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Implementation Determinants and Outcomes of a Telehealth-Delivered Depression Prevention Program
Molly Davis1,2, Amy So3, Gillian C Dysart1
1Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia.
American Journal of Psychotherapy
|October 28, 2025
Summary
This study evaluated a school-based depression prevention program delivered via telehealth. While helpful and relevant, implementation faced barriers like limited time, resources, and technology challenges.
Area of Science:
- Mental Health
- School Psychology
- Telehealth Implementation
Background:
- School-based mental health programs are crucial for adolescent well-being.
- Evidence-based interventions are needed to address rising youth depression rates.
- Telehealth offers a scalable solution for delivering mental health services in schools.
Purpose of the Study:
- To evaluate the implementation of a school-based, telehealth-delivered depression prevention program.
- To assess the feasibility and acceptability of interpersonal psychotherapy-adolescent skills training in a school setting.
- To identify facilitators and barriers to implementing school-based mental health programs.
Main Methods:
- Qualitative interviews were conducted with adolescents, school counselors, and administrators.
- A content analysis was performed on interview transcripts.
- Implementation science frameworks informed the coding process.
Main Results:
- The interpersonal psychotherapy-adolescent skills training program was perceived as helpful and relevant.
- Stakeholders recognized the importance of school-based mental health programming.
- Key barriers included limited time, resources, technology issues, and counselor role perceptions.
Conclusions:
- Findings highlight critical factors for optimizing the implementation of evidence-based mental health programs in schools.
- Addressing identified barriers is essential for successful program adoption.
- The study provides insights for future school-based mental health initiatives.
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