"Real world" atypical antipsychotic prescribing practices in public child and adolescent inpatient settings.

Abstract:

:This article examines the factors that influence antipsychotic use among youth treated in public inpatient facilities. By combining data from 11 focus groups, a survey of 43 researchers and clinicians, and a chart review of 100 closed patient charts, we investigated the interplay between physicians' and staff members' perceptions of problems related to antipsychotic prescribing, their beliefs concerning optimal approaches, their actual recorded prescribing behaviors, and the discrepancies between their beliefs and their recorded practices. We discovered that antipsychotics are prescribed broadly to treat a variety of conditions, including nonpsychotic disorders among children in public inpatient facilities. Despite overall expert consensus regarding "best practices," physicians described systemic obstacles that prevent the application of these practices, and our data confirmed that best practices are not always followed. Future research should be done with this patient population and should investigate the factors that influence antipsychotic use among inpatient youth.

journal_name

Schizophr Bull

journal_title

Schizophrenia bulletin

authors

Pappadopulos E,Jensen PS,Schur SB,MacIntyre JC 2nd,Ketner S,Van Orden K,Sverd J,Sardana S,Woodlock D,Schweitzer R,Rube D

doi

10.1093/oxfordjournals.schbul.a006913

keywords:

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

111-21

issue

1

eissn

0586-7614

issn

1745-1701

journal_volume

28

pub_type

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