Depression in adolescents (12-21 years old)

1. Routine depression screenings not consistently being done at annual wellness exams for adolescents (12-21 years old)

2. Negative screening

3. Standardized screening at annual wellness visits is not currently part of routine/ office policy.

4. The problem

5. No change, continued support and care

6. Follow up, evaluate approach, determine the need for changes to treatment plan, continued support and communication

7. Positive screening

7.1. Flagged for provider to see prior to encounter

7.2. Further assessment, individualized targeted interventions & referrals as indicated

8. AAP COMMITTEE ON PRACTICE AND AMBULATORY MEDICINE and AAP BRIGHT FUTURES PERIODICITY SCHEDULE WORKGROUP. 2017 Recommendations for Preventive Pediatric Health Care. Pediatrics. 2017;139(4):e20170254

9. The AAP/ Bright Futures Recommendations for Preventative Pediatric Health Care recommend annual depressing screening using PHQ-2 and PHQ-9 validated tools for adolescents 12-21 years old.

10. Screening /detection

11. Increased identification of adolescents at risk for or with depression

12. MAs, clinic nurse- screening required during intake process for qualifying visits. Flag positives prior to visit with provider