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School-Based Psychotherapy
Helps Depressed Teens

Psychotherapy provided at school-based health clinics is an effective treatment for adolescent depression, new research suggests.

Psychotherapy is a common treatment for mental disorders that involves psychological methods, such as counseling, rather than physiologic ones, like drugs.

The study, which took place in an urban public school setting, involved 63 adolescents with depression who were randomly selected to receive psychotherapy or usual treatment at a school-based mental health clinic for 12 to 16 weeks. The study group was 84 percent female and 71 percent Hispanic and the average patient age was about 15 years.

Usual treatment "was whatever psychological treatment the adolescents would have received in the school-based clinic if the study had not been in place," the authors write.

Compared with usual care, psychotherapy seemed to provide greater symptom relief and improvements in overall function, lead author Dr. Laura Mufson, from the New York State Psychiatric Institute, and colleagues note in the Archives of General Psychiatry.

"Given the critical role that school clinics play in the provision of care for adolescents, these findings are of public health importance for improving the delivery of mental health care to underserved, depressed adolescents," the researchers state.

The findings show that staff working in school-based health clinics can be taught to implement psychotherapy, they add.

SOURCE: Archives of General Psychiatry, June 2004.

Reference Source 89

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