Depression

Table for Contents for Depression

Clinical Pathways and Screening Tools for Depression

Clinical Pathway

Link to full PDF: https://capp.ucsf.edu/sites/g/files/tkssra6871/f/Depression%20Clinical%20Pathway_Web.pdf

Screening Tools

PHQ-9 Adolescent (ages 11-17 years) English | Spanish
Short Moods and Feelings Questionnaire (SMFQ, ages 6-19 years): Child Report | Parent Report | Scoring
CES-DC (Center for Epidemiological Studies – Depression scale for children, ages 6-17 years): English
EDPS (Edinburgh Postpartum Depression Scale) English | Spanish

Rule out Anxiety – SCARED, GAD-7
If any trauma hx, nightmares/flashbacks – rule out PTSD ***

Evidence-Based Treatment Guidelines for Depression

Non-medication

Depression in Children and Teens (PDF)

Managing Depression or Sadness: Tips for Families (AAP) English | Spanish

First-line recommended medication: SSRI (Fluoxetine, Escitalopram, Sertraline)
Indications (can be fold out? If too lengthy)
1. Limited improvement with therapy
2. Depression interfering with ability to engage in therapy, exposures.
3. Severe Depression (PHQ-9 ≥ 15)
4. Comorbid disorder requires treatment.
Continue SSRI for at least 9-12 months into remission before considering weaning off medication.
SSRI treatment flow chart

Provider Tipsheets

SSRI Tipsheet

Clinical Pathway for Depression

Suicide and Safety

Click here for resource: Suicide and Safety

Lethal Means Reduction (PDF)

Click here for resource: (PDF)

AAP Endorsements – Guidelines for Adolescent Depression in Primary Care (GLAD-PC)

Part I. Practice Preparation, Identification, Assessment, and Initial Management (PDF)
Part II. Treatment and Ongoing Management (PDF)

Family Tipsheets

Handouts

Depression in Children and Teens (PDF)

Managing Depression or Sadness: Tips for Families (AAP) English | Spanish

Depression: Parents’ Medication Guide (AACAP) English

Suicide Prevention: A Resource for Parents and Caregivers – AAP (PDF)

Suicide Prevention: A Resource for Teens – AAP (PDF)

Lethal Means Reduction (PDF)

Emotion Coping Skills Resources

NIMH ASQ Mental Health Crisis Resources (PDF)

Online Resources

Tools for supporting Emotional Wellbeing in Children and Youth

AACAP Depression Resource Center

AACAP Suicide Resource Center

Suicide Safety: Precautions at Home (link)

Teen Suicide Prevention – Mayo Clinic (Video)

Anxiety & Depression Association America

Families for Depression Awareness

National Alliance on Mental Illness (NAMI)

Effective Child Therapy (Evidence-based Mental Health Therapy for children and adolescents)

The National Child Traumatic Stress Network

StopBullying.gov

Crisis Resources

National Suicide Prevention Lifeline 988 Suicide & Crisis Lifeline (Call, Chat, or Text 988)

Crisis Text Line (Text HOME to 747747)

The Trevor Project

Connecting for Care

UCSF Child & Adolescent Psychiatry Portal

Phone: 800-253-2103

Email: [email protected]

Legal disclaimer: UCSF Child and Adolescent Psychiatry Portal (CAPP) Program can provide informal consultation between a child and adolescent psychiatrist and primary care provider. However, the consultation will not include chart review, or face-to-face evaluation of a patient or family. Thus, consultation and guidance will be based only on information provided by the primary care provide and does not supplant direct face-to-face evaluation or treatment with a mental health care provider.

UCSF CAPP is supported by federal and state grant funding. The Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) sponsors part of a federal award totaling $2,670,000 with 17% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov. CAPP is also sponsored by the California Department of Health Care Services Prop 56 Behavioral Health Integration Funding, in partnership with Anthem and Blue Cross.