Prevention of depressive disorders has become a key priority for the NIMH, but the investigators have no widely available public health strategy to reduce morbidity and mortality. To address this need, the investigators developed and evaluated the primary care based-technology "behavioral vaccine," Competent Adulthood Transition with Cognitive-Behavioral Humanistic and Interpersonal Therapy (CATCH-IT). The investigators will engage N=4 health systems representative of the United States health care system, and conduct a factorial design study to optimize the intervention in preparation for an implementation study and eventual dissemination.
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Time
Timeframe: Baseline through 12 months
Cultural acceptability adolescent and family
Timeframe: Baseline through 12 months
Cost
Timeframe: Baseline through 12 months
Depressive Symptoms
Timeframe: Baseline through 12 months
Depressive and mental disorder episodes
Timeframe: Baseline through 12 months
Stress symptoms
Timeframe: Baseline through 12 months
Resiliency
Timeframe: Baseline through 12 months
Function
Timeframe: Baseline through 12 months
Relationships (Life Events)
Timeframe: Baseline through 12 months
Socio-cultural Relevance
Timeframe: Baseline through 12 months
Acceptability of Intervention
Timeframe: Start to end of recruitment, 32 months
Feasibility of Intervention
Timeframe: Start to end of recruitment, 32 months
Intervention Appropriateness
Timeframe: Start to end of recruitment, 32 months
Externalizing Behavior Symptoms
Timeframe: Baseline through 12 months
Anxiety Symptoms
Timeframe: Baseline through 12 months
Substance Abuse Symptoms
Timeframe: Baseline through 12 months
Post Traumatic Stress Disorder Symptoms
Timeframe: Baseline through 12 months
Rumination
Timeframe: Baseline through 12 months
Dysfunctional Attitudes
Timeframe: Baseline through 12 months
Family Relationships
Timeframe: Baseline through 12 months
Cognitive Style
Timeframe: Baseline through 12 months
Self-efficacy
Timeframe: Baseline through 12 months
Social Adjustment
Timeframe: Baseline through 12 months
Systolic and diastolic blood pressure
Timeframe: At baseline
Height
Timeframe: At baseline
Weight
Timeframe: At baseline
Body Mass Index
Timeframe: At baseline