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Practice Survey: Depression Screening in Pediatric Inflammatory Bowel Disease
Michele H Maddux1, Megan Drovetta2, Laura M Mackner3
1From the Division of Gastroenterology, Hepatology, and Nutrition, University of Missouri-Kansas City School of Medicine, Children's Mercy-Kansas City, Kansas City, MO.
Insights
Pediatric inflammatory bowel disease (IBD) centers screen for depression annually in most patients aged 12-14 years using the PHQ-9. Interventions include psychotherapy referrals and psychosocial provider involvement.
Area of Science:
- Pediatric Gastroenterology
- Mental Health in Chronic Illness
- Healthcare Quality Improvement
Background:
- Depression screening practices in pediatric inflammatory bowel disease (IBD) care are not well-documented.
- This study addresses the current state of depression screening within the ImproveCareNow Collaborative Network.
Purpose of the Study:
- To summarize and analyze current depression screening practices in pediatric IBD centers.
- To identify common screening tools, intervention strategies, and barriers to routine screening.
Main Methods:
- An online survey was distributed to pediatric IBD providers across 79 IBD centers.
- The survey collected data on current depression screening protocols and procedures.
Main Results:
- Half of surveyed centers conduct annual depression screening, primarily for patients aged 12-14 years.
- The Patient Health Questionnaire (PHQ-9) is the most frequently used screening tool.
- Positive screens lead to psychotherapy referrals or immediate psychosocial provider consultation; suicidal ideation triggers emergency referrals or consultations.
- Key barriers include insufficient personnel/resources, billing issues, and limited clinic time.
Conclusions:
- Pediatric IBD centers are implementing depression screening and targeted interventions, involving psychosocial providers.
- Understanding these screening efforts is crucial for advancing clinical care and improving patient outcomes in pediatric IBD.
Background:
Little is known about depression screening practices in pediatric inflammatory bowel disease (IBD) care. This study summarizes depression screening within IBD centers in the ImproveCareNow Collaborative Network.
Methods:
Pediatric IBD providers across 79 IBD centers completed an online survey on current practices surrounding depression screening.
Results:
Half of centers report doing annual depression screening, largely for patients 12-14 years. The Patient Health Questionnaire (PHQ-9) is most often used. For positive depression screens, most centers refer for evidence-based psychotherapy and/or a psychosocial provider meets with the patient during that visit. Suicidal ideation is addressed by calling a psychosocial provider to clinic or sending a patient to the emergency department. Barriers to routine screening include lack of personnel/resources, billing, and lack of clinic time.
Conclusions:
Pediatric IBD centers conducting depression screening provide targeted intervention based on screening and include psychosocial providers in the process. Greater understanding of screening efforts can inform future clinical efforts.
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