DHC Pediatric Webinar - Adolescent Depression

Tuesday, January 14, 2025, 8:00 AM - Friday, January 14, 2028, 9:00 AM

AMA PRA Category 1 Credits™ (1.00 hours), ANCC Nursing Contact Hours (1.00 hours), CME-Designated Participation Credit (1.00 hours)

This Pediatric Lecture Series will discuss important pediatric topics that may lead to the improvement of child health from an individual, health care system and/or societal level.

Presenter

Christina Moore, PhD 
Child Clinical Psychologist 
Assistant Professor of Psychiatry 
Dartmouth Health

About our Presenter

Dr. Moore’s research and clinical work focuses on increasing access to quality behavioral health care for rural youth and families in the settings in which they live. She oversees the integrated primary care psychology program at DH Pediatric Primary Care in Lebanon, New Hampshire. She also co-leads the Gender and Neurodiversity Program at Dartmouth Health for youth at the intersection of gender diversity and autism.

Slides from the lecture may be found HERE.

1. Describe current trends in adolescent depression.
2. Discuss best practice recommendations for identification and treatment of adolescent depression in pediatric settings.
3. State two innovations in adolescent depression intervention.

In support of improving patient care, Dartmouth Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

American Medical Association (AMA)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

American Nurses Credentialing Center (ANCC)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 ANCC contact hours.

All other learners may claim CME-designated participation credit. Consult your professional licensing board regarding the applicability and acceptance of CME-designated participation credit for programs certified for credit by organizations accredited by Joint Accreditation for Interprofessional Education.

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Bibliographic Material

• Bernaras E, Jaureguizar J, Garaigordobil M. Child and Adolescent Depression: A Review of Theories, Evaluation Instruments, Prevention Programs, and Treatments. Front Psychol. 2019 Mar 20;10:543. doi: 10.3389/fpsyg.2019.00543. PMID: 30949092; PMCID: PMC6435492.
  
  
• Rising Rates of Adolescent Depression in the United States: Challenges and Opportunities in the 2020s Wilson, Sylia et al.Journal of Adolescent Health, Volume 70, Issue 3, 354 – 355
  
  
• Asarnow JR, Jaycox LH, Duan N, et al. Effectiveness of a Quality Improvement Intervention for Adolescent Depression in Primary Care Clinics: A Randomized Controlled Trial. JAMA. 2005;293(3):311–319. doi:10.1001/jama.293.3.311
  
  
• Improving Treatment Seeking Among Adolescents with Depression: Understanding Readiness for Treatment Terri Tanielian, M.A.*, Lisa H. Jaycox, Ph.D., Susan M. Paddock, Ph.D., Anita Chandra, Dr.PH., Lisa S. Meredith, Ph.D., and M. Audrey Burnam, Ph.D.
  
  
• Walter, H. J., Abright, A. R., Bukstein, O. G., Diamond, J., Keable, H., Ripperger-Suhler, J., & Rockhill, C. (2023). Clinical practice guideline for the assessment and treatment of children and adolescents with major and persistent depressive disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 62(5), 479-502.
  
  
• YRBS Centers for Disease Control and Prevention. Youth Risk Behavior Survey Data Summary & Trends Report: 2013–2023. U.S. Department of Health and Human Services; 2024.
  
  
• Wilson, S., & Dumornay, N. M. (2022). Rising rates of adolescent depression in the United States: Challenges and opportunities in the 2020s. Journal of Adolescent Health, 70(3), 354-355.
  
  
• American Psychological Association. (2019). Clinical practice guideline for the treatment of depression across three age cohorts. Retrieved from https://www.apa.org/depression-guideline 
  
  
• Asarnow JR, Jaycox LH, Duan N, et al. Effectiveness of a Quality Improvement Intervention for Adolescent Depression in Primary Care Clinics: A Randomized Controlled Trial. JAMA. 2005;293(3):311–319. doi:10.1001/jama.293.3.311
  
  
• Asarnow, J. R., Rozenman, M., Wiblin, J., & Zeltzer, L. (2015). Integrated medical-behavioral care compared with usual primary care for child and adolescent behavioral health: A meta-analysis. JAMA pediatrics, 169(10), 929-937.
  
  
• Bennett, D. S., Ambrosini, P. J., Kudes, D., Metz, C., & Rabinovich, H. (2005). Gender differences in adolescent depression: do symptoms differ for boys and girls?. Journal of affective disorders, 89(1-3), 35-44.
  
  
• Centers for Disease Control and Prevention. Youth Risk Behavior Survey Data Summary & Trends Report: 2013–2023. U.S. Department of Health and Human Services; 2024.
  
  
• Daly M. Prevalence of depression among adolescents in the U.S. from 2009-2019: Analysis of trends by sex, race/ethnicity, and income. Journal of Adolescent Health. in press
  
  
• Deng, J., Zhou, F., Hou, W., Heybati, K., Lohit, S., Abbas, U., ... & Heybati, S. (2023). Prevalence of mental health symptoms in children and adolescents during the COVID?19 pandemic: A meta?analysis. Annals of the New York Academy of Sciences, 1520(1), 53-73.
  
  
• Goodwin, R. D., Dierker, L. C., Wu, M., Galea, S., Hoven, C. W., & Weinberger, A. H. (2022). Trends in US depression prevalence from 2015 to 2020: the widening treatment gap. American Journal of Preventive Medicine, 63(5), 726-733.
  
  
• Hoeft, T. J., Fortney, J. C., Patel, V., & Unützer, J. (2018). Task?sharing approaches to improve mental health care in rural and other low?resource settings: a systematic review. The Journal of rural health, 34(1), 48-62.
  
  
• Lehtimaki, S., Martic, J., Wahl, B., Foster, K. T., & Schwalbe, N. (2021). Evidence on digital mental health interventions for adolescents and young people: systematic overview. JMIR mental health, 8(4), e25847.
  
  
• Nicol, G., Wang, R., Graham, S., Dodd, S., & Garbutt, J. (2022). Chatbot-delivered cognitive behavioral therapy in adolescents with depression and anxiety during the COVID-19 pandemic: feasibility and acceptability study. JMIR Formative Research, 6(11), e40242.
  
  
• O’Connor, B. C., Lewandowski, R. E., Rodriguez, S., Tinoco, A., Gardner, W., Hoagwood, K., & Scholle, S. H. (2016). Usual care for adolescent depression from symptom identification through treatment initiation. JAMA pediatrics, 170(4), 373-380.
  
  
• Puyat, J. H., Kazanjian, A., Goldner, E. M., & Wong, H. (2016). How often do individuals with major depression receive minimally adequate treatment? A population-based, data linkage study. The Canadian Journal of Psychiatry, 61(7), 394-404.
  
  
• Richardson, L. P., & Katzenellenbogen, R. (2005). Childhood and adolescent depression: the role of primary care providers in diagnosis and treatment. Current problems in pediatric and adolescent health care, 35(1), 6-24.
  
  
• Richardson, L. P., Ludman, E., McCauley, E., Lindenbaum, J., Larison, C., Zhou, C., ... & Katon, W. (2014). Collaborative care for adolescents with depression in primary care: a randomized clinical trial. Jama, 312(8), 809-816.
  
  
• Roberts, M., Jones, J., Garcia, L., & Techau, A. (2022). Adolescents' perceptions of barriers and facilitators to engaging in mental health treatment: A qualitative meta?synthesis. Journal of child and adolescent psychiatric nursing, 35(2), 113-125.
  
  
• Schleider, J. L., Dobias, M., Sung, J., Mumper, E., & Mullarkey, M. C. (2020). Acceptability and utility of an open-access, online single-session intervention platform for adolescent mental health. JMIR mental health, 7(6), e20513.
  
  
• Schleider, J. L., Mullarkey, M. C., Fox, K. R., Dobias, M. L., Shroff, A., Hart, E. A., & Roulston, C. A. (2022). A randomized trial of online single-session interventions for adolescent depression during COVID-19. Nature human behaviour, 6(2), 258-268.
  
  
• Tanielian, T., Jaycox, L. H., Paddock, S. M., Chandra, A., Meredith, L. S., & Burnam, M. A. (2009). Improving treatment seeking among adolescents with depression: understanding readiness for treatment. Journal of Adolescent Health, 45(5), 490-498.
  
  
• Wang, S., Li, Q., Lu, J., Ran, H., Che, Y., Fang, D., ... & Xiao, Y. (2023). Treatment rates for mental disorders among children and adolescents: A systematic review and meta-analysis. JAMA network open, 6(10), e2338174-e2338174.
  
  
• Weersing VR, Jeffreys M, Do MT, Schwartz KT, Bolano C. Evidence Base Update of Psychosocial Treatments for Child and Adolescent Depression. J Clin Child Adolesc Psychol. 2017 Jan-Feb;46(1):11-43. doi: 10.1080/15374416.2016.1220310. Epub 2016 Nov 21. PMID: 27870579; PMCID: PMC5296370.
  
  
• Wellen, B. C., Wright, N. M., Bickford, M. A., Bakken, E. H., & Riley, A. R. (2023). Integrated behavioral health services in pediatric primary care and emergency department utilization for suicide risk. Frontiers in psychiatry, 14, 1241642.
  
  
• Wilson, S., & Dumornay, N. M. (2022). Rising rates of adolescent depression in the United States: Challenges and opportunities in the 2020s. Journal of Adolescent Health, 70(3), 354-355.
  
  
• Wisdom, J. P., Clarke, G. N., & Green, C. A. (2006). What teens want: barriers to seeking care for depression. Administration and Policy in Mental Health and Mental Health Services Research, 33, 133-145.
  
  
• Wolfe, I., Satherley, R. M., Scotney, E., Newham, J., & Lingam, R. (2020). Integrated care models and child health: a meta-analysis. Pediatrics, 145(1).
  
  
• Zuckerbrot, R. A., Cheung, A., Jensen, P. S., Stein, R. E., Laraque, D., Levitt, A., ... & GLAD-PC STEERING GROUP. (2018). Guidelines for adolescent depression in primary care (GLAD-PC): Part I. Practice preparation, identification, assessment, and initial management. Pediatrics, 141(3).
  
  

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Center for Learning and Professional Development
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Dartmouth Health adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education.  Any individuals in a position to control the content of a CE activity, including planners, faculty, authors, or others are required to disclose all financial relationships with ineligible companies^.  All relevant financial relationships have been mitigated prior to the commencement of the activity.

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