TABLE 3.
Resources and Tools Developed to Support Practice Facilitation
Purpose | Resource/Tool |
---|---|
Goal selection | Management of adolescent Depression in Primary Care Key Driver diagram. Aim 1 and Aim 2a |
Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part 1 and Part 24,17 | |
Summary of GLAD-PC Part 1 and 2 Recommendationsa | |
Adolescent Depression Treatment Planss | |
IHI Model for Improvement (http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx) | |
Baseline data reporta | |
Depression management | SSRI Recommendations and Dosinga |
Recommendations for Discontinuing SSRIs for Adolescent Depressiona | |
Guidance for Black Box Warning for Anti-Depressantsa | |
Videos | |
Screening for Depressiona | |
Interpreting Screener Resultsa | |
Making a Treatment Plana | |
Two-Week Follow-Upa | |
Four-Week Follow-Upa | |
When Patients and Caregivers Disagreea | |
Patient Care Resources | |
Provider Depression Follow-up Visit Checklista | |
Protocol for 2-Week Follow-Up Phone Call a | |
Provider Depression Monitoring Sheeta | |
Safety Planning for Depressed Adolescents (https://www.thereachinstitute.org/images/pdfs/glad-pc-toolkit-2018.pdf) | |
Linkage to MO-CPAP for provider consultations, patient care coordination, and provider education | |
Psychotherapy support | Videos |
Evidence-based Therapies for Adolescent Depressiona | |
Cognitive Behavioral Therapy (CBT)a | |
Selecting a CBT Therapista | |
How to Know if Therapy is Workinga | |
Suicide risk assessment and management | Assess For Safety and Suicide Risk Flowcharta |
Validated tools: | |
ASQ: Suicide Risk Screening Tool (https://www.nimh.nih.gov/sites/default/files/documents/research/research-conducted-at-nimh/asq-toolkit-materials/asq-tool/screening_tool_asq_nimh_toolkit.pdf) | |
PHQ-9: Modified for Teens – (PHQ-A) (http://www.pedpsychiatry.org/pdf/depression/PHQ-9%20Modified%20for%20Teens.pdf) | |
Videos: | |
Addressing Suicidality and Referrala | |
Assessing Suicidalitya | |
Behavioral Health Response Crisis Hotlines (bhrstl.org) | |
Communication with patients and families | Examples of scripts/documents to use to set expectations for care |
Depression Care Plan for Parentsa | |
Depression Care Plan for Adolescentsa | |
Educational handouts, websites etc | |
Tips for Helping a Depressed Teenager (Helpguide.org) | |
Behavioral Health Response services (bhrstl.org) | |
Self-Care Success! (https://www.thereachinstitute.org/images/pdfs/glad-pc-toolkit-2018.pdf)(updated version) | |
Depression Care Plan for Parents * | |
Depression Care Plan for Adolescents* | |
Suicide: What Should I Know? (https://www.thereachinstitute.org/images/pdfs/glad-pc-toolkit-2018.pdf) | |
Preventing Adolescent Suicide (https://jamanetwork.com/journals/jamapediatrics/fullarticle/2553099?resultClick=1) | |
Videos: | |
Selecting a CBT Therapista | |
Making a Treatment Plana | |
What Should I Do When Patients and Caregivers Disagree on Treatment Plan?a | |
Patient tracking | Mental Health QI Tracking Worksheeta |
Billing | Chapter IX: Billing: AAP Depression Coding Fact Sheet for Primary Care Clinicians (https://www.thereachinstitute.org/images/pdfs/glad-pc-toolkit-2018.pdf) |
Billing for Adolescent Depression Carea |
AAP, American Academy of Pediatrics; ASQ, Ask Suicide-Screening Questions; BHR, Behavioral Health Response; CBT, Cognitive Behavioral Therapy; GLAD-PC, Guidelines for Adolescent Depression in Primary Care; IHI, Institute for Healthcare Improvement; MO CPAP, Missouri Child Psychiatry Access Project; PHQ-9, Patient Health Questionnaire-9; QI, quality improvement; SSRI, selective serotonin reuptake inhibitor.
Developed by project team.