Elise Fallucco, MD, an associate professor of psychiatry at the University of Florida College of Medicine – Jacksonville, has led a study that reveals a dramatic impact on the identification and treatment of depression in children and teenagers as a result of a specialized primary care provider training intervention.
Fallucco, who specializes in child and adolescent psychiatry, developed the primary care provider, or PCP, training intervention in response to reports that PCPs were not getting adequate training in depression care. The objective of the study was to examine the long-term impact of primary care training and its potential impact on patient care.
“Only a minority of the 4 million children and teens in the country who suffer from depression receive the treatment they need. Our hope was to empower primary care providers to recognize early signs of depression and intervene to help at-risk youth,” Fallucco said. “This study showed that our brief training intervention has helped providers recognize adolescents with depression and, more importantly, has helped these young patients receive the care they desperately need.”
The research study, titled “Impact of Experimental Training with Standardized Patients on Screening and Diagnosis of Adolescent Depression in Primary Care,” was published in the Journal of Adolescent Health.
Fallucco and her research team — Lauren James and Carmen Smotherman, both from the UF College of Medicine – Jacksonville; and Peggy Greco, PhD, from Nemours Children’s Healthcare in Jacksonville — determined that training primary care providers led to a nearly 20 percent increase in the number of adolescents who were screened for depression.
The research team believes the study is one of the very few to demonstrate a significant, immediate and pervasive impact on clinical care of adolescent depression. Statistics show that adolescents were more than 40 times more likely to be screened by their primary care provider, and almost three times more likely to be diagnosed with depression, after their PCP participated in training.
“We are so grateful to the primary care providers who each care for hundreds of children and adolescents each year, and are delighted to see that a brief intervention can provide them with the tools, resources and experience to meet the needs of the many young people who suffer from depression,” Fallucco said. “We hope to offer this training to PCPs across the country to help them reach the alarmingly high population of adolescents suffering from depression.”
Chief, Division of Child and Adolescent Psychiatry; Program Director, Child and Adolescent Psychiatry Fellowship