Name
Adolescents with Depression Reach Remission Earlier with Collaborative Care
Description

Adolescent depression and suicide rates are increasing, underscoring the urgent need for effective treatments. This retrospective cohort study (of over 16,000 adolescents) investigated whether Collaborative Care Management (CoCM), a team-based primary care approach, could accelerate depression remission compared to usual care. The findings revealed that adolescents enrolled in CoCM achieved remission of depressive symptoms nearly twice as fast as those receiving usual care (HR=1.85). This research supports CoCM as an effective intervention for improving depression outcomes in adolescents.

Co-Authors
Gregory Garrison, MD, MS, Associate Professor of Family Medicine, Mayo Clinic, Rochester, MN
Samuel Savitz, PhD, Assistant Professor of Health Services Research, Mayo Clinic, Rochester, MN
Eric Pease, DO, MBA, Assistant Professor of Psychiatry and Pediatrics, Mayo Clinic, Rochester, MN
Mark Williams, MD, Professor of Psychiatry, Mayo Clinic, Rochester, MN
Content Level
All Audience
Tags
Collaborative Care Model of Integrated Care, Outcomes, Pediatrics
Session Type
Concurrent
Objective 1
Compare the rate of depression remission in adolescents receiving Collaborative Care Management (CoCM) versus usual care.
Objective 2
Identify demographic and clinical factors (e.g., baseline depression severity, sex, comorbidities) associated with the time to depression remission in adolescents.
Objective 3
Evaluate the effectiveness of CoCM as a treatment for adolescent depression, thereby contributing to the emerging evidence base for this population.
Content Reference 1

Kodish, I., Richardson, L., & Schlesinger, A. (2019). Collaborative and Integrated Care for Adolescent Depression. Child Adolesc Psychiatr Clin N Am, 28(3), 315-325. https://doi.org/10.1016/j.chc.2019.02.003

Content Reference 2

Shippee, N. D., Mattson, A., Brennan, R., Huxsahl, J., Billings, M. L., & Williams, M. D. (2018). Effectiveness in Regular Practice of Collaborative Care for Depression Among Adolescents: A Retrospective Cohort Study. Psychiatr Serv, 69(5), 536-541. https://doi.org/10.1176/appi.ps.201700298

Content Reference 3

Vanderwood, K., Joyner, J., & Little, V. (2023). The effectiveness of collaborative care delivered via telehealth in a pediatric primary care population [Article]. Frontiers in Psychiatry, 14, Article 1240902. https://doi.org/10.3389/fpsyt.2023.1240902