caa a22 4500 60547706X CHVBK 20210128100359.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00787-014-0670-4 doi (NATIONALLICENCE)springer-10.1007/s00787-014-0670-4 The multidisciplinary depression guideline for children and adolescents: an implementation study [Elektronische Daten] [Marleen Hermens, Matthijs Oud, Henny Sinnema, Maaike Nauta, Yvonne Stikkelbroek, Daniëlle van Duin, Michel Wensing] It is important that depressed patients receive adequate and safe care as described in clinical guidelines. The aim of this study was to evaluate the implementation of the Dutch depression guideline for children and adolescents, and to identify factors that were associated with the uptake of the guideline recommendations. The study took place in specialised child and adolescent mental healthcare. An implementation project was initiated to enhance the implementation of the guideline. An evaluation study was performed alongside the implementation project, using structured registration forms and interviews with healthcare professionals. Six multidisciplinary teams participated in the implementation study. The records of 655 patients were analysed. After 1year, 72% of all eligible patients had been screened for depression and 38% were diagnosed with the use of a diagnostic instrument. The severity of the depression was assessed in 77% of the patients during the diagnostic process, and 41% of the patients received the recommended intervention based on the depression severity. Of the patients that received antidepressants, 25% received weekly checks for suicidal thoughts in the first 6weeks. Monitoring of the patients' response was recorded in 32% of the patients. A wide range of factors were perceived to influence the uptake of guideline recommendations, e.g. the availability of capable professionals, available time, electronic tools and reminders, and the professionals' skills and attitudes. With the involvement of the teams, recommendations were provided for nationwide implementation of the guideline. In conclusion, a systematic implementation programme using stepped care principles for the allocation of depression interventions seems successful, but there remains room for further improvement. Springer-Verlag Berlin Heidelberg, 2015 Qualitative research nationallicence Depression nationallicence Implementation nationallicence Guidelines nationallicence Children nationallicence Adolescents nationallicence Hermens Marleen Netherlands Institute for Mental Health and Addiction (Trimbos Institute), PO Box 725, 3500 AS, Utrecht, The Netherlands aut Oud Matthijs Netherlands Institute for Mental Health and Addiction (Trimbos Institute), PO Box 725, 3500 AS, Utrecht, The Netherlands aut Sinnema Henny Netherlands Institute for Mental Health and Addiction (Trimbos Institute), PO Box 725, 3500 AS, Utrecht, The Netherlands aut Nauta Maaike Department of Clinical Psychology, Faculty of Behavioural and Social Sciences, University of Groningen, Grote Kruisstraat 2/1, 9712 TS, Groningen, The Netherlands aut Stikkelbroek Yvonne Child and Adolescent Studies, University Utrecht, PO Box 80140, 3508 TC, Utrecht, The Netherlands aut van Duin Daniëlle Netherlands Institute for Mental Health and Addiction (Trimbos Institute), PO Box 725, 3500 AS, Utrecht, The Netherlands aut Wensing Michel Scientific Institute for Quality in Healthcare, Radboud University Medical Centre, Nijmegen, The Netherlands aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/10(2015-10-01), 1207-1218 1018-8827 24:10<1207 2015 24 787 https://doi.org/10.1007/s00787-014-0670-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0670-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hermens Marleen Netherlands Institute for Mental Health and Addiction (Trimbos Institute), PO Box 725, 3500 AS, Utrecht, The Netherlands aut NATIONALLICENCE 700 1- Oud Matthijs Netherlands Institute for Mental Health and Addiction (Trimbos Institute), PO Box 725, 3500 AS, Utrecht, The Netherlands aut NATIONALLICENCE 700 1- Sinnema Henny Netherlands Institute for Mental Health and Addiction (Trimbos Institute), PO Box 725, 3500 AS, Utrecht, The Netherlands aut NATIONALLICENCE 700 1- Nauta Maaike Department of Clinical Psychology, Faculty of Behavioural and Social Sciences, University of Groningen, Grote Kruisstraat 2/1, 9712 TS, Groningen, The Netherlands aut NATIONALLICENCE 700 1- Stikkelbroek Yvonne Child and Adolescent Studies, University Utrecht, PO Box 80140, 3508 TC, Utrecht, The Netherlands aut NATIONALLICENCE 700 1- van Duin Daniëlle Netherlands Institute for Mental Health and Addiction (Trimbos Institute), PO Box 725, 3500 AS, Utrecht, The Netherlands aut NATIONALLICENCE 700 1- Wensing Michel Scientific Institute for Quality in Healthcare, Radboud University Medical Centre, Nijmegen, The Netherlands aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/10(2015-10-01), 1207-1218 1018-8827 24:10<1207 2015 24 787