{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T19:53:59Z","timestamp":1780084439313,"version":"3.54.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,1,13]],"date-time":"2024-01-13T00:00:00Z","timestamp":1705104000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Adoles Psych Nursing"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Problem<\/jats:title><jats:p>The adolescent years are a formative time when rapid hormonal and physical changes stimulate the developing mind. Exposure to poverty, abuse, violence, and lack of peer and social support causes an increase in vulnerability to the development of mental health problems. The COVID\u201019 pandemic has also exacerbated symptoms of depression and anxiety. Regardless of the risk factors, anxiety and depression continue to be significant health problems, affecting thousands of adolescents yearly in the United States. The first\u2010line treatment recommendation for managing anxiety and depression symptoms is cognitive behavioral therapy (CBT). However, access to a provider for CBT treatment is not always an option for many reasons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This pilot evidenced\u2010based practice project aims to increase access to skills acquired through CBT and improve adolescents' mental health by implementing a brief and evidenced\u2010based CBT program in a school setting. The CBT program for this project is the Creating Opportunities for Personal Empowerment (COPE) for Teens program consisting of seven 50\u221255\u2010min sessions. The COPE program was delivered to 22 students in a 7th\u2010grade health class. The Generalized Anxiety Disorder 7\u2010Item and Patient Health Questionnaire\u20109 Modified for Adolescents measured anxiety and depression scores at baseline, post\u2010intervention, and 2\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Results indicate clinically significant improvements in anxiety and depression scores and showed participant satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>COPE in the school setting offers a low\u2010risk solution to improving behaviors and emotional intelligence. COPE is a cost\u2010effective solution to the mental health provider shortage.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcap.12448","type":"journal-article","created":{"date-parts":[[2024,1,13]],"date-time":"2024-01-13T12:56:24Z","timestamp":1705150584000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Effectiveness of an evidenced\u2010based cognitive behavioral therapy intervention for adolescents in a school setting"],"prefix":"10.1111","volume":"37","author":[{"given":"Sarah E.","family":"Gray","sequence":"first","affiliation":[{"name":"College of Nursing The University of Tennessee Knoxville USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4705-3302","authenticated-orcid":false,"given":"Michaela","family":"Carter","sequence":"additional","affiliation":[{"name":"College of Nursing The University of Tennessee Knoxville USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0146-438X","authenticated-orcid":false,"given":"Amanda","family":"Harper","sequence":"additional","affiliation":[{"name":"College of Nursing The University of Tennessee Knoxville USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,13]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-020-02659-0"},{"key":"e_1_2_13_3_1","unstructured":"American Psychological Association. 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