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COPE for Depressed and Anxious Teens: A Brief Cognitive-Behavioral Skills Building Intervention to Increase Access to Timely, Evidence-Based Treatment


  • Pamela Lusk DNP, RN, PMHNP-BC,

    Associate Professor, Director, Post-Masters to DNP Program, Corresponding author
    • Brandman University, Irvine, CA, USA
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  • Bernadette Mazurek Melnyk PhD, RN, CPNP/PMHNP, FAAN, FNAP

    Associate Vice President for Health Promotion, University Chief Wellness Officer, Dean and Professor, Professor of Pediatrics and Psychiatry
    1. College of Nursing, The Ohio State University, Columbus, OH, USA
    2. College of Medicine, The Ohio State University, Columbus, OH, USA
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  • Note: This article was supported, in part, by the NIH/National Institute of Nursing Research (R01#1R01NR012171); PI: Bernadette Mazurek Melnyk.

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Evidence-based cognitive-behavioral therapy skills building intervention—Creating Opportunities for Personal Empowerment (COPE)—for depressed and anxious teens in brief 30 min outpatient visits.


Based on COPE training workshops, this article provides an overview of the COPE program, its development, theoretical foundation, content of the sessions, and lessons learned for best delivery of COPE to individuals and groups in psychiatric settings, primary care settings, and schools.


Published literature and clinical examples.


With the COPE program, the advanced practice nurse in busy outpatient practice can provide timely, evidence-based therapy for adolescents and use the full extent of his/her advanced practice nursing knowledge and skills.