A Stepped Care Model of Adolescent Depression Treatment in Primary Care

Completed · Phase 2/Phase 3

Conditions studied: Major Depressive Disorder, Dysthymia

In brief

It is challenging for depressed adolescents and their families to access specialized mental health services. A viable option is delivering treatment in the primary care clinic (PCC) setting; however, few effective models are currently available. The overall aim of this study is to assess in the pediatric PCC, the preliminary acceptability and feasibility of a novel collaborative stepped care model of treatment for depressed adolescents.

Key facts

Study ID

NCT01443715

Run by

New York State Psychiatric Institute

People needed

48

Starts

2011-09-01

Expected to finish

2014-07-01

Last updated by the study team

2014-09-04

Who can join

Age: 13 and older, up to 20. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Males and females ages 13-20 years
• English and Spanish speaking adolescent
• Parent may be monolingual or bilingual in Spanish
• DSM-IV diagnosis of Major Depressive Disorder, dysthymia, or Depressive Disorder Not Otherwise Specified
• Moderate impairment in functioning
• Moderate depression severity
• Willing to refrain from other medications unless provided by investigator or PCP during the study

You may not qualify if…

• Diagnoses of Post Traumatic Stress Disorder , Obsessive Compulsive Disorder, current Substance abuse, Schizophrenia, bipolar disorder, Conduct disorder, Active eating disorder, Pervasive Developmental Disorder, Autism, Asberger's, Psychosis
• Engagement in severe self-injurious behavior in past 3 months
• Active suicidal ideation with plan or intent
• Mental retardation or severe learning disability
• Medical illness that may interfere with treatment
• Open Administration for Children's Services (ACS) case
• Pregnancy
• Already receiving psychotherapy or medication treatment for depression or have begun a medication trial for another diagnosis within the previous three months
• History of intolerance to fluoxetine or escitalopram
• Failed 2 completely adequate and documented Antidepressant trials
• Co-morbid Attention Deficit Hyperactivity Disorder if not on stable dose of stimulants

Where it is running

• New York State Psychiatric Institute — New York, New York, United States

Full record on ClinicalTrials.gov

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