Mental Health Quality Improvement

Provider Surveys

Two provider surveys were conducted –one in 2011 and one in 2017– with the aim of describing primary care providers’ attitudes towards and current practice regarding diagnosis and management of adolescent patients with depression. The surveys indicated widespread interest in improving depression care in primary care practices.

Ready for the Challenge of Depression Care in the Medical Home

June 1, 2019

Garbutt J, Sterkel R, Ruecker K, Dodd S, Smith E, Plax K. Ready for the Challenge of Depression Care in the Medical Home. Clin Pediatr (Phila). 2019 Jun;58(7):816-818. doi: 10.1177/0009922819834280. Epub 2019 Mar 13. PMID: 30866675; PMCID: PMC6944060.

Quality Improvement Project

Informed by provider surveys, the literature, and an Advisory Board, WU PAARC developed a Mental Health Quality Improvement initiative focused on adolescent depression. Participating practices work with a practice facilitator to help them navigate the change process using quality improvement strategies. This initiative aims to help practices manage care as recommended by the Guidelines for Adolescent Depression in Primary Care (GLAD-PC) published in Pediatrics in 2018 and endorsed by the AAP. The facilitator helps the practice identify opportunities for improvement and implement change ideas to improve care.

Current Status

  • June 26, 2019: Quality improvement project completed.

Resources

Depression Care for Adolescents

Collection of helpful resources, links, and videos

Selected literature

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

March 1, 2018

Zuckerbrot RA, Cheung A, Jensen PS, Stein REK, Laraque D; GLAD-PC STEERING GROUP. Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management. Pediatrics. 2018 Mar;141(3):e20174081. doi: 10.1542/peds.2017-4081. PMID: 29483200.

Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part II. Treatment and Ongoing Management

March 1, 2018

Cheung AH, Zuckerbrot RA, Jensen PS, Laraque D, Stein REK; GLAD-PC STEERING GROUP. Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part II. Treatment and Ongoing Management. Pediatrics. 2018 Mar;141(3):e20174082. doi: 10.1542/peds.2017-4082. PMID: 29483201.