Abstract：
:Early identification and treatment of depression during adolescence can contribute to healthier outcomes across the lifespan, yet adolescent depression has been underidentified and undertreated. The American Academy of Pediatrics' (AAP) Guidelines for Adolescent Depression in Primary Care (GLAD-PC) were created to enhance the identification and treatment of adolescent depression. Integrated psychologists in a pediatric primary care setting partnered with providers and clinic staff to implement an adolescent depression screening initiative and transform primary care practice around identification and management. From January 2017 through August 2018, 2107 adolescents between the ages of 11 and 18 were screened using the PHQ-9A. Eleven percent (n = 226) of adolescents had an elevated screen with a score of ≥ 10 and 7% (n = 151) screened positive for suicidal ideation. Identification of depressive symptoms led to increased integrated behavioral health services delivered by psychologists, psychiatrists, and psychology trainees. Psychologists integrated in primary care can support primary care practices to develop service delivery systems aligned with AAP's GLAD-PC and address the diverse implementation barriers associated with incorporating clinical practice guidelines in real-world settings. Universal screening for adolescent depression and response protocols were successfully implemented in a pediatric primary care clinic under the leadership of psychologists and pediatrician partners.
journal_name
J Clin Psychol Med Settingsjournal_title
Journal of clinical psychology in medical settingsauthors
Costello LH,Suh C,Burnett B,Kelsay K,Bunik M,Talmi Adoi
10.1007/s10880-019-09680-wsubject
Has Abstractpub_date
2019-11-20 00:00:00eissn
1068-9583issn
1573-3572pii
10.1007/s10880-019-09680-wpub_type
杂志文章abstract：:Parent reported behavioral difficulties in young children are relatively common. Without adequate intervention, some children will later present with more severe problem behaviors. Parent management training is one of the best methods of treatment for behavior problems; however, existing treatments can be lengthy and ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 临床试验,杂志文章
doi：10.1007/s10880-009-9166-7
更新日期：2009-09-01 00:00:00
abstract：:Chronic gastrointestinal disorders are disruptive to patients physically and psychologically, and benefit from multidisciplinary care, including targeted psychological interventions. This case study details a case of a 42-year-old Caucasian female with idiopathic eructation, who was identified as having psychological ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
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journal_title：Journal of clinical psychology in medical settings
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09662-y
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
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journal_title：Journal of clinical psychology in medical settings
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doi：10.1007/s10880-008-9114-y
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journal_title：Journal of clinical psychology in medical settings
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doi：10.1007/s10880-019-09602-w
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09639-x
更新日期：2020-09-01 00:00:00
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-013-9383-y
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-008-9138-3
更新日期：2009-03-01 00:00:00
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/BF01988630
更新日期：1995-03-01 00:00:00
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-011-9249-0
更新日期：2011-09-01 00:00:00
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09632-4
更新日期：2020-03-01 00:00:00
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/BF01999744
更新日期：1994-06-01 00:00:00
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,评审
doi：10.1007/s10880-018-9590-7
更新日期：2019-09-01 00:00:00
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-012-9351-y
更新日期：2012-12-01 00:00:00
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-011-9273-0
更新日期：2012-03-01 00:00:00
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,评审
doi：10.1007/s10880-017-9522-y
更新日期：2018-03-01 00:00:00
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-009-9152-0
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-017-9491-1
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-015-9438-3
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abstract：:Disability in inflammatory bowel disease (IBD) is under-investigated. Models theorize that disability is the result of a disease and its related impairments, limitations, and restrictions. This disablement process can be affected by psychosocial factors. Pain, depression, catastrophizing, and social support are associ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09627-1
更新日期：2020-03-01 00:00:00
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/BF01991077
更新日期：1994-12-01 00:00:00
abstract：:The present study investigated whether differing diagnostic criteria for alcoholism used by mental health professionals versus hepatologists lead to different outcomes in predicting liver transplant survival as determined by the medical record and without a priori judgments. This was in contrast to past studies, parti...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-010-9201-8
更新日期：2010-09-01 00:00:00
abstract：:Literature suggests advantages for co-locating behavioral health care in primary care. We compared the impact of location of services on attendance at behavioral health appointments when access to care was assured for externalizing behavior problems with referral as usual. Two primary care pediatric practices had an e...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1007/s10880-012-9324-1
更新日期：2012-12-01 00:00:00
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-013-9368-x
更新日期：2013-12-01 00:00:00
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journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,评审
doi：10.1007/s10880-016-9453-z
更新日期：2016-03-01 00:00:00
abstract：:Cross-sectional, correlational analyses of data from two separate studies were conducted to examine the correlates of adjustment among family caregivers of women with disabilities. Participants included 40 caregivers of women with spinal cord injuries in the first study and 53 caregivers of women with cerebral palsy, ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-006-9043-6
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