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A project within the Adolescent and Young Adult Behavioral Health 
Collaborative Innovation and Improvement Network


Project Objectives

  1. To increase the rate of depression screening in youth ages 12-25 years to 80%.
  2. To increase the rate of youth with a positive depression screen who have a documented follow-up plan to 80%.



All data is collected at the level of the practice, not the clinician, as we are encouraging systems-level change for participating sites. For sites with multiple clinicians participating, just one set of data is submitted for the site and credit is attributed to all individuals at that site.

Data Collection Tools

To measure progress on the project aims, practices will submit baseline and monthly data on depression screening and follow-up planning. Practices will also submit pre- and post-intervention data on their office systems related to mental health.

  1. Office Systems: Participating practices will complete a pre/post inventory to assess the extent to which their office systems promote and support caring for adolescents and young adults with mental health concerns. Each participating site will submit one copy of the inventory that was completed by the entire practice team.
  2. Depression Screening and Follow-Up: Depression screening and follow-up will be measured monthly for nine months: three months of baseline (October - November 2021) and six months of intervention (December 2021 - May 2022). Practices will audit 10 patient charts per month for patients ages 12-25 who had health supervision visits.
  3. Quality ImprovementPractices will submit monthly Plan-Do-Study-Act (PDSA) logs to report what strategies the practice is testing to improve depression screening and follow-up rates.
  4. Staff Impact: At the end of the project, practices will complete a short, 6-question, Staff Impact Survey, which examines the value of practice input with project outcomes.


Data submission

  • Data Liaison: Each participating site will designate one person to serve as data liaison. This person will be the primary contact for all project data and survey requests. The data lead will be the only person at the practice who will receive data links from REDCap and will enter, or facilitate entry, of all practice data. The data lead will bring project surveys to the practice team and record the practice’s responses, then enter those responses in REDCap.
  • REDCap System: All project data will be submitted through this online encrypted data collection system. Data is downloaded for analysis and reporting by NIPN staff. No protected health information (PHI) is submitted. All practices are assigned a unique identifier, so that data cannot be attributed to any site.
  • For REDCap return codes or survey link, or other data inquiries, please contact Rachel Wallace-Brodeur at


Helpful Project Links

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) (under #U45MC27709, Adolescent and Young Adult Health Capacity Building Program). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit