Title |
Hoopes, Chelsea_DNP_2021 |
Alternative Title |
Depression Screening for Adolescents in a Rural Community |
Creator |
Hoopes, Chelsea |
Collection Name |
Doctor of Nursing Practice (DNP) |
Description |
The following Doctor of Nursing Practice dissertation examines the impact of implementing a depression screening pathway for adolescents ages 12-17 in Duchesne County, Utah. |
Abstract |
In Utah, depression rates have risen annually since 2013 and in Duchesne County, depression rates are among the highest in the state. Adolescent patients at Uintah Basin Medical Center (UBMC) clinic were not regularly screened for depression, and local resources were not well utilized. The purpose of this Doctor of Nursing Practice (DNP) project was to improve the diagnosis and treatment of adolescent depression by implementing a depression screening pathway for adolescents ages 12-17 in a pediatric primary care setting. A mental health pathway was developed using the GLAD-PC guidelines for adolescent depression. Three providers were educated regarding the pathway, including a depression screening tool and referral lists. Adolescent patients presenting to UBMC clinic were screened using the Patient Health Questionaire-9 (PHQ-9). If a patient screened positive, the pathway was initiated, and they were provided with a referral and/or medication, and a 1-4-week follow-up appointment. During the year preceding the implementation of this project, only 3% of adolescent patients were screened for depression in the pediatric clinic. After implementing the depression screening pathway, 48% of adolescent patients were screened for depression. Those who screened positive had a 90% referral and follow-up rate. Adolescent depression is a global crisis with devastating implications if not diagnosed and treated early. Decreasing adolescent depression rates in Duchesne County can be accomplished through routine screening in a primary care setting. This DNP project demonstrated that regular screening for depression could improve diagnosis and treatment rates for depression in adolescents. |
Subject |
Depression, Mental; Mental health; Medical screening; Pediatric medicine |
Keywords |
Depression; Adolescent; Screening; Rural; Mental health |
Digital Publisher |
Stewart Library, Weber State University, Ogden, Utah, United States of America |
Date |
2021 |
Medium |
Dissertation |
Type |
Text |
Access Extent |
717 KB; 39 page PDF |
Language |
eng |
Rights |
The author has granted Weber State University Archives a limited, non-exclusive, royalty-free license to reproduce his or her theses, in whole or in part, in electronic or paper form and to make it available to the general public at no charge. The author retains all other rights. |
Source |
University Archives Electronic Records; Annie Taylor Dee School of Nursing. Stewart Library, Weber State University |
Format |
application/pdf |
ARK |
ark:/87278/s624jw19 |
Setname |
wsu_atdson |
ID |
12067 |
Reference URL |
https://digital.weber.edu/ark:/87278/s624jw19 |