Family Centered Treatment for Teen Depression

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Teen Depression+2 MoreFamily Centered Treatment - Behavioral
Eligibility
18+
All Sexes
What conditions do you have?
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Study Summary

Studies suggest that for youth in poverty, addressing stressors like parental mental health concerns may improve children's mental health outcomes. Rates of depression and suicidality are growing among teens nationwide and rates of depression are disproportionately high for Hispanic youth. Hispanic families are disproportionately impacted by poverty and are disproportionately exposed to adverse childhood experiences, yet Hispanic patients are less likely than non-Hispanic patient to have access to specialty mental healthcare. Integrating mental health care into primary care is one avenue towards making specialized mental healthcare more accessible to the Hispanic community. There have been few studies focused on addressing parental mental health within pediatric primary care, and even fewer focused specifically on supporting Hispanic families within primary care. The current study would seek to formally assess whether a family-centered treatment approach improves depression outcomes for both Hispanic teens and parents identified in primary care. The current study would implement depression screening for teens and global mental health screening for parents in MetroHealth's Pediatric Hispanic Clinic. Teens identified with depression would receive integrated consultation with a psychology provider as usual. In this study, parents who agree to participate would also be screened for depression, anxiety, trauma and parenting stress. Parents who screen positive would then be randomized to receive either a list of referrals for bilingual mental health services in the community (treatment as usual), or into the family-centered treatment arm. In the family-centered treatment arm, parents would be connected directly to bilingual adult mental health services with a community partner, Catholic Charities, who would provide collateral therapy to parents via telehealth. Families will then receive follow-up calls from a bilingual MetroHealth provider 3- and 6-months later to re-administer the same parent outcome measures. Investigators hypothesize that adolescent depression symptoms will improve to a greater degree in the family-centered treatment condition as compared to treatment as usual, and that measures of parental mental health and parenting stress will show significantly greater improvement in the family-centered treatment condition as compared to treatment as usual.

Eligible Conditions
  • Teen Depression
  • Family Research
  • Depression

Treatment Effectiveness

Study Objectives

2 Primary · 2 Secondary · Reporting Duration: baseline, 3 and 6 month change

Month 6
Change in Generalized Anxiety Disorder-7
Change in Parenting Stress Index -4
Change in Patient Health Questionnaire-9
Change in Post Traumatic Stress Disorder CheckList - for Civilians

Trial Safety

Trial Design

2 Treatment Groups

Treatment as Usual
1 of 2
Family Centered Treatment
1 of 2

Active Control

Experimental Treatment

200 Total Participants · 2 Treatment Groups

Primary Treatment: Family Centered Treatment · No Placebo Group · N/A

Family Centered Treatment
Behavioral
Experimental Group · 1 Intervention: Family Centered Treatment · Intervention Types: Behavioral
Treatment as Usual
Behavioral
ActiveComparator Group · 1 Intervention: Treatment as Usual · Intervention Types: Behavioral

Trial Logistics

Trial Timeline

Screening: ~3 weeks
Treatment: Varies
Reporting: baseline, 3 and 6 month change

Who is running the clinical trial?

MetroHealth Medical CenterLead Sponsor
105 Previous Clinical Trials
20,756 Total Patients Enrolled
Brittany Myers, PhDPrincipal InvestigatorMetroHealth Systems

Eligibility Criteria

Age 18+ · All Participants · 2 Total Inclusion Criteria

Mark “Yes” if the following statements are true for you:
Parent or legal guardian may be included in the study if their teen is over the age of 12, screens positive for depression during pediatric visit, and if parents then screen positive for any mental health concern during the initial survey.
References