Community Adversity and Utilization of Psychotropic Medications Among Children in Foster Care

Author(s):  
Laura M. Bozzi ◽  
Pinky Shah ◽  
Susan dosReis
2020 ◽  
Vol 2 (1) ◽  
pp. 3-20 ◽  
Author(s):  
Conor O’Brien ◽  
John T. Rapp ◽  
Erica D. Kierce

Approximately one third of children in foster care in the U.S. receive psychotropic medication; however, few studies have evaluated the extent to which either the number or dosage of drugs changes across time. We conducted a retrospective descriptive study of Medicaid files for 30 individuals placed in a foster care system that included an analysis of 10 consecutive visits with a prescribing practitioner spanning 8–14 months. Specifically, we evaluated the data for evidence of deprescribing. Results indicate practitioners changed psychotropic medication during 70% of visits and most changes involved removing and adding psychotropic medication within the same class. Results also show 60% of visits across participants involved prescriptions for four or more psychotropic medications, whereas only 0.33% of trials involved no psychotropic medication. Furthermore, results show the mean number of psychotropic medications per foster child at the end of the study ( M = 3.97) did not decrease in comparison to the start of the study ( M = 3.53). Taken together, these results indicate that prescribers do not regularly engage in a clear deprescribing process for psychotropic medication when serving foster youth. We discuss some limitations to the current study and directions for future research on prescribing patterns with foster children.


2016 ◽  
Vol 70 ◽  
pp. 206-213 ◽  
Author(s):  
Erin R. Barnett ◽  
Elizabeth A. Boucher ◽  
Katrin Neubacher ◽  
Elizabeth A. Carpenter-Song

2007 ◽  
Author(s):  
Cindy Lederman ◽  
Joy Osofsky ◽  
Moira Szilagyi

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