Antipsychotic Use and Foster Care Placement Stability Among Youth With Attention-Deficit Hyperactivity/ Disruptive Behavior Disorders

Ming Hui Tai, Terry Shaw, Susan dosReis

Research output: Contribution to journalArticlepeer-review

Abstract

The objective of this study was to investigate the association between antipsychotic initiation and placement transitions among youth in foster care with attention-deficit/hyperactivity disorder and other disruptive behavior disorders (ADHD/DBD). Data were obtained from child welfare administrative records and Medicaid claims in one Mid-Atlantic state from January 1, 2010, through March 31, 2014. Cox proportional hazard model was conducted to estimate the risk of time to first placement transition during the 180-day follow-up among new antipsychotic users and propensity score matched nonusers. Results showed youth initiating antipsychotics had no significant reduction in foster placement transitions within the 180-day follow up (Hazard Ratio = 1.1; 95% CI = 0.7–1.6). Although antipsychotics are widely used for aggressive behaviors, a better understanding of clinical management of youth in foster care is needed to promote stable foster placement.

Original languageEnglish (US)
Pages (from-to)1-15
Number of pages15
JournalJournal of Public Child Welfare
DOIs
StateAccepted/In press - Jun 1 2016
Externally publishedYes

Keywords

  • child welfare
  • evidence-based practices
  • foster care

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Sociology and Political Science

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