Screening for Depression in Caregivers of Children with Developmental Disabilities: A Quality Improvement Initiative

IF 2.5 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2024-12-20 DOI:10.1016/j.pedhc.2024.11.014

Mae Yue Tan MRCPCh, Shang Chee Chong MRCPCh, Amutha Chinnadurai MRCPCh, Sangeetha Guruvayurappan BHMS

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引用次数: 0

Abstract

Introduction

Screening for depression in caregivers of children with developmental disabilities is not routine, representing missed opportunities for support.

Method

A quality improvement project was initiated in our pediatric clinic. Root causes of limited screening included unclear guidelines for support, caregiver perception that help is unavailable, and lack of a quick screening tool. A clinical pathway was constructed and integrated into existing practice using quality improvement methodology.

Results

Baseline screening rate was 5%–10%. During the 12-week pilot, weekly rates ranged from 46.0% to 91.0% (mean 70.2%). Monthly rates subsequently averaged 55.0%. Approximately 20% had a positive screen; over half were caregivers of children with autism. About 5% had moderate depression, of whom 40% required referral to social workers.

Discussion

Structured depression screening of caregivers of children with developmental disabilities is feasible and sustainable in a busy clinic. Further research is needed to measure the impact on child and family outcomes.

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发育障碍儿童照顾者抑郁症筛查：质量改进倡议。

对发育障碍儿童的照料者进行抑郁症筛查并不是常规的，这意味着他们错过了获得支持的机会。方法：在我院儿科门诊开展质量改进项目。筛查有限的根本原因包括支持指南不明确，护理人员认为无法获得帮助，以及缺乏快速筛查工具。构建了临床路径，并使用质量改进方法将其整合到现有实践中。结果：基线筛查率为5% ~ 10%。在12周的试点期间，每周的费率从46.0%到91.0%不等（平均为70.2%）。其后每月平均利率为55.0%。约20%的筛查结果呈阳性；超过一半的人是自闭症儿童的看护人。约5%患有中度抑郁症，其中40%需要转介给社会工作者。讨论：在繁忙的诊所中，对发育障碍儿童的照料者进行结构化的抑郁症筛查是可行和可持续的。需要进一步的研究来衡量对儿童和家庭结果的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.