This K23 Mentored Patient-Oriented Career Development award application is designed to provide the education and skills necessary for the principal investigator to transition from population-based epidemiologic and health services research to health services intervention trials. The principal investigators' short-term research goal is to gather the data necessary to inform the development of a health system intervention to improve the appropriate identification of depression and the initiation of timely evidence-based treatments for depressed adolescents in primary care settings. Her long-term goal is to gain the skills and experience necessary to be a competitive researcher in the area of health services interventions to improve the identification and appropriate treatment of adolescent mental health conditions in primary care settings. To assist her in these goals, she has identified two mentors with complementary expertise in adolescent depression and health services interventions to improve the treatment of depression in primary care. The educational plan outlined in this application includes didactic and experiential training in three topic areas: 1) qualitative research methods; 2) child and adolescent psychopathology and treatment; and 3) health services intervention design, implementation and assessment. The three projects outlined in this application build on the training objectives and specifically aim: 1) to develop an inductive model from ethnographic interviews that promotes an understanding of how adolescents seek and receive treatment for depression in primary care settings, 2) to evaluate clinical and demographic predictors of depression persistence in primary care in order to develop a case definition for adolescent who would most benefit from an intervention, 3) to determine the acceptability and feasibility a health system intervention, based on the Chronic Care Model, to improve primary care treatment for depressed adolescents. At the completion of this K Award, the primary investigator will have obtained the skills and experience necessary to design, obtain funding for, and implement a large-scale health services intervention to improve the management of adolescent depression in primary care settings.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23MH069814-04
Application #
7237807
Study Section
Services Research Review Committee (SRV)
Program Officer
Rupp, Agnes
Project Start
2004-07-19
Project End
2009-05-31
Budget Start
2007-06-01
Budget End
2008-05-31
Support Year
4
Fiscal Year
2007
Total Cost
$159,268
Indirect Cost
Name
University of Washington
Department
Pediatrics
Type
Schools of Medicine
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195
Breland, David J; McCarty, Carolyn A; Zhou, Chuan et al. (2014) Determinants of mental health service use among depressed adolescents. Gen Hosp Psychiatry 36:296-301
Kohen, Ruth; Myaing, Mon T; Richards, Julie et al. (2013) Depression persistence and serotonin transporter genotype in adolescents under usual care conditions. J Child Adolesc Psychopharmacol 23:290-4
Rockhill, Carol M; Katon, Wayne; Richards, Julie et al. (2013) What clinical differences distinguish depressed teens with and without comorbid externalizing problems? Gen Hosp Psychiatry 35:444-7
Richardson, Laura P; McCauley, Elizabeth; McCarty, Carolyn A et al. (2012) Predictors of persistence after a positive depression screen among adolescents. Pediatrics 130:e1541-8
McCarty, Carolyn A; Russo, Joan; Grossman, David C et al. (2011) Adolescents with suicidal ideation: health care use and functioning. Acad Pediatr 11:422-6
Richardson, Laura P; Russo, Joan E; Lozano, Paula et al. (2010) Factors associated with detection and receipt of treatment for youth with depression and anxiety disorders. Acad Pediatr 10:36-40
Richardson, Laura P; McCauley, Elizabeth; Grossman, David C et al. (2010) Evaluation of the Patient Health Questionnaire-9 Item for detecting major depression among adolescents. Pediatrics 126:1117-23
Richardson, Laura P; Rockhill, Carol; Russo, Joan E et al. (2010) Evaluation of the PHQ-2 as a brief screen for detecting major depression among adolescents. Pediatrics 125:e1097-103
Richards, Julie; Wiese, Cheryl; Katon, Wayne et al. (2010) Surveying adolescents enrolled in a regional health care delivery organization: mail and phone follow-up--what works at what cost? J Am Board Fam Med 23:534-41
Katon, Wayne; Richardson, Laura; Russo, Joan et al. (2010) Depressive symptoms in adolescence: the association with multiple health risk behaviors. Gen Hosp Psychiatry 32:233-9

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