期刊
JOURNAL OF CHILD AND ADOLESCENT PSYCHOPHARMACOLOGY
卷 15, 期 1, 页码 97-106出版社
MARY ANN LIEBERT, INC
DOI: 10.1089/cap.2005.15.97
关键词
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资金
- AHRQ HHS [1 R01 HS013611-01] Funding Source: Medline
- NIMH NIH HHS [P30 MH0 68639] Funding Source: Medline
- ODCDC CDC HHS [U48/CCUG15733] Funding Source: Medline
- NCCDPHP CDC HHS [U48/DP000056] Funding Source: Medline
Objectives: The aim of this study was to estimate the point prevalence of psychotropic medication use, and to describe relationships between child-level characteristics, provider type, and medication use among children in the child welfare system. Methods: The National Survey of Child and Adolescent Well-Being is the first nationally representative study of children coming into contact with the child welfare system. We used data from its baseline and 12-month follow-up waves, and conducted weighted bivariate analyses on a sample of 3114 children and adolescents, 87% of whom were residing in-home. Results: Overall, 13.5% of children in child welfare were taking psychotropic medications in 2001-2002. Older age, male gender, Caucasian race/ethnicity, history of physical abuse, public insurance, and borderline scores on the internalizing and externalizing subscales of the Child Behavior Checklist were associated with higher proportions of medication use. African-American and Latino ethnicities, and a history of neglect, were associated with lower proportions of medication use. Conclusions: These national estimates suggest that children in child welfare settings are receiving psychotropic medications at a rate between 2 and 3 times that of children treated in the community. This suggests a need to further understand the prescribing of psychotropic medications for child welfare children.
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