Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management

Zuckerbrot, Rachel A.; Cheung, Amy; Jensen, Peter S.; Stein, Ruth E.K.; Laraque, Danielle

doi:10.1542/peds.2017-4081

Cited by 318 publications

(218 citation statements)

References 140 publications

(107 reference statements)

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“…In general, youth and caregivers in this sample reported more internalizing symptoms than externalizing symptoms, regardless of primary language. These findings are consistent with psychiatric diagnoses youth had in their electronic medical records and from research suggesting a significant number of adolescents seen in primary care struggle with depression or anxiety (Chavira et al 2004;Zuckerbrot et al 2018). Epidemiological studies also suggest rates of internalizing disorders are higher than rates of externalizing disorders among youth (Merikangas et al 2010).…”

Section: Discussionsupporting

confidence: 82%

Youth and Caregiver Agreement of Youth Symptoms in Language Concordant and Discordant Dyads: Is Something Lost in Translation?

Bridges¹,

Guzman²,

Melkonian³

2019

Social Sciences

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Caregivers are primarily responsible for seeking care on behalf of youth, so understanding how primary language relates to caregiver-youth agreement of youth symptoms is critical to extending the reach of mental health services. In this study, 145 youth (61% female; ages 12-17 years) and their caregivers, who received behavioral health services at primary care clinics, completed measures of youth symptoms in their primary language. We hypothesized primary language concordant caregiver-youth dyads would show higher agreement when reporting on youth symptoms than language discordant dyads, and youth and their caregivers would show higher agreement when reporting on behavioral (e.g., doing drugs, getting into arguments) rather than on internal (e.g., worrying, feeling worthless) symptoms. Overall, agreement in language concordant dyads ranged from r = 0.551 to 0.615, while in discordant dyads agreement ranged from r = 0.279 to 0.441. Consistent with our hypothesis, language concordant dyads demonstrated significantly greater agreement than discordant dyads for most of the analyses. Contrary to our hypothesis, agreement was similar for internalizing and externalizing symptom clusters. Results suggest primary language differences between youth and caregivers are associated with lower agreement about youth problems; youth generally report higher symptom frequency than their caregivers.

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Section: Discussionsupporting

confidence: 82%

Youth and Caregiver Agreement of Youth Symptoms in Language Concordant and Discordant Dyads: Is Something Lost in Translation?

Bridges¹,

Guzman²,

Melkonian³

2019

Social Sciences

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“…Until ASD-specific measures are developed, the same approaches used for all other adolescents at increased risk for depression should be considered. 479 466,[580][581][582][583][584][585][586][587] With other coexisting symptoms, medication may not appear as effective SNRIs (atomoxetine) [588][589][590] May be more sensitive to adverse effects a-2 adrenergic agonists (clonidine, guanfacine) [591][592][593][594] Steps:…”

Section: Mood Disordersmentioning

confidence: 99%

Identification, Evaluation, and Management of Children With Autism Spectrum Disorder

2020

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Autism spectrum disorder (ASD) is a common neurodevelopmental disorder with reported prevalence in the United States of 1 in 59 children (approximately 1.7%). Core deficits are identified in 2 domains: social communication/interaction and restrictive, repetitive patterns of behavior. Children and youth with ASD have service needs in behavioral, educational, health, leisure, family support, and other areas. Standardized screening for ASD at 18 and 24 months of age with ongoing developmental surveillance continues to be recommended in primary care (although it may be performed in other settings), because ASD is common, can be diagnosed as young as 18 months of age, and has evidenced-based interventions that may improve function. More accurate and culturally sensitive screening approaches are needed. Primary care providers should be familiar with the diagnostic criteria for ASD, appropriate etiologic evaluation, and co-occurring medical and behavioral conditions (such as disorders of sleep and feeding, gastrointestinal tract symptoms, obesity, seizures, attention-deficit/hyperactivity disorder, anxiety, and wandering) that affect the child' s function and quality of life. There is an increasing evidence base to support behavioral and other interventions to address specific skills and symptoms. Shared decision making calls for collaboration with families in evaluation and choice of interventions. This single clinical report updates the 2007 American Academy of Pediatrics clinical reports on the evaluation and treatment of ASD in one publication with an online table of contents and section view available through the American Academy of Pediatrics Gateway to help the reader identify topic areas within the report.

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“…In February 2018, the AAP released new recommendations for annual depression screening for all children ages 11 to 21years (Zuckerbrot et al, 2018). The recommendations did not list a specific screening tool.…”

Section: Recommendationsmentioning

confidence: 99%

Screening for the Social and Behavioral Determinants of Health at a School-Based Clinic

Barton¹,

Parke²

2019

Journal of Pediatric Health Care

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Introduction: Screening and providing interventions for adverse social and behavioral determinants of health (SBDOHs) can potentially improve health outcomes. The purpose of this project was to evaluate the feasibility of screening for SBDOHs during an episodic visit at a school-based clinic and to evaluate whether it increased identification of and intervention for adverse SBDOHs. Methods: Common adverse SBDOHs were identified through stakeholder focus groups, a community assessment report, and interviews. Based on this information, a screening set was assembled with validated screening tools. All students presenting for episodic complaints were screened with this set, and the time taken to answer was documented. The number of SBDOHs identified and the number of interventions provided was compared with student encounters before introduction of the screening set. Results: The majority of screenings were completed in 5 minutes or less, and identification of adverse SBDOHs increased, as did the number of referrals and/or interventions.

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Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management

Cited by 318 publications

References 140 publications

Youth and Caregiver Agreement of Youth Symptoms in Language Concordant and Discordant Dyads: Is Something Lost in Translation?

Youth and Caregiver Agreement of Youth Symptoms in Language Concordant and Discordant Dyads: Is Something Lost in Translation?

Identification, Evaluation, and Management of Children With Autism Spectrum Disorder

Screening for the Social and Behavioral Determinants of Health at a School-Based Clinic

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