RT Journal
A1 Kelleher KJ, Hohmann AA, Larson DB
T1 PRescription of psychotropics to children in office-based practice
JF American Journal of Diseases of Children
JO American Journal of Diseases of Children
YR 1989
FD July 1
VO 143
IS 7
SP 855
OP 859
DO 10.1001/archpedi.1989.02150190105033
UL http://dx.doi.org/10.1001/archpedi.1989.02150190105033
AB • Multiple authors have stressed the need for close follow-up and simultaneous psychotherapy in most children treated with psychotropic drugs. However, little is known about the actual prescription of psychotropic medications in pediatric settings. Using the 1985 National Ambulatory Medical Care Survey, we investigated the frequency of follow-up arrangements and concurrent psychotherapy among US children in visits to office-based practices. We then explored determinants of psychotropic drug prescriptions. Mental health indicators, sociodemographic characteristics, provider type, and provider familiarity with the patient were important predictors of psychotropic prescriptions. Few providers report referral or concurrent psychotherapy for their patients receiving psychotropics, and follow-up plans were no different for children with or without psychotropics after controlling for other variables. This means that many children in outpatient care who are taking psychotropic medications may not be receiving optimal management for behavioral or emotional problems.(AJDC. 1989;143:855-859)