“…Adolescent depression currently accounts for a substantial portion of the health care costs incurred by this age group (Birmaher et al, 1996), which are expected to increase as the prevalence of depression among children and adolescents rises and incidence occurs at younger ages (Gjerde, 1995). Despite these changes, rates of mental health service use are far below rates of mental health disorders (Dew, Dunn, Bromet, & Schulberg, 1988;Hirschfeld et al, 1997;Logan & King, 2001;Offer, Howard, Schonert, & Ostrov, 1991;Wu et al, 1999), especially among adolescents.…”