Despite experiencing higher rates of depressive symptoms and similar rates of Major Depressive Disorder (MDD), Latina (female) adolescents in the U.S. are significantly less likely than their non-Latina White peers to receive treatment for MDD. The purpose of this study is to identify facilitators of and barriers to depression treatment engagement among Latina adolescents across patient-, family-, and healthcare provider-levels from the perspectives of these individuals. Latina adolescent-parent dyads and healthcare providers will be recruited from community and healthcare settings. Separate individual semi-structured interviews will be conducted with Latina adolescents (n=12) and their parents (n=12). Two focus groups will be conducted with primary care providers (n=6) and mental health providers (n=6) who frequently care for Latina youth. Qualitative content analysis will be used to analyze the transcripts to determine common themes in facilitators and barriers across stakeholder groups.

Adolescent Inclusion Criteria:

• Ages 13-17
• Self-identify as Hispanic/Latina
• Be first generation (i.e. born outside the US) or second generation immigrants (i.e. one or both parents born outside the US)
• Have been diagnosed with Major Depressive Disorder or Persistent Depressive Disorder/Dysthymia
• Have been referred to psychotherapy or prescribed medication for depression

Adolescent Exclusion Criteria:

• Currently experiencing acute psychological distress

Parent Inclusion Criteria

• Parent of Latina adolescent experiencing depression

Parent Exclusion Criteria

• Not fluent in English or Spanish

Healthcare Provider Inclusion Criteria

• Self-identify as regularly providing clinical care to Latina adolescents with depression
• Be in a role in which they can refer to or provide depression treatment

Patient self-report of female gender identity.

Latina adolescent young women experiencing depression and their parents will be recruited from community and integrated primary care settings. Healthcare providers will be recruited from an integrated primary care clinic.