title: The brief cognitive-behavioral COPE intervention for depressed adolescents: outcomes and feasibility of delivery in 30-minute outpatient visits.
abstract: BACKGROUND
  Despite a U.S. prevalence of 9%, less than 25% of depressed adolescents receive treatment because of time constraints in clinical practice and lack of mental health providers available to deliver it.
  
  
  OBJECTIVE
  To assess the feasibility and effects of a brief manualized seven-session cognitive-behavioral skills building intervention entitled COPE (Creating Opportunities for Personal Empowerment) delivered to 15 depressed adolescents in routine 30-minute mental health medication management outpatient visits.
  
  
  METHODS
  A preexperimental one group pre- and posttest design was used.
  
  
  RESULTS
  Adolescents reported significant decreases in depression, anxiety, anger, and destructive behavior as well as increases in self-concept and personal beliefs about managing negative emotions. Evaluations indicated that COPE was a positive experience for teens and parents.
  
  
  CONCLUSIONS
  COPE is a promising brief cognitive-behavior therapy-based intervention that can be delivered within 30-minute individual outpatient visits. With this intervention, advanced practice nurses can work with practice time limitations and still provide evidence-based treatment for depressed teens.
authors.affiliation: Arizona State University College of Nursing & Health Innovation, 500 North 3rd Street, Phoenix, AZ, USA. Pamela.Lusk@asu.edu
authors.forename: Pamela
authors.initials: P
authors.lastname: Lusk
authors.forename: Bernadette Mazurek
authors.initials: BM
authors.lastname: Melnyk
mesh_terms: D000293:Adolescent; D057179:Advanced Practice Nursing; D000553:Ambulatory Care; D000786:Anger; D000928:Antidepressive Agents / Q000627:therapeutic use; D001008:Anxiety Disorders / Q000451:nursing / Q000523:psychology; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000451:nursing / Q000523:psychology; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D003695:Delivery of Health Care; D003865:Major Depressive Disorder / Q000451:nursing* / Q000523:psychology*; D055318:Evidence-Based Nursing; D005240:Feasibility Studies; D006801:Humans; D007389:Internal-External Control; D008370:Manuals as Topic; D010555:Personality Inventory; D011614:Psychotherapy, Brief / Q000379:methods*; D012649:Self Concept; D016896:Treatment Outcome
chemical_list: D000928:Antidepressive Agents