Table 1.

Description of DCM Intervention

Intervention delivered by Depression Care Manager (Psychiatric Clinical Nurse Specialist with expertise in adolescent depression). The overall role of the DCM is to assist the adolescent mother with decision making and decrease barriers to depression treatment. DCM encourages self management and engages family in supportive activities; provides educational materials on PPD and treatment. DCM fosters culturally appropriate and age appropriate interactions DCM monitors depressive symptoms, discusses barriers to depression treatment, assists the adolescent and her family with mental health provider appointments. The DCM helps the adolescent to plan her next steps. DCM encourages use of community resources DCM supports health care providers who are treating depression by notifying provider that adolescent is enrolled in New Mother Program. The letter includes a release of information signed by the adolescent and her parent/guardian. DCM assists adolescent and family with obtaining emergency treatment. DCM confirms compliance with appointments and treatments with the provider that the adolescent designates. The DCM sends a final report to the provider at the completion of the New Mother Program.