, New York, New York
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Samantha Frank, BA;
Samantha Frank, BA
aDepartment of Child and Adolescent Psychiatry, New York University School of Medicine New York, New York;
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Sarah M. Horwitz, PhD
Sarah M. Horwitz, PhD
aDepartment of Child and Adolescent Psychiatry, New York University School of Medicine New York, New York;
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Address correspondence to R. Eric Lewandowski, PhD, MSc, Department of Child and Adolescent Psychiatry, NYU School of Medicine, 1 Park Ave, New York, NY 10016. E-mail: eric.lewandowski@nyumc.org
FINANCIAL DISCLOSURE: Drs Lewandowski, Acri, Hoagwood, Olfson, Gardner, Scholle, Kelleher, and Horwitz and Ms Byron and Frank were supported in this work by funds from Agency for Healthcare Research and Quality grant U18HS020503; and Drs Clarke and Pincus have indicated they have no financial relationships relevant to this article to disclose.
Pediatrics (2013) 132 (4): e996–e1009.
Article history
Accepted:
July 17 2013
Citation
R. Eric Lewandowski, Mary C. Acri, Kimberly E. Hoagwood, Mark Olfson, Greg Clarke, William Gardner, Sarah Hudson Scholle, Sepheen Byron, Kelly Kelleher, Harold A. Pincus, Samantha Frank, Sarah M. Horwitz; Evidence for the Management of Adolescent Depression. Pediatrics October 2013; 132 (4): e996–e1009. 10.1542/peds.2013-0600
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