An estimated 6% of adolescents have major depression, but few receive
effective treatment in primary care settings. Asarnow and colleagues report
results of a randomized trial that involved care managers to support primary
care physicians in evaluating and managing adolescent depression and provided
training and educational materials for the physicians to increase access to
evidence-based treatments. Six months after randomization, patients in the
intervention group reported fewer depressive symptoms and had greater access
to mental health care, including psychotherapy, than usual care patients.