Stepped Care Interpersonal Psychotherapy Treatment for Depressed Adolescents: A Pilot Study in Pediatric Clinics

Adm Policy Ment Health. 2018 May;45(3):417-431. doi: 10.1007/s10488-017-0836-8.

Abstract

Adolescents with depression are at risk for negative long-term consequences and recurrence of depression. Many do not receive nor access treatment, especially Latino youth. New treatment approaches are needed. This study examined the feasibility and acceptability of a stepped collaborative care treatment model (SCIPT-A) for adolescents with depression utilizing interpersonal psychotherapy for adolescents (IPT-A) and antidepressant medication (if needed) compared to Enhanced Treatment as Usual (E-TAU) in urban pediatric primary care clinics serving primarily Latino youth. Results suggest the SCIPT-A model is feasible, acceptable and potentially beneficial for urban Latino adolescents. Clinicians delivered the SCIPT-A model with fidelity using supervision successfully implemented in a community setting.

Keywords: Adolescents; Collaborative care; Depression; Interpersonal; Primary care; Psychotherapy; Treatment.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Antidepressive Agents / therapeutic use*
  • Ascorbic Acid
  • Cooperative Behavior
  • Depressive Disorder / therapy*
  • Depressive Disorder, Major / therapy
  • Female
  • Ferrous Compounds
  • Hispanic or Latino
  • Humans
  • Male
  • Mental Health Services / organization & administration*
  • Patient Acceptance of Health Care*
  • Pediatrics / organization & administration*
  • Pilot Projects
  • Primary Health Care / organization & administration*
  • Psychotherapy / methods*
  • Urban Population

Substances

  • Antidepressive Agents
  • Ferrous Compounds
  • iron(II)-ascorbic acid complex
  • Ascorbic Acid