The Reach Out 4 Teens intervention was tested in the Reaching Out to Adolescents in Distress (ROAD) study, a randomized clinical trial with 101 depressed teens from nine primary care clinics in the Group Health system in Western Washington State.
Teens were recruited to the study via depression screening and randomly assigned to either a 12-month intervention or usual care.
Intervention: The Reach Out 4 Teens intervention was delivered by a master’s trained Depression Care Manager and included:
- An education and engagement session with the teen and parent
- Teen and parent choice of evidence-based treatments:
- Brief cognitive behavioral therapy delivered by the depression care manager
- Antidepressant medications
- Regular follow-up assessment by phone or in person for up to 12 months
- Stepped care treatment
Usual care: Teens in usual care, their parents, and their PCP, received a letter summarizing screening results and encouraging them to initiate care for depression. Teens could access any services available at Group Health including mental health care by self-referral.
Results: Outcomes were assessed at 6 and 12 months by research staff who were blinded to intervention status. Compared to teens in usual care, teens who received the intervention had greater improvements in: