Providing depression care in the medical home: What can we learn from attention-deficit/hyperactivity disorder?

摘要

Although many primary care providers (PCPs) are reluctant to manage adolescent depression. they commonly provide care for children with atten-tion-deficit/hyperactivity disorder (ADHD). We sought to describe differences in care for these common diseases to identify opportunities to improve depression care. Methods. Primary care providers from the St Louis, Missouri, area completed a 29-item, self-administered, mailed questionnaire (eAppendix, http://www.archpediatrics .com). Questions assessed attitudes toward and behaviors regarding screening, diagnosis, and management of depressed adolescent patients. Four-point categorical scales were used to indicate agreement with attitudinal statements and confidence in delivery of depression care. Respondents also agreed or disagreed with statements about care for depression and ADHD. The Washington University Human Research Protection Office approved the study.