ArticlePsychiatric services (Washington, D.C.)2016
Screening for and Diagnosis of Depression Among Adolescents in a Large Health Maintenance Organization.
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Article in Psychiatric services (Washington, D.C.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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21citing papers in PubMed, 2 pooled it
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions to improve the detection of depression in primary healthcare: systematic review.Systematic reviews · 2023Pooled it
- National Child Mental Health Quality Measures: Adherence Rates and Extent of Evidence for Clinical Validity.Current psychiatry reports · 2019Pooled it
- Trends in Adolescent Depression and Suicide Risk Screening and Symptom Monitoring in a Large Primary Care Network.Academic pediatrics · 2026Article
- Longitudinal trajectories of depressive symptoms in adolescent students.BMC psychology · 2025Article
- Physician Preferences for Universal Routine Depression Screening for Adolescents in Primary Care.JAMA network open · 2025Article
- Does Expressive Suppression Precede Depressive Symptoms in Adolescence?Journal of youth and adolescence · 2025Article
- Cost-Effectiveness of Universal Routine Depression Screening for Adolescents in Primary Care.JAMA health forum · 2025Article
- Screening for symptoms of childhood traumatic stress in the primary care pediatric clinic.BMC pediatrics · 2024Article
- Priorities among effective clinical preventive services in British Columbia, Canada.BMC health services research · 2022Article
- Disordered eating behaviour in adolescents with type 1 diabetes on continuous subcutaneous insulin infusion; relation to body image, depression and glycemic control.Journal of eating disorders · 2022Article
- Adolescent depression screening in primary care: Who is screened and who is at risk?Journal of affective disorders · 2022Article
- Barriers and facilitators to implementing the HEADSS psychosocial screening tool for adolescents living with HIV/AIDS in teen club program in Malawi: health care providers perspectives.International journal of mental health systems · 2022Article
- Multistage Adolescent Depression Screening: A Comparison of 11-Year-Olds to 12-Year-Olds.The Permanente journal · 2021Article
- A pediatrician-friendly review of three common behavioral health screeners in pediatric practice: Findings and recommendations.Pediatric investigation · 2021Review
- Addressing the mental health needs of children affected by HIV in Rwanda: validation of a rapid depression screening tool for children 7-14 years old.BMC pediatrics · 2021Article
- Eating habits and sleep patterns of adolescents with depression symptoms in Mumbai, India.Maternal & child nutrition · 2020Article
- [Childhood and adolescence PAPPS summary 2020].Atencion primaria · 2020Article
- Pediatric Attention-Deficit/Hyperactivity Disorder in Louisiana: Trends, Challenges, and Opportunities for Enhanced Quality of Care.Ochsner journal · 2019Review
- Usual Care for Adolescent Depression From Symptom Identification Through Treatment Initiation.JAMA pediatrics · 2016Article
- Using Practice Facilitation to Improve Depression Management in Rural Pediatric Primary Care Practices.Pediatric quality & safetyArticle
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Authors and funding
15 authors.
R Eric LewandowskiDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
Briannon O'ConnorDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
Andrew BertagnolliDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
Arne BeckDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
Aldo TinocoDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
William P GardnerDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
Christine X Jelinek-BerentsDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
Douglas A NewtonDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
Kris F WainDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
Jennifer M BoggsDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
Nancy E BraceDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
Patricia deSaDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
Sarah Hudson ScholleDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
Kimberly HoagwoodDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
Sarah McCue HorwitzDr. Lewandowski, Dr. O'Connor, Dr. Hoagwood, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University, New York (e-mail: eric.lewandowski@nyumc.org ). Dr. Bertagnolli and Ms. deSa are with the Care Management Institute, Kaiser Permanente, Oakland, California. Dr. Beck, Mr. Wain, Ms. Boggs, and Ms. Brace are with the Institute for Health Research, Dr. Jelinek-Berents is with the Department of Pediatrics, and Dr. Newton is with the Care Management Institute and the Department of Child and Adolescent Psychiatry, all at Kaiser Permanente of Colorado, Denver. Dr. Tinoco and Dr. Hudson Scholle are with the National Committee for Quality Assurance, Washington, D.C. Dr. Gardner is with the Research Institute of Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada, and with the Department of Pediatrics, Ohio State University, Columbus.
Funding
Research Methods CoreP30MH090322 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HOAGWOOD, KIMBERLY E. · 2011 to 2015
$8.1MNational Collaborative for Innovation in Quality Measurement (NCINQ)U18HS020503 · AHRQ · NATIONAL COMMITTEE FOR QUALITY ASSURANCE · PI SCHOLLE, SARAH H. · 2011 to 2014
$7.7MAHRQ HHS U18 HS020503NIMH NIH HHS P30 MH090322
Abstract
objectiveThe aim of this analysis was to determine changes in patterns of depression screening and diagnosis over three years in primary and specialty mental health care in a large health maintenance organization (HMO) as part of a project to develop quality measures for adolescent depression treatment.
methodsTwo series of aggregate data (2010-2012) were gathered from the electronic health records of the HMO for 44,342 unique adolescents (ages 12 to 21) who had visits in primary and mental health care. Chi square tests assessed the significance of changes in frequency and departmental location of Patient Health Questionnaire-9 (PHQ-9) administration, incidence of depression symptoms, and depression diagnoses.
resultsThere was a significant increase in PHQ-9 use, predominantly in primary care, consistent with internally generated organizational recommendations to increase screening with the PHQ-9. The increase in PHQ-9 use led to an increase in depression diagnoses in primary care and a shift in the location of some diagnoses from specialty mental health care to primary care. The increase in PHQ-9 use was also linked to a decrease in the proportion of positive PHQ-9 results that led to formal depression diagnoses.
conclusionsThe rate of depression screening in primary care increased over the study period. This increase corresponded to an increase in the number of depression diagnoses made in primary care and a shift in the location in which depression diagnoses were made, from the mental health department to primary care. The frequency of positive PHQ-9 administrations not associated with depression diagnoses also increased.
Indexed as
AdolescentChildDepressionElectronic Health RecordsFemaleHealth Maintenance OrganizationsHumansMaleMass ScreeningPsychiatric Status Rating ScalesSelf ReportUnited StatesYoung Adult
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