Self - management support |
Patient education with a specific focus on anticipated treatment effects and anticipated course of depression
Patient choice of treatment
Availability of a care manager who helps patients identify depressive symptoms and troubleshoot treatment side effects
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Adolescent specific educational materials including a video to normalize depression and decrease stigma
Patient choice of treatment with parent involvement
Selection of a care manager who can relate well to adolescents in a non-judgmental and supportive manner
Development of a list of resources including available youth groups and school programs in the community.
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Delivery system design |
More frequent depression follow-up aided by non-physician depression care manager (DCM)
Care manager case supervision by a mental health professional in the primary care setting who is available for formal and informal consultation
Half of DCM visits in person/half by telephone
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Care manager availability after school in the primary clinic setting
Supervision by a child psychiatrist and psychologist
80% of DCM visits in person and 20% by telephone
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Decision support for providers |
Educational seminars for providers
Distribution of depression treatment guidelines
Increased availability of mental health support for informal consultation
Training a non-physician provider to be a DCM as a resource for physician providers
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Development of an adolescent-specific intervention manual based on available guidelines
Availability of a child psychiatrist and psychologist for informal consultation
Availability of the DCM to address questions in the primary care clinics
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Clinical information systems |
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