ArticleHealth services research2017
Decrease in Statewide Antipsychotic Prescribing after Implementation of Child and Adolescent Psychiatry Consultation Services.
Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The trial behind it
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Who cites it
18 citing papers in PubMed.
- Safer and targeted use of antipsychotics in youth: an embedded, pragmatic randomized trial.Journal of child psychology and psychiatry, and allied disciplines · 2025Trial
- Diagnostic Patterns and Racial/Ethnic Differences in Antipsychotic Prescribing Among Privately Insured Youth.Translational issues in psychological science · 2025Article
- Evaluation of the Safer Use of Antipsychotics in Youth Study on Population Level Antipsychotic Initiation: An Interrupted Time Series Analysis.Journal of child and adolescent psychopharmacology · 2024Article
- Antipsychotic prescribing patterns in children and adolescents attending Australian general practice in 2011 and 2017.JCPP advances · 2024Article
- Systematic Review: Child Psychiatry Access Program Outcomes.JAACAP open · 2023Article
- Cost of Implementing an Evidence-Based Intervention to Support Safer Use of Antipsychotics in Youth.Administration and policy in mental health · 2023Article
- Trends in antipsychotic use among children and adolescents in Germany: a study using 2011-2020 nationwide outpatient claims data.Frontiers in psychiatry · 2023Article
- The Utah psychotropic oversight program: collaboratively addressing antipsychotic use within youth in foster care without prior authorization.Frontiers in psychiatry · 2023Article
- The Family is the Patient: Promoting Early Childhood Mental Health in Pediatric Care.Pediatrics · 2022Article
- Development of a Symptom-Focused Model to Guide the Prescribing of Antipsychotics in Children and Adolescents: Results of the First Phase of the Safer Use of Antipsychotics in Youth (SUAY) Clinical Trial.Journal of the American Academy of Child and Adolescent Psychiatry · 2022Article
- High-level psychotropic polypharmacy: a retrospective comparison of children in foster care to their peers on Medicaid.BMC psychiatry · 2021Article
- Trends Over Time in Antipsychotic Initiation at a Large Children's Health Care System.Journal of child and adolescent psychopharmacology · 2021Article
- Safer use of antipsychotics in youth (SUAY) pragmatic trial protocol.Contemporary clinical trials · 2020Article
- Effectiveness of mandatory peer review to reduce antipsychotic prescriptions for Medicaid-insured children.Health services research · 2020Observational
- Designing Safer Use of Antipsychotics Among Youths: A Human-Centered Approach to an Algorithm-Based Solution.Psychiatric services (Washington, D.C.) · 2019Article
- High-risk psychotropic medications for US children with trauma sequelae.Epidemiology and psychiatric sciences · 2019Review
- National Child Mental Health Quality Measures: Adherence Rates and Extent of Evidence for Clinical Validity.Current psychiatry reports · 2019Review
- Advancing the Quality of Pediatric Antipsychotic Use: Maybe It Takes a PAL.Health services research · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo learn if a quality of care Medicaid child psychiatric consultation service implemented in three different steps was linked to changes in statewide child antipsychotic utilization. DATA SOURCES/STUDY
settingWashington State child psychiatry consultation program primary data and Medicaid pharmacy division antipsychotic utilization secondary data from July 1, 2006, through December 31, 2013. STUDY
designObservational study in which consult program data were analyzed with a time series analysis of statewide antipsychotic utilization. DATA COLLECTION/EXTRACTION
methodsAll consultation program database information involving antipsychotics was compared to Medicaid pharmacy division database information involving antipsychotic utilization. PRINCIPAL
findingsWashington State's total child Medicaid antipsychotic utilization fell from 0.51 to 0.25 percent. The monthly prevalence of use fell by a mean of 0.022 per thousand per month following the initiation of elective consults (p = .004), by 0.065 following the initiation of age/dose triggered mandatory reviews (p < .001), then by another 0.022 following the initiation of two or more concurrent antipsychotic mandatory reviews (p = .001). High-dose antipsychotic use fell by 57.8 percent in children 6- to 12-year old and fell by 52.1 percent in teens.
conclusionsStatewide antipsychotic prescribing for Medicaid clients fell significantly at different rates following each implementation step of a multilevel consultation and best-practice education service.
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