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Published on: January 7, 2019
Primary care management of child & adolescent depressive disorders
Frances J Wren1, Jane Meschan Foy, Patricia I Ibeziako
1Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305, USA. fwren@stanford.edu
Insights
Primary health care is crucial for managing pediatric depression. This article reviews current practices, intervention models, and new standards to improve care for children with depressive disorders.
Area of Science:
- Public Health
- Pediatric Medicine
- Mental Health Services
Background:
- Pediatric depressive disorders pose a significant public health challenge.
- Current primary care approaches to pediatric depression are insufficient.
- Effective management requires integrating mental health services into primary care settings.
Purpose of the Study:
- To highlight the critical role of primary health care in addressing pediatric depression.
- To review existing models for pediatric depression intervention and their implementation barriers.
- To discuss new standards and resources for primary care management of pediatric depressive disorders.
Main Methods:
- Literature review of intervention research models.
- Analysis of barriers to implementing evidence-based practices in primary care.
- Synthesis of recent guidelines and resource availability.
Main Results:
- Primary care settings are vital for early identification and management of pediatric depression.
- Intervention models show promise but face practical implementation challenges.
- New standards and supportive resources are emerging to enhance primary care capacity.
Conclusions:
- Strengthening primary health care is essential for effective pediatric depression management.
- Overcoming implementation barriers is key to adopting new standards.
- Accessible resources can support primary care providers in achieving improved outcomes.
Abstract:
This article outlines the importance of primary health care in addressing the public health challenge presented by pediatric depressive disorders. The current realities of depression management in primary care are discussed. The models emerging from intervention research and the barriers to their implementation in practice are then reviewed. Drawing on this background, recent new standards for primary care management of pediatric depressive disorders are discussed, along with resources that have been developed to support their achievement.
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