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Abstract"Objective To evaluate whether a new computerised cognitive behavioural therapy intervention (SPARX, Smart, Positive, Active, Realistic, X-factor thoughts) could reduce depressive symptoms in help seeking adolescents as much or more than treatment as usual.Design Multicentre randomised controlled non-inferiority trial.Setting 24 primary healthcare sites in New Zealand (youth clinics, general practices, and school based counselling services).Participants 187 adolescents aged 12-19, seeking help for depressive symptoms, with no major risk of self harm and deemed in need of treatment by their primary healthcare clinicians: 94 were allocated to SPARX and 93 to treatment as usual.Interventions Computerised cognitive behavioural therapy (SPARX) comprising seven modules delivered over a period of between four and seven weeks, versus treatment as usual comprising primarily face to face counselling delivered by trained counsellors and clinical psychologists.Outcomes The primary outcome was the change in score on the children's depression rating scale-revised."

The policies include mandatory screening for both disorders using validated tools, a learning collaborative and evaluations to promote quality improvement, and financial incentives to clinics achieving various service benchmarks. The department also offers training to help providers with various issues related to these policies.

From the abstract: "the current study provides a n analysis of homeless and runaway youths' attitudes towards mental health servic es in order to identify possible factors t hat can assist service providers with understanding and increasing service engagement . V ariables examined included help seeking propensity, psychological openness , concern for mental health stigma, parental maltreat ment, street victimization and services n eeds assessment. The current study also examines the relationship between social support and attitudes toward mental health services. A comparison sample of housed youth was obtained in order to de termine if mental health attitudes are unique to homeless y outh. Fifty - six youth who identified as homeless were recruited through youth drop - in centers and a shelter in Northern California , and 97 housed youth were recruited from alternative community continuation schools in the same region . A nalys is of v ariance iii showed that homeless and housed groups did not differ significant ly on attitudes toward mental health services, help seeking propensity, psychological openness, and concern for mental health stigma . Additional f indings revealed that , for homeless youth, t he more perceived friend support , the more their concern for mental health stigma decreased and the more supportive individuals available , the more positive attitudes toward mental health services and help seeking propensity increased . Comparison of correl ations between homeless and housed groups revealed only one significant difference; the association between perceived family support and help seeking propensity was strongest for the housed group than for the homeless group . Results demonstrate d that home less youth and housed youth share similar attitudes toward mental health services , help seeking propensity, psychological openness, and c o ncern for mental health stigma. Mean scores obtained on these measures were comparable to the only existing study on