Reaching Out to Adolescents With Depression (ROAD)

Seattle Children's Healthcare System

Status: Completed

Conditions: Depression

Treatments: Other: Collaborative care; Other: Enhanced Usual Care

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01140464

R01MH085645 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Major Depression is one of the most common mental health disorders in adolescence and is associated with significant impairments in development and functioning. This project will rigorously test the Adolescent Collaborative Care Treatment intervention, a health services intervention designed to improve management for depressive disorders among adolescents, via a randomized controlled trial comparing the intervention to usual care. Key components of the trial include enhanced education for youth and parents, youth involvement in choice of evidence-based treatments, care management by an allied health professional with regular supervision by a mental health specialist and pediatrician, and stepped care to advance treatment when youth are not improving. Additional features have been added to engage adolescents and parents including a moderated message board for youth to share with and learn from one another, formalized involvement of the parent, and availability of the care manager during after school hours. Our findings will provide key information on the effectiveness of a developmentally-sensitive adapted collaborative care intervention for the treatment of adolescent depression.

Enrollment: 101 patients

Sex: All

Ages: 13 to 17 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• depression
• age 13-17 years
• enrollment in study Primary Care Clinics

Exclusion criteria

• suicidality
• already enrolled Specialty mental health care
• mental health hospitalization in the prior year
• substance abuse
• bipolar disorder
• non-English speaker

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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101 participants in 2 patient groups

Enhanced Usual Care

Active Comparator group

Description:

Usual care treatment of depression in primary care settings. Usual care considered enhanced as patients and their parents were given screening results and encouraged to seek care from their primary care doctor and behavioral health services.

Treatment:

Other: Enhanced Usual Care

Collaborative Care

Active Comparator group

Description:

Collaborative care intervention for depression. Involves care management, evidence based treatments in primary care setting, symptom monitoring and stepped care design

Treatment:

Other: Collaborative care