Cost-effectiveness of Collaborative Care for Adolescents With Depression in Primary Care

Wright, D.R. et al. (2016) JAMA Pediatrics. 170(11) pp. 1048-1054


Question:  The Reaching Out to Adolescents in Distress (ROAD) collaborative care model has been found to be effective in treating adolescent major depressive disorder, but is it cost-effective?

Findings:  A randomized clinical trial conducted at 9 primary care clinics in Washington State suggests that collaborative care results in an increase of 0.04 quality-adjusted life-year over usual care at $883 above usual care, for a mean incremental cost-effectiveness ratio of $18 239 per quality-adjusted life-year gained.

Meaning:  Even by the most conservative standards, the ROAD collaborative care model is a cost-effective approach for treating adolescent depression.

Read the abstract here


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