Evidence map›Paper›PMID 37406239›Full record

ArticleHealth affairs (Project Hope)2023

Antipsychotic Medication Use In Medicaid-Insured Children Decreased Substantially Between 2008 And 2016.

Greta Bushnell, James Lloyd, Mark Olfson, Sharon Cook, Himshikha Das, Stephen Crystal

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Medication-Related Impacts on Pediatric Bone Health.Journal of the Pediatric Orthopaedic Society of North America · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

6 authors.

Greta BushnellGreta Bushnell (greta.bushnell@rutgers.edu), Rutgers University, New Brunswick, New Jersey.
James LloydJames Lloyd, Rutgers University.
Mark OlfsonMark Olfson, Columbia University and New York State Psychiatric Institute, New York, New York.
Sharon CookSharon Cook, Rutgers University.
Himshikha DasHimshikha Das, Rutgers University.
Stephen CrystalStephen Crystal, Rutgers University.

Funding

New Jersey Alliance for Clinical Translational Science: NJ ACTSUL1TR003017 · NCATS · RUTGERS BIOMEDICAL/HEALTH SCIENCES-RBHS · PI PANETTIERI, REYNOLD ALEXANDER · 2019 to 2023
$28.9M
Advancing Patient Safety for Antipsychotic-Treated Children: Examining State Implementation of Safe Use PracticesR01HS026001 · AHRQ · RUTGERS, THE STATE UNIV OF N.J. · PI CRYSTAL, STEPHEN · 2018 to 2022
$1.9M
Benzodiazepine-related harms in young people: Informing policy, interventions, and prescribingK01DA050769 · NIDA · RUTGERS BIOMEDICAL/HEALTH SCIENCES-RBHS · PI BUSHNELL, GRETA · 2021 to 2025
$1.0M
AHRQ HHS R01 HS026001NCATS NIH HHS UL1 TR003017NIDA NIH HHS K01 DA050769
6 · The paper itself

Abstract

After the rapid growth of pediatric antipsychotic prescribing in the early 2000s, especially in the Medicaid population, concerns regarding the safety and appropriateness of such prescribing increased. Many states implemented policy and educational initiatives aimed at safer and more judicious antipsychotic use. Antipsychotic use leveled off in the late 2000s, but there have been no recent national estimates of trends in antipsychotic use in children enrolled in Medicaid, and it is unclear how use varied by race and ethnicity. This study observed a sizable decline in antipsychotic use among children ages 2-17 between 2008 and 2016. Although the magnitude of change varied, declines were observed across foster care status, age, sex, and racial and ethnic groups studied. The proportion of children with an antipsychotic prescription who received any diagnosis associated with a pediatric indication that was approved by the Food and Drug Administration increased from 38 percent in 2008 to 45 percent in 2016, which may indicate a trend toward more judicious prescribing.

Indexed as

Antipsychotic AgentsChildDrug PrescriptionsEthnicityFoster Home CareHumansMedicaidUnited StatesAntipsychotic Agents

Identifiers

PMID37406239
PMCPMC10845053

What OpenQuestion holds

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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.