248:
health evaluation by a health professional. The program focuses on providing screening to young people in the 11-18 age range. From 2003 until 2012, the program was offered nationally in schools, clinics, doctors' offices and in youth service environments such as shelters and juvenile justice settings. As of August 2011, more than 2,000 primary care providers, schools and community-based sites in 46 states offered adolescent mental health screening through the TeenScreen
National Center. In addition, the screening was also being provided in other countries including
326:
public high schools in suburban
Wisconsin, found that nearly three out of four high school students identified as being at-risk for having a mental health problem were not in treatment at the time of screening. Of those students identified as at-risk, a significant majority (76.3 percent) completed at least one visit with a mental health provider within 90 days of screening. More than half (56.3 percent) received minimally adequate treatment, defined as having three or more visits with a provider, or any number of visits if termination was agreed to by the provider.
25:
277:
and validated questionnaires, instructions for administering, scoring and interpreting the screening responses. Primary care program materials included information on primary care referrals for clinical evaluation. In the school and community setting, the screening process was voluntary and required active parental consent and participant assent prior to screening sessions.
204:. The goal was to make researched and validated screening questionnaires available for voluntary identification of possible mental disorders and suicide risk in middle and high school students. The questionnaire they developed is known as the Columbia Suicide Screen, which entered into use in 1999, an early version of what is now the Columbia Health Screen. In 2003, the
281:
as being at possible risk for suicide or other mental health concerns would then assessed by a health or mental health professional. The result of this assessment determined whether the adolescent could be referred for mental health services. If this was the case, parents were involved and provided with help locating the appropriate mental health services.
163:. The program was developed at Columbia University in 1999, and launched nationally in 2003. Screening was voluntary and offered through doctors' offices, schools, clinics, juvenile justice facilities, and other youth-serving organizations and settings. As of August 2011, the program had more than 2,000 active screening sites across 46 states in the
351:(AMA), the Society for Adolescent Health and Medicine, the American Academy of Family Physicians and the National Association of Pediatric Nurse Practitioners. TeenScreen has been endorsed by a number of organizations, including the National Alliance for the Mentally Ill, and federal and state commissions such as the New Freedom Commission.
280:
The validated questionnaires included items about depression, thoughts of suicide and attempts, anxiety, and substance use. The screening questionnaires typically took up to ten minutes for an adolescent to complete. Once the responses to the questionnaire had been reviewed, any adolescent identified
325:
A study published in 2011, involving 2,500 high school students, examined the value of routine mental health screening in school to identify adolescents at-risk for mental illness, and to connect those adolescents with recommended follow-up care. The research, conducted between 2005 and 2009 at six
359:
into the funding of health advocacy groups by pharmaceutical, medical-device, and insurance companies demonstrated to
Senator Grassley's satisfaction that TeenScreen does not receive funding from the pharmaceutical industry. Sen. Grassley sent a letter to TeenScreen and 33 other organizations like
354:
There is opposition to mental health screening programs in general and TeenScreen in particular, from civil liberties, parental rights, and politically conservative groups. Much of the opposition is led by groups who claim that the organization is funded by the pharmaceutical industry; however, in
276:
TeenScreen provided materials, training and technical help through its TeenScreen
Primary Care and Schools and Communities programs for primary care providers, schools and youth-serving organizations that provided mental health screening to adolescents. A toolkit was provided, including researched
321:
on the impact of suicide screening on high school students in New York State from 2002-2004. The study found that students who were given a questionnaire about suicide were no more likely to report suicidal thoughts after the survey than students in the control group who had not been questioned.
329:
A separate study published in 2011, found that mental health screening was effective at connecting
African-American middle school students from a predominantly low-income area with school-based mental health services. Researchers have also found evidence to support the addition of mental health
247:
The mission of the TeenScreen
National Center was to expand and improve the early identification of mental health problems in youth. In particular, TeenScreen aimed to find young people at risk of suicide or developing mental health disorders so they could be referred for a comprehensive mental
309:
Studies have been conducted on the effectiveness and impact of mental health screening for young people. In a 2004 systematic evidence review, the U.S. Preventive
Services Task Force found that there were no studies that addressed whether screening as part of primary care reduced morbidity and
363:
In 2005, TeenScreen was criticized following media coverage of a suit filed a local screening program in
Indiana by the parents of a teenager who had taken part in screening. The suit alleged that the screening had taken place without parents' permissions. The complaint led to a change in how
298:, who launched a "Call to Action" in 1999 encouraging the development and implementation of safe, effective school-based programs offering intervention, help and support to young people with mental health issues. TeenScreen is included as an evidence-based program in the U.S.
322:
Neither was there any greater risk for "high risk" students. A subsequent study by the researchers, in 2009, found that screening appeared to increase the likelihood that adolescents would receive treatment if they were at risk for mental health disorders or suicide.
310:
mortality, nor any information of the potential risks of screening. In a later review, published in 2009, the task force found that there was evidence supporting the efficacy of screening tools in identifying teenagers at risk of suicide or mental health disorders.
224:(SAMHSA)'s National Registry of Evidence-based Programs and Practices. In 2009, the organization launched the TeenScreen Primary Care initiative to increase mental health screening by pediatricians and other primary care providers, the same year the
154:
risk screening initiative for middle- and high-school age adolescents. On
November 15, 2012, according to its website, the program was terminated. The organization operated as a center in the Division of Child and Adolescent Psychiatry Department at
235:
As of 2011, the program was led by executive director Laurie Flynn, deputy executive director Leslie McGuire and scientific advisor Mark Olfson, M.D., alongside a
National Advisory Council of healthcare professionals, educators and advocates.
85:
215:
The organization launched an initiative to provide voluntary mental health screening to all U.S. teens in 2003. The following year, TeenScreen was included in the national Suicide Prevention Resource Center's (SPRC) list of
346:
recommends assessment of mental health at primary care visits and suggests the use of validating screening instruments. These add to statements and recommendations to screen adolescents for mental illness from the
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parental consent was handled by TeenScreen sites. In 2006, the program's policy was amended so that active rather than passive consent was required from parents before screening adolescents in a school setting.
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the American Cancer Society asking about their financial ties to the pharmaceutical industry. TeenScreen replied saying they did not accept money from medical companies.
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As of November 15, 2012, TeenScreen has been terminated, will no longer train or register new programs, and will cease all operations by the end of the year.
600:
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444:
205:
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Husky, Mathilde M.; Sheridan, Marian; McGuire, Leslie; Olfson, Mark (2011). "Mental Health Screening and Follow-up Care in Public High Schools".
970:
Husky, MM; Kanter, DA; McGuire, L; Olfson, M (2011). "Mental Health Screening of African American Adolescents and Facilitated Access to Care".
302:(SAMHSA)'s National Registry of Evidence-based Programs and Practices as a scientifically tested and reviewed intervention. In addition, the
314:
1145:
511:
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212:, identified the TeenScreen program as a "model" program and recommended adolescent mental health screening become common practice.
1190:
39:
35:
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Husky, MM; Miller, K; McGuire, L; Flynn, L; Olfson, M (2011). "Mental health screening of adolescents in pediatric practice".
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343:
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57:
46:
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Allen, Patricia L.; McGuire, Leslie (2011). "Incorporating mental health checkups into adolescent primary care visits".
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recommended in 2009 that mental health screening for teenagers be integrated into routine primary care appointments.
644:
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229:
760:"Screening for Suicide Risk: A Systematic Evidence Review for the U.S. Preventive Services Task Force"
387:
Kaplan, Arline (1 March 2006). "Battling a National Killer: TeenScreen Aims To Prevent Teen Suicide".
356:
197:
156:
134:
759:
465:"Columbia University TeenScreen Program: Science into Policy, Prevention and Action 2004 Overview"
1118:
1038:
995:
228:
recommended annual adolescent mental health screening as part of routine primary care, and the
847:"Evaluating iatrogenic risk of youth suicide screening programs: a randomized controlled trial"
220:
suicide prevention programs. In 2007, it was included as an evidence-based program in the U.S.
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Vanderwerf, Linda (7 July 2011). "County studying two new mental health initiatives".
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Gould, MS; Marrocco, FA; Hoagwood, K; Kleinman, M; Amakawa, L; Altschuler, E (2009).
677:
338:
Recommendations endorsing adolescent mental health screening have been issued by the
295:
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111:
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578:
1093:"Senator Prods Medical Non-profits to Disclose More About Industry Contributions"
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Franck, Matthew (13 December 2005). "Screenings prompt fears of false labels".
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Mental health screening has been endorsed by the former U.S. Surgeon General
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TeenScreen National Center for Mental Health Checkups at Columbia University
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screenings for adolescents while undergoing routine physical examinations.
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recommended expansion of prevention and early identification programs.
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937:
Journal of the American Academy of Child & Adolescent Psychiatry
888:"Service use by at-risk youths after school-based suicide screening"
892:
Journal of the American Academy of Child and Adolescent Psychiatry
449:
Achieving the Promise: Transforming Mental Health Care in America.
342:(IOM) and the U.S. Preventative Services Task Force (USPSTF). The
257:
176:
1119:"US teenager's parents sue school over depression screening test"
734:"The Surgeon General's Call To Action To Prevent Suicide, 1999"
18:
845:
Gould MS, Marrocco FA, Kleinman M, et al. (April 2005).
451:
Final Report. DHHS Pub. No. SMA-03-3832. Rockville, MD: 2003.
643:. TeenScreen National Center. 11 March 2011. Archived from
1146:
National Registry of Evidence Based Programs and Practice
516:
National Registry of Evidence-Based Programs and Practice
300:
Substance Abuse and Mental Health Services Administration
222:
Substance Abuse and Mental Health Services Administration
1076:
Dejka, Joe (16 September 2008). "Can test save lives?".
1015:
The Journal of Behavioral Health Services & Research
788:
Williams, SB; O'Connor, E; Eder, M; Whitlock, E (2009).
313:
A team of researchers from Columbia University and the
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601:"Important Announcement for Schools & Communities"
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The program was developed by a team of researchers at
1161:
Mental health organizations based in New York (state)
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133:Division of Child and Adolescent Psychiatry at
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474:. Columbia University. 2004. Archived from
16:American mental health screening initiative
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546:"Will students take a mental health test?"
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445:New Freedom Commission on Mental Health
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206:New Freedom Commission on Mental Health
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208:, created under the administration of
634:"TeenScreen National Center Brochure"
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355:2011, an inquiry launched by Senator
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1186:Organizations disestablished in 2012
319:randomized controlled clinical trial
315:New York State Psychiatric Institute
285:Research, endorsements and responses
304:U.S. Preventive Services Task Force
226:U.S. Preventive Services Task Force
167:, and in other countries including
14:
334:Acceptance and critical responses
544:Landro, Laura (30 August 2011).
123:Executive director, Laurie Flynn
23:
1176:Child and adolescent psychiatry
972:Community Mental Health Journal
518:. February 2007. Archived from
1091:Perry, Suzanne (11 May 2011).
344:American Academy of Pediatrics
1:
1097:The Chronicle of Philanthropy
904:10.1097/CHI.0b013e3181bef6d5
349:American Medical Association
290:Recommendations and research
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949:10.1016/j.jaac.2011.05.013
78:TeenScreen National Center
1027:10.1007/s11414-009-9207-x
984:10.1007/s10597-011-9413-x
82:
864:10.1001/jama.293.13.1635
1191:Pediatric organizations
1123:British Medical Journal
1117:Lenzer, Jeanne (2005).
1063:St. Louis Post-Dispatch
550:The Wall Street Journal
103:Mental health screening
809:Cite journal requires
340:Institute of Medicine
243:Mission and locations
230:Institute of Medicine
738:U.S. Surgeon General
407:West Central Tribune
54:improve this article
1166:Clinical psychology
357:Charles E. Grassley
198:Columbia University
157:Columbia University
135:Columbia University
129:Parent organization
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58:independent sources
1181:Suicide prevention
1171:Health informatics
1078:Omaha World-Herald
821:Missing or empty
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522:on 2 October 2011
389:Psychiatric Times
272:Screening process
187:Screening program
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555:6 September
262:New Zealand
181:New Zealand
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1155:Categories
769:. May 2004
615:8 February
431:2011-08-10
368:References
200:, led by
119:Key people
66:April 2012
773:10 August
744:12 August
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250:Australia
169:Australia
92:Formation
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