Status:
COMPLETED
A Stepped Care Model of Adolescent Depression Treatment in Primary Care
Lead Sponsor:
New York State Psychiatric Institute
Conditions:
Major Depressive Disorder
Dysthymia
Eligibility:
All Genders
13-20 years
Phase:
PHASE2
PHASE3
Brief Summary
It is challenging for depressed adolescents and their families to access specialized mental health services. A viable option is delivering treatment in the primary care clinic (PCC) setting; however, ...
Detailed Description
Interpersonal Psychotherapy for adolescents (IPT-A) is a guideline based treatment with established efficacy focusing on reducing depression symptoms and current interpersonal problems associated with...
Eligibility Criteria
Inclusion
- Males and females ages 13-20 years
- English and Spanish speaking adolescent
- Parent may be monolingual or bilingual in Spanish
- DSM-IV diagnosis of Major Depressive Disorder, dysthymia, or Depressive Disorder Not Otherwise Specified
- Moderate impairment in functioning
- Moderate depression severity
- Willing to refrain from other medications unless provided by investigator or PCP during the study
Exclusion
- Diagnoses of Post Traumatic Stress Disorder , Obsessive Compulsive Disorder, current Substance abuse, Schizophrenia, bipolar disorder, Conduct disorder, Active eating disorder, Pervasive Developmental Disorder, Autism, Asberger's, Psychosis
- Engagement in severe self-injurious behavior in past 3 months
- Active suicidal ideation with plan or intent
- Mental retardation or severe learning disability
- Medical illness that may interfere with treatment
- Open Administration for Children's Services (ACS) case
- Pregnancy
- Already receiving psychotherapy or medication treatment for depression or have begun a medication trial for another diagnosis within the previous three months
- History of intolerance to fluoxetine or escitalopram
- Failed 2 completely adequate and documented Antidepressant trials
- Co-morbid Attention Deficit Hyperactivity Disorder if not on stable dose of stimulants
Key Trial Info
Start Date :
September 1 2011
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 1 2014
Estimated Enrollment :
48 Patients enrolled
Trial Details
Trial ID
NCT01443715
Start Date
September 1 2011
End Date
July 1 2014
Last Update
September 4 2014
Active Locations (1)
Enter a location and click search to find clinical trials sorted by distance.
1
New York State Psychiatric Institute
New York, New York, United States, 10032