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Year:: 2023
Contributor:: Cordero, Francisco (Creator); Chinsom Onyenso (Creator)
Subject:: FQHC; Childhood Depression; PSC-17
DOI: https://doi.org/10.26300/kmjt-wn69

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Abstract:: BACKGROUND With the use of the internet and demands of academia, the mental health of children is affected by stressors in today’s society1. Prior to the pandemic, depression had been shown to globally contribute to the burden of disease. A meta-analysis showed that global prevalence of child depression had doubled from pre-pandemic estimates. The health systems in the US are not equipped to meet the need for depression treatment2. Federally qualified health centers in Rhode Island serve children who are at increased risk for depression. It is important to ascertain if the screening mechanism(s) utilized to identify at-risk behaviors for depression are reliably capturing the data needed to inform primary care providers of concerns. Blackstone Valley Community Health Care implemented the Pediatric Symptom Checklist (PSC-17) in July 2022 to screen for symptoms concerning behavioral health in children ages 5-11, including depression. OBJECTIVES 1. To improve PSC-17 screening rates at BVCHC’s three clinical sites 2. Understand effectiveness of PSC-17 screening in detecting depression in children 5 - 11 at a FQHC METHODS Design: a multi-method study Objective #1 a. Conduct and evaluate a series of PDSA cycles aimed at improving implementation of the PSC-17 screening tool at well child check visits b. Key informant interviews with BVCHC staff regarding barriers and facilitators to PSC-17 implementation Objective #2: literature review RESULTS Objective #1: increased PSC-17 responsiveness rate by 12.09% Objective #2: studies support the continued use of the PSC-17 clinically as a screening tool in pediatric primary care settings. CONCLUSIONS Training pediatric providers to leverage PSC-17 to identify depression symptoms would likely be beneficial in increasing the PSC-17 responsiveness rates. PDSA cycles were an effective way to increase responsiveness systemically. Studies support the PSC-17 as a screening tool in pediatric primary care settings; however, further research is needed to identify its effectiveness in identifying internalizing behaviors that are clinically diagnosed as depression.

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Cordero, Francisco, and Chinsom Onyenso, "Detecting Childhood Depression: Addressing Low Screening Rates at a Rhode Island Federally Qualified Health Center" (2023). Gateways to Medicine, Health Care, and Research. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/kmjt-wn69

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Gateways to Medicine, Health Care, and Research

The Gateways Program at the Warren Alpert Medical School of Brown University provides academically promising, motivated students new pathways to careers in the health sciences. This collection houses scholarly works produced by Master of Science in Medical Sciences (ScM) students …
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Detecting Childhood Depression: Addressing Low Screening Rates at a Rhode Island Federally Qualified Health Center