title: Primary care management of child & adolescent depressive disorders.
abstract: This article outlines the importance of primary health care in addressing the public health challenge presented by pediatric depressive disorders. The current realities of depression management in primary care are discussed. The models emerging from intervention research and the barriers to their implementation in practice are then reviewed. Drawing on this background, recent new standards for primary care management of pediatric depressive disorders are discussed, along with resources that have been developed to support their achievement.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305, USA. fwren@stanford.edu
authors.forename: Frances J
authors.initials: FJ
authors.lastname: Wren
authors.forename: Jane Meschan
authors.initials: JM
authors.lastname: Foy
authors.forename: Patricia I
authors.initials: PI
authors.lastname: Ibeziako
mesh_terms: D000293:Adolescent; D000928:Antidepressive Agents / Q000627:therapeutic use; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods; D003299:Cooperative Behavior; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000191:economics / Q000628:therapy*; D004059:Diffusion of Innovation; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration; D010348:Patient Care Team / Q000191:economics / Q000458:organization & administration; D011320:Primary Health Care / Q000191:economics / Q000379:methods / Q000706:statistics & numerical data*; D011569:Psychiatric Status Rating Scales; D011787:Quality of Health Care; D016032:Randomized Controlled Trials as Topic; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000928:Antidepressive Agents; D017367:Selective Serotonin Reuptake Inhibitors