Online system for identifying and addressing teen depression in primary care

This proposal presents innovations to addressing teen depression during routine check up visits through further development of an online clinical process support system called CHADISThe primary care provider remains in the center of the process with his her prior relationship with the family and humanity enabled with computer assistance prior to the encounter as well as moment of care reminders and teleprompted specific hints aimed at enhancing a patient focused balanced discussion of individual strengths and barriers to the teens goals known as a motivational interviewThis is made feasible through pre visit data collection providing relevant details to highlight as well as data to support omitting some traditional guidance areas with lower priority for the individual teenAny conclusions coming from PCP recommendations and shared decision making is reinforced by a computer basedalways available chatbot guided by artificial intelligence that serves as a bridge to other helping professionalsstrengths building resourcesas well as conversations based on proven mental health therapies based on earlier pilot data for reducing depressive symptomsThese innovations will be tested via a cluster randomized control trialdemonstrating whether use of the system results in higher rates of screeningreductions in depressive symptomsand accessing of evidence based treatment for teen depressionUse of the system is reinforced by engagement of primary doctors and child psychiatrists in a related quality improvement program with data from their participation providing needed feedback for recertification of professional status requirements of their respective specialty boardsSuccess of the system would mean a new primary care workflow friendly tool which could help adolescents avoid the significant functional impairment and increased risks that accompany teen depressionIf this new paradigm for adolescent health supervision proves useful for depressionadaptations for other teen challenges might also be promising Approximatelyof U Syear olds had at least one major depressive episode in the past yearYetup toof teens with mental healthMHcare needs do not receive necessary careThis proposal addresses the significant public health problem of teen depression through use of a comprehensiveprocess driven intervention targeting time points beforeduringand after routine visits with primary care providersPCPsthrough a new module to an online clinical process support system called CHADIS