Evidence map›Paper›PMID 26459647›Full record

ArticlePediatrics2015

Outpatient Visits and Medication Prescribing for US Children With Mental Health Conditions.

L Elizabeth Anderson, Minghua L Chen, James M Perrin, Jeanne Van Cleave

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
9.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 1 synthesis or guideline pooled it, 162 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Use of Stimulant Diversion Prevention Strategies in Pediatric Primary Care and Associations With Provider Characteristics.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021
    Trial
  4. Acceptability of Group Visits for Attention-Deficit Hyperactivity Disorder in Pediatric Clinics.Journal of developmental and behavioral pediatrics : JDBP · 2017
    Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Reduced Efficacy of Behavior Therapy Following Initial Multimodal Treatment of ADHD.Evidence-based practice in child and adolescent mental health · 2025
    Article
  12. Article
  13. Article
  14. A Case-Based, Longitudinal Curriculum in Pediatric Behavioral and Mental Health.MedEdPORTAL : the journal of teaching and learning resources · 2024
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

L Elizabeth AndersonUniversity of Tennessee College of Medicine, Memphis, Tennessee;
Minghua L ChenDivisions of General Pediatrics, Center for Child and Adolescent Health Research and Policy, and.
James M PerrinGeneral Academic Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts; and Department of Pediatrics, Harvard Medical School, Pediatrics, Boston, Massachusetts.
Jeanne Van CleaveGeneral Academic Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts; and Department of Pediatrics, Harvard Medical School, Pediatrics, Boston, Massachusetts jvancleave@partners.org.
MaineGeneral Medical Center · USMassachusetts General Hospital · USOffice of Adolescent Health · USUniversity of Tennessee Health Science Center · US

Funding

SHORT-TERM TRAINING FOR MINORITY STUDENTST35HD007446 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI GORDON, CATHERINE M. · 1993 to 2014
$1.8M
Adoption of Innovations for Mental Health Care in Pediatric Primary CareK23MH083885 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI VAN CLEAVE, JEANNE M · 2009 to 2013
$919k
NICHD NIH HHS T35 HD007446NICHD NIH HHS T35 HD 7446NIMH NIH HHS 5K23MH083885-05NIMH NIH HHS K23 MH083885
6 · The paper itself

Abstract

objectiveTo compare the mental health care US children receive from primary care providers (PCPs) and other mental health care providers.

methodsUsing nationally representative data from the Medical Expenditure Panel Survey (MEPS) from 2008 to 2011, we determined whether children and youth aged 2 to 21 years with outpatient visits for mental health problems in the past year saw PCPs, psychiatrists, and/or psychologists/social workers for these conditions. We compared the proportion of children prescribed psychotropic medications by provider type. Using logistic regression, we examined associations of provider type seen and medication prescribing with race/ethnicity, household income, insurance status, geographical area, and language at home.

resultsOne-third (34.8%) of children receiving outpatient care for mental health conditions saw PCPs only, 26.2% saw psychiatrists only, and 15.2% saw psychologists/social workers only. Nearly a quarter (23.8%) of children saw multiple providers. A greater proportion of children with attention-deficit/hyperactivity disorder (ADHD) versus children with anxiety/mood disorders saw a PCP only (41.8% vs 17.2%). PCPs prescribed medications to a higher percentage of children than did psychiatrists. Children seeing a PCP for ADHD were more likely to receive stimulants or α-agonists than children with ADHD seeing psychiatrists (73.7% vs 61.4%). We found only limited associations of sociodemographic characteristics with provider type or medication use.

conclusionsPCPs appear to be sole physician managers for care of 4 in 10 US children with ADHD, and one-third with mental health conditions overall. Efforts supporting mental health in primary care will reach a substantial portion of children receiving mental health services.

Indexed as

AdolescentAdultAmbulatory CareAnxiety DisordersAttention Deficit Disorder with HyperactivityChildChild, PreschoolFemaleHumansLogistic ModelsMaleMental DisordersMood DisordersPhysicians, Primary CarePractice Patterns, Physicians'PsychiatryPsychotropic Drugs

Identifiers

PMID26459647
PMCPMC4621795
OpenAlexW2213468520

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.