Psychotropic Medication Prescription Patterns in 100 Hospitalized Children and Adolescents

Ahsanuddin, Khaja M; Ivey, Jeffrey A.; Schlotzhauer, David; Hall, Kevin; Prosen, Harry

doi:10.1016/s0002-7138(09)60673-7

Cited by 16 publications

(18 citation statements)

References 3 publications

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“…The psychotropic medication prescription pattern of these adolescent psychiatric units seems to follow previous reports from North America, in which high frequencies (60%) of medication use were found (16). Rapid symptom remediation is one of the factors that can make other treatment modes effective.…”

Section: Discussionsupporting

confidence: 72%

Treatment practices in adolescent psychiatric inpatient care

Erkolahti¹,

Piha²,

Maling³

1998

Nordic Journal of Psychiatry

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RITVA ERKOLAHTI, JORMA PIHA, MICHAEL MALING Erkolahti R, Piha J, Maling M. Treatment practices in adolescent psychiatric inpatient care. Nord J Psychiatry 1998;52:519 -526. Oslo. ISSN 0803-9488.The comparison of adolescent psychiatric inpatient care in Finland and in the Chicago area, in the United States (US), provides an interesting opportunity to learn from similarities and differences in current treatment practices between the two countries. In this study we have compared the treatment programs in two very differently based service systems. Many similarities could be found, but the diagnostic system, the length of hospital treatment (Finland, mean 20.7 months; US, mean 2.1 months) and the use of medication (Finland, 39%; US, 64%) differed in these two countries. The results seem to reflect differences in the philosophy and management of the units. The service system has an impact on these factors because inpatient treatment is an expensive and limited resource.Adolescent psychiatry, Cross-cultural, Inpatient treatment, Ser6ice system.

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Section: Discussionsupporting

confidence: 72%

Treatment practices in adolescent psychiatric inpatient care

Erkolahti¹,

Piha²,

Maling³

1998

Nordic Journal of Psychiatry

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“…In a clinical review of medical charts of medicated patients from the 3 auspices of care, approximately 90% of the medication-treated patients were treated at an acceptable dose level and with an acceptable rationale based on symptom or diagnosis. These and other findings and other suggest that children in state hospitals are not over-medicated in comparison to children in private hospitals or university-county hospitals, and that prescribing practices among the three hospitals, despite their different funding sources, are comparable.Although contemporary psychiatric hospitalizaron of children and adolescents is characterized by the frequent usage of psychotropic medication, to date, there have been only two studies of child psychiatric prescribing practices on child and adolescent psychiatric inpatient units (Ahsanuddin et al 1983;Zito et al 1994). Safer (1997), in this Special Section, provides additional important data about inpatient medications in a sample of previously hospitalized outpatients.…”

mentioning

confidence: 99%

“…Although contemporary psychiatric hospitalizaron of children and adolescents is characterized by the frequent usage of psychotropic medication, to date, there have been only two studies of child psychiatric prescribing practices on child and adolescent psychiatric inpatient units (Ahsanuddin et al 1983;Zito et al 1994). Safer (1997), in this Special Section, provides additional important data about inpatient medications in a sample of previously hospitalized outpatients.…”

mentioning

confidence: 99%

Prescribing Practices of Inpatient Child Psychiatrists Under Three Auspices of Care

Kaplan¹

1997

Journal of Child and Adolescent Psychopharmacology

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To study prescribing practices of inpatient child psychiatrists under 3 auspices of care, 137 medicated patients were compared to 122 nonmedicated patients at a state hospital, a private hospital and a county-university hospital in New York during 1991. Overall, 79% of state, 76% of private, and 68% of county-university hospital patients received at least one dose of psychotropic medication, with the state versus county-university comparison significant (p < 0.05). Significantly more medicated patients at the private hospital (80%) than at the state or county-university hospitals (each 26%) received antidepressants (p's < 0.001). Significantly more county-university (74%) than private (35%) patients received antipsychotic medications, but the proportion of nonpsychotic patients receiving antipsychotic medication was statistically similar across the three hospitals. In nonpsychotic patients, antipsychotic agents were used to treat aggressive behavior. Patients 12 years of age or younger received more stimulants, and patients 13 years of age or older received more lithium (p's < 0.01). In a clinical review of medical charts of medicated patients from the 3 auspices of care, approximately 90% of the medication-treated patients were treated at an acceptable dose level and with an acceptable rationale based on symptom or diagnosis. These and other findings and other suggest that children in state hospitals are not over-medicated in comparison to children in private hospitals or university-county hospitals, and that prescribing practices among the three hospitals, despite their different funding sources, are comparable.

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“…These factors include symptoms, such as aggressive or assaultive behavior (Ahsanuddin et al 1983;Schur et al 2003), selfabuse or self-injury (Wilens et al 1998), suicidality (Dean et al 2006), disability (dosReis et al 2005, and severity of illness (Duffy et al 2005), as well as psychosocial risk factors such as living away from home (Connor et al 1998;Zima et al 1999;Raghavan et al 2005).…”

Section: Correlates Of Medication Initiation and Changementioning

confidence: 99%