ArticleAmerican journal of public health2015
Psychotropic drug use among preschool children in the Medicaid program from 36 states.
Article in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 34 citations in OpenAlex.
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- Patterns of Health Care Services During Pediatric Concurrent Hospice Care: A National Study.The American journal of hospice & palliative care · 2022Article
- A Comparison of Young Adults With and Without Cancer in Concurrent Hospice Care: Implications for Transitioning to Adult Health Care.Journal of adolescent and young adult oncology · 2022Article
- Medical complexity and concurrent hospice care: A national study of Medicaid children from 2011 to 2013.Journal for specialists in pediatric nursing : JSPN · 2021Article
- The Use of Antidepressants, Antipsychotics, and Stimulants in Youth Residential Care.Journal of child and adolescent psychopharmacology · 2021Article
- Mental health and developmental disabilities in US children admitted in hospice care.International journal of palliative nursing · 2021Article
- Many Young Children with Autism Who Use Psychotropic Medication Do Not Receive Behavior Therapy: A Multisite Case-Control Study.The Journal of pediatrics · 2021Article
- Neonatal Abstinence Syndrome and Childhood Mental Health Conditions, 2009-2015: Commercial Versus Medicaid Populations.Psychiatric services (Washington, D.C.) · 2020Article
- Patterns of Early Mental Health Diagnosis and Medication Treatment in a Medicaid-Insured Birth Cohort.JAMA pediatrics · 2018Article
- Dosing and Monitoring: Children and Adolescents.Psychopharmacology bulletin · 2018Review
- Methylphenidate and atomoxetine prescribing trends in children in the Western Cape Province of South Africa, 2005-2013.Health SA = SA Gesondheid · 2018Article
- A National Profile of Attention-Deficit Hyperactivity Disorder Diagnosis and Treatment Among US Children Aged 2 to 5 Years.Journal of developmental and behavioral pediatrics : JDBP · 2017Article
- Preschool ADHD Diagnosis and Stimulant Use Before and After the 2011 AAP Practice Guideline.Pediatrics · 2016Article
- Patterns of Antipsychotic Prescribing by Physicians to Young Children.Psychiatric services (Washington, D.C.) · 2016Article
- Somnambulism During Monotherapy With Mixed Amphetamine Salts.Journal of clinical psychopharmacology · 2016Article
- Article
- Bipolar disorder and ADHD: comorbidity and diagnostic distinctions.Current psychiatry reports · 2015Review
- Off-label Prescribing Trends for ADHD Medications in Very Young Children.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAGArticle
Corrections and comments
- Erratum issuedErrata.2015
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectivesWe determined the prevalence of and indications for psychotropic medication among preschool children in Medicaid.
methodsWe obtained 2000 to 2003 Medicaid Analytic Extract data from 36 states. We followed children in 2 cohorts, born in 1999 and 2000, up to age 4 years. We used logistic regression to model odds of receiving medications for (1) attention-deficit disorder/attention-deficit hyperactivity disorder, (2) depression or anxiety, and (3) psychotic illness or bipolar.
resultsOverall, 1.19% of children received at least 1 psychotropic drug. Medications for attention-deficit disorder/attention-deficit hyperactivity disorder treatment were most common (0.61% of all children), followed by depression or anxiety (0.59%) and psychotic illness or bipolar (0.24%). Among children, boys, those of other or unknown race compared with White, and those with other insurance compared with fee for service-only had higher odds of receiving a prescription (odds ratio [OR]=1.80 [95% confidence interval (CI)=1.74, 1.86], 1.75 [corrected] [1.66, 1.85], and 1.14 [1.01, 1.28], respectively), whereas Black and Hispanic children had lower odds (OR=0.51 [95% CI=0.48, 0.53] and 0.37 [0.34, 0.39], respectively).
conclusionsPreschoolers are receiving psychotropic medications despite limited evidence supporting safety or efficacy. Future research should focus on implementing medication use practice parameters in infant and toddler clinics, and expanding psychosocial interventions for young children with behavioral problems.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.