Depression Screening & SBIRT for Adolescents: Practical Considerations

Webinar Date: 
Tuesday, June 16, 2015 - 8:00am to 9:00am

Starting in 2015, the Coordinated Care Organization (CCO) incentive metrics on depression screening & follow-up, and Screening, Brief Intervention and Referral to Treatment (SBIRT) include adolescents aged 12 and older. As health systems and practices strive to implement processes to screen this new population and submit the related documentation and billing claims, it is imperative that specific nuances of this population are taken into account. This includes having explicit processes by which the adolescent’s privacy is ensured, and the use of billing codes and documentation that adhere to policies that protect adolescent confidentiality. For providers that see both adults and adolescents, there are important differences in the tools that should be used and specific considerations that should be made in the codes used for these distinct populations.

The purpose of this webinar is to provide an overview of the CCO incentive metrics that now include adolescents, strategies for how practices and health systems can address privacy and confidentiality before screening, and specific suggestions and considerations to use when submitting billing claims and documenting care in the EMR.


Webinar participants will learn

  • The rationale for including adolescents in the CCO incentive metrics related to depression screening & follow-up and SBIRT

  • Specific CCO guidance for these metrics

  • Real-world strategies and issues for practices considering medical chart documentation and submission of billing claims codes that are both aligned with the CCO incentive metric and protect privacy and confidentiality for adolescents



Colleen Reuland, MS
Director, Oregon Pediatric Improvement Partnership
Instructor, Department of Pediatrics @ OHSU
Ms. Reuland has over 17 years working with primary care practices and health systems to improve the quality of care provided to children and adolescents. She also has extensive experience with developing and implementing reliable and valid quality measures based on claims and electronic medical record data. A key component of Ms. Reuland’s work has been focused on adolescent preventive services and implementation of Bright Futures Recommendations. Over the last three years OPIP has worked with numerous practices to implement depression and substance abuse screening and follow-up. Through this work OPIP has identified a number of policy barriers and opportunities for improvements.



RJ Gillespie, MD, MHPE
Pediatrician, The Children’s Clinic (Portland)
Medical Director, Oregon Pediatric Improvement Partnership

Dr. Gillespie has extensive experience in practice-based quality improvement, medical home implementation, and implementation of practice-based screening protocols in primary care. He is actively involved as a member and advisor to a number of local quality improvement initiatives and state policy committees, including the Patient Centered Primary Care Home Standards Advisory Committee for the Office of Health Policy & Research, and the Oregon Health Authority’s Metrics & Scoring Committee, which decides quality and incentive metrics for the Coordinated Care Organizations in Oregon.



Elizabeth Thorne, MPH is the Adolescent Health Policy and Assessment Specialist for the Oregon Public Health Division. Liz conducts statewide surveillance of a broad range of adolescent health issues, and supports the development and evaluation of evidence-based policies, programs and practices that support the healthy development of youth in Oregon.

Resource Links:

Oregon Pediatric Improvement Partnership

Technical Specifications and Guidance Documents for CCO Incentive Measures

Screening, Brief Intervention and Referral to Treatment (SBIRT)

Minor Rights: Access and Consent to Health Care

Adolescent Care Resources

Enhancing Adolescent Well-Visits

ACEs/Trauma Informed Care Modules

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    PDF icon Depression Screening and SBIRT for Adolescents Webinar Slides2.23 MB