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Randomised controlled trial
Collaborative care improves clinical outcomes for adolescents with depression treated in primary care
  1. Janine Archer
  1. University of Manchester, School of Nursing, Midwifery & Social Work, Manchester, UK
  1. Correspondence to: Dr Janine Archer, University of Manchester, School of Nursing, Midwifery & Social Work, Jean McFarlane Building (Room 6.304), Oxford Road, Manchester M13 9PL, UK; Janine.archer{at}manchester.ac.uk

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Context

Depression in adolescence is common worldwide and although it is treatable, only a minority receive evidence-based interventions.1 ,2 A recent report by the WHO identifies depression as the leading cause of illness and disability in adolescents and highlights the importance of a coordinated approach to care.3 A Cochrane review has shown collaborative care interventions to improve depression in adults treated in primary care, but few studies have examined whether these interventions are effective in adolescents.4 This randomised controlled trial examines whether collaborative care interventions adapted for adolescents with depression improve outcomes compared with usual care.

Methods

Adolescents aged 13–17 years with depression were recruited from nine paediatric and family medicine units in the …

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