Real-world depression screening practices among primary care providers across patient-level and provider-level characteristics
Document Type
Article
Publication Date
2024
Department/School
Psychology
Publication Title
Clinical Pediatrics
Abstract
This study examined primary care provider (PCP) alignment with guideline-based care for adolescent depression screening and identified factors associated with post-screening responses. A retrospective chart review was conducted across 17 primary care clinics. Logistical regressions were estimated across provider specialties, sociodemographic factors, and patient clinical histories. Significant differences in follow-up and identification of depression were found among patients with more severe depression presentation. Follow-up screening was also more likely to be completed among patients with private insurance and less likely to occur among Black patients. Patients with significant mental health history of a mood concern, history of being prescribed psychotropic medication, were currently on medications at the time of the screening, or had a history of an internal mental health referral had a higher predicted probability of being identified as depressed on the patient problem list.
Link to Published Version
Recommended Citation
Bruni, T., Smith, S., Quigley, J., Koval, E., LaLonde, L., Maragakis, A., Kilbourne, A. M., King, C., Orringer, K., & Lee, J. M. (2024). Real-world depression screening practices among primary care providers across patient-level and provider-level characteristics. Clinical Pediatrics, 63(10), 1442–1451. https://doi.org/10.1177/00099228231223782
Comments
A. Maragakis is a faculty member in EMU's Department of Psychology.
*L. LaLonde is a doctoral fellow in EMU's Department of Psychology.
See the journal article for a complete list of authors and their affiliations.