Effectiveness research: transporting interpersonal psychotherapy for depressed adolescents (IPT-A) from the lab to school-based health clinics.

Division of Clinical and Genetic Epidemiology, Department of Psychiatry, New York State Psychiatric Institute, New York, New York, USA.
Clinical Child and Family Psychology Review (Impact Factor: 4.75). 01/2005; 7(4):251-61. DOI: 10.1007/s10567-004-6089-6
Source: PubMed

ABSTRACT This paper describes the process of modifying and transporting an evidence-based treatment, Interpersonal Psychotherapy for Depressed Adolescents (IPT-A), from a university setting to school-based health clinics. It addresses conceptual issues involved in the shift from efficacy to effectiveness research as well as operational issues specific to the transport of IPT-A into school-based health clinics. Consideration is given to the rationale for an IPT-A effectiveness study, methodological concerns, and the timing of the move from the "lab" to the community. The authors identify challenges and barriers to initiating effectiveness and transportability research and provide suggestions for overcoming these barriers. Recommendations for conducting research in school-based practice settings are provided.

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    ABSTRACT: Given the high prevalence of depression among adolescents, there is a dire need for efficacious, cost-effective, and accessible treatments for adolescent depression. One type of psychosocial treat- ment shown to be efficacious in the treatment of adolescents with depression is Interpersonal Psy- chotherapy (IPT-A). Originally developed and tested for depressed adults and modified for work with adolescents, IPT-A is a time limited, brief psychotherapy based on the premise that depression occurs in the context of interpersonal relationships (Weisman, Markowitz, & Klerman, 2000). Both the time-limited nature and focus on the present, especially social relationships, seem particu- larly relevant to adolescents and their specific developmental issues, including major life choices in education, work, and the establishment of intimate relationships. Efficacy and effectiveness trials of IPT-A have demonstrated its flexibility and applicability. Nevertheless, more efficacy data is war- ranted, with larger sample sizes and more diverse populations.