title: Evidence for the management of adolescent depression.
abstract: 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.
authors.affiliation: MSc, Department of Child and Adolescent Psychiatry, NYU School of Medicine, 1 Park Ave, New York, NY 10016. eric.lewandowski@nyumc.org.
authors.forename: R Eric
authors.initials: RE
authors.lastname: Lewandowski
authors.forename: Mary C
authors.initials: MC
authors.lastname: Acri
authors.forename: Kimberly E
authors.initials: KE
authors.lastname: Hoagwood
authors.forename: Mark
authors.initials: M
authors.lastname: Olfson
authors.forename: Greg
authors.initials: G
authors.lastname: Clarke
authors.forename: William
authors.initials: W
authors.lastname: Gardner
authors.forename: Sarah Hudson
authors.initials: SH
authors.lastname: Scholle
authors.forename: Sepheen
authors.initials: S
authors.lastname: Byron
authors.forename: Kelly
authors.initials: K
authors.lastname: Kelleher
authors.forename: Harold A
authors.initials: HA
authors.lastname: Pincus
authors.forename: Samantha
authors.initials: S
authors.lastname: Frank
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Horwitz
mesh_terms: D000293:Adolescent; D003863:Depression / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D019468:Disease Management; D019317:Evidence-Based Medicine / Q000379:methods / Q000592:standards*; D006801:Humans; D017410:Practice Guidelines as Topic / Q000592:standards; D019984:Quality Indicators, Health Care / Q000592:standards*
keywords: adolescents; depression; health care policy; primary care; quality measurement
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