Trial of Computerized Screening for Adolescent Behavioral Concerns

Stevens, Jack; Kelleher, Kelly J.; Gardner, William; Chisolm, Deena J.; McGeehan, Jennifer; Pajer, Kathleen; Buchanan, Lindsay

doi:10.1542/peds.2007-1878

Cited by 70 publications

(66 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The threshold used here, of C16 versus \16, as noted above, has been described by Weissman et al [33], and supported by Fendrich and colleagues as a potential screening tool for depression. Other researchers have used this cutoff as well in studies about adolescents [18,34].…”

Section: Discussionmentioning

confidence: 87%

Longitudinal Study of Depressive Symptoms and Social Support in Adolescent Mothers

Brown¹,

Harris

Woods

et al. 2011

Matern Child Health J

112

View full text Add to dashboard Cite

Previous studies have suggested that adolescent mothers with higher social support have lower depressive symptoms. This is a longitudinal study of adolescent mothers to examine the association of social support and depressive symptoms over one year postpartum. This was a prospective study of adolescent mothers (N at baseline = 120, N at 1 year = 89; age \ 19 years) enrolled in a teen tot program. Participants completed the Center for Epidemiological Studies Depression Scale for children (CES-DC) and the Duke-UNC Functional Social Support Questionnaire at baseline, 12 weeks, and 1 year. A score of C 16 on the CES-DC was suggestive of major depression. The mean CES-DC scores of the adolescent mothers were C16 points at all three time points (baseline: mean = 18.7 ± 10.3; 53% C 16; 12 weeks: mean = 18.4 ± 11.4, 57% C 16; one year: mean = 20.0 ± 11.4; 57% C 16). Social support had a significant, inverse association with depressive symptoms for all participants from baseline to 12 weeks with a stronger association for those with more depressive symptoms (score C 16) at baseline (beta = -0.030 ± 0.007; P \ 0.001) than for those with fewer depressive symptoms (score \ 16) at baseline (beta = -0.013 ± 0.006; P = 0.021). From 12 weeks to one year, increased social support was only significantly associated with decreased depressive symptoms for those with a higher baseline level of depressive symptoms (beta = -0.039 ± 0.009; P \ 0.001). Depressive symptoms were prevalent among adolescent mothers. For more depressed adolescent mothers, higher levels of social support were associated with less depressive symptoms over the 1 year follow-up. Effective long-term interventions are needed to lessen depression and enhance social support.

show abstract

Section: Discussionmentioning

confidence: 87%

Longitudinal Study of Depressive Symptoms and Social Support in Adolescent Mothers

Brown¹,

Harris

Woods

et al. 2011

Matern Child Health J

112

View full text Add to dashboard Cite

show abstract

“…73 However, the evidence to date suggests the utility of in-office screening of all adolescents with various mental health screening tools (eg, Diagnostic Predictive Scales-8, Columbia Depression Scale, and select items from the Youth Risk Behavior Survey, Center for Epidemiologic Studies Depression Scale for Children, Beck Depression Inventory, and Postpartum Depression Screening Scale). [74][75][76] Furthermore, mental health screening of mothers at pediatricians' offices during infants' well child visits is a stated concern of the American Academy of Pediatrics (AAP) Task Force on the Family and Bright Futures and has been found feasible and effective with various mental health screening measures, such as the Edinburgh Postnatal Depression Scale and the Patient Health Questionnaire. [3][4][5][6][77][78][79] This emerging evidence suggests the great potential for effective mental health screening of teen mothers.…”

Section: Mental Health Screening In Teen Mothersmentioning

confidence: 99%

Addressing the Mental Health Needs of Pregnant and Parenting Adolescents

et al. 2014

View full text Add to dashboard Cite

Adolescent parenthood is associated with a range of adverse outcomes for young mothers, including mental health problems such as depression, substance abuse, and posttraumatic stress disorder. Teen mothers are also more likely to be impoverished and reside in communities and families that are socially and economically disadvantaged. These circumstances can adversely affect maternal mental health, parenting, and behavior outcomes for their children. In this report, we provide an overview of the mental health challenges associated with teen parenthood, barriers that often prevent teen mothers from seeking mental health services, and interventions for this vulnerable population that can be integrated into primary care services. Pediatricians in the primary care setting are in a unique position to address the mental health needs of adolescent parents because teens often turn to them first for assistance with emotional and behavioral concerns. Consequently, pediatricians can play a pivotal role in facilitating and encouraging teen parents’ engagement in mental health treatment.

show abstract

“…Despite the usefulness of traditional behavioral health assessments, they are often experienced as cumbersome to use in real-time within a busy clinic setting, given time requirements for scoring, interpretation of results, and patient data entry burden. 22 The BHC tool, powered by a cloud-based technology, has provided an opportunity to personalize and standardize patient care by providing customized clinical guidance based on real-time patient results. This information is automatically transmitted into UCLA's EHR for coordination of care over time, providing an opportunity for measurement based treatment to target and treatment quality improvement.…”

Section: Discussionmentioning

confidence: 99%

Integration of a Web-based Behavioral Health Assessment within a Collaborative Care Setting

Jeffrey¹,

Sinclair²,

Linonis³

et al. 2018

JournalMTM

View full text Add to dashboard Cite

Web-based technological innovations are increasingly being utilized to enhance the quality of healthcare. The UCLA Behavioral Health Checkup™ (BHC) is an innovative real-time, cloudbased behavioral health assessment and clinician decision making tool. This paper examines the implementation and acceptability of the BHC within the UCLA Health System. The BHC was successfully integrated into seven UCLA Behavioral Health Associates (BHA) behavioral health collaborative care settings. Components of successful integration included training of administrative and clinical staff in use of the BHC platform, including how best to introduce behavioral health screening and measurement to patients and caregivers. BHA adult patients and caregivers of BHA youth patients reported positive experiences with the BHC. As the BHC delivers results to providers in real-time, it provides a unique occasion to engage patients through immediate discussion of patient responses and to use results for guiding and customizing clinical care. In addition, the integration of BHC results into a primary care system's health record framework facilitates the coordination of care over time, providing an opportunity for measurement based treatment to target and treatment quality improvement.

show abstract

Trial of Computerized Screening for Adolescent Behavioral Concerns

Abstract: Immediate provision of an adolescent's self-report of behavioral concerns to a pediatrician increased recognition of those problems, compared with the delayed provision of results.

Cited by 70 publications

References 26 publications

Longitudinal Study of Depressive Symptoms and Social Support in Adolescent Mothers

Longitudinal Study of Depressive Symptoms and Social Support in Adolescent Mothers

Addressing the Mental Health Needs of Pregnant and Parenting Adolescents

Integration of a Web-based Behavioral Health Assessment within a Collaborative Care Setting

Contact Info

Product

Resources

About