Abstract
Background: High rates of treating children in foster care with second-generation antipsychotics, both singly and in combination with other psychotropics, have focused public interest on the use of these medications, and motivated some states to implement programs to curtail usage. Objective: To estimate any antipsychotic use and psychotropic polypharmacy among children in foster care during the last decade and to characterize interstate variation in these trends. Design/methods: Centers for Medicare and Medicaid Services Medicaid Analytic Extract data files for 47 states and the District of Columbia for years 2002-2007. The study sample included an average of 686,080 children annually aged 3-18. years of age with foster care Medicaid eligibility. Repeated cross-sectional design conducted with multilevel logistic regression, clustered at the state level and controlling for patient demographics. Main outcome measures were rates of filled prescriptions for any antipsychotic medication and for psychotropic polypharmacy (defined as concurrent use of 3 or more psychotropic medication classes for at least 30. days during the year). State-level rate trajectories over time were classified as increased (≥. 5% relative increase over interval), decreased (≥. 5% relative decrease over the interval), or stable. Results: The rate of any antipsychotic use increased from 8.9% in 2002 to 11.8% in 2007 (P.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1492-1499 |
| Number of pages | 8 |
| Journal | Children and Youth Services Review |
| Volume | 34 |
| Issue number | 8 |
| DOIs | |
| State | Published - Aug 2012 |
| Externally published | Yes |
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Keywords
- Foster care
- Medicaid
- Psychotropic medication
ASJC Scopus subject areas
- Developmental and Educational Psychology
- Education
- Sociology and Political Science
Cite this
Interstate variation in trends of psychotropic medication use among Medicaid-enrolled children in foster care. / Rubin, David; Matone, Meredith; Huang, Yuan Shung; DosReis, Susan; Feudtner, Chris; Localio, Russell.
In: Children and Youth Services Review, Vol. 34, No. 8, 08.2012, p. 1492-1499.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Interstate variation in trends of psychotropic medication use among Medicaid-enrolled children in foster care
AU - Rubin, David
AU - Matone, Meredith
AU - Huang, Yuan Shung
AU - DosReis, Susan
AU - Feudtner, Chris
AU - Localio, Russell
PY - 2012/8
Y1 - 2012/8
N2 - Background: High rates of treating children in foster care with second-generation antipsychotics, both singly and in combination with other psychotropics, have focused public interest on the use of these medications, and motivated some states to implement programs to curtail usage. Objective: To estimate any antipsychotic use and psychotropic polypharmacy among children in foster care during the last decade and to characterize interstate variation in these trends. Design/methods: Centers for Medicare and Medicaid Services Medicaid Analytic Extract data files for 47 states and the District of Columbia for years 2002-2007. The study sample included an average of 686,080 children annually aged 3-18. years of age with foster care Medicaid eligibility. Repeated cross-sectional design conducted with multilevel logistic regression, clustered at the state level and controlling for patient demographics. Main outcome measures were rates of filled prescriptions for any antipsychotic medication and for psychotropic polypharmacy (defined as concurrent use of 3 or more psychotropic medication classes for at least 30. days during the year). State-level rate trajectories over time were classified as increased (≥. 5% relative increase over interval), decreased (≥. 5% relative decrease over the interval), or stable. Results: The rate of any antipsychotic use increased from 8.9% in 2002 to 11.8% in 2007 (P.
AB - Background: High rates of treating children in foster care with second-generation antipsychotics, both singly and in combination with other psychotropics, have focused public interest on the use of these medications, and motivated some states to implement programs to curtail usage. Objective: To estimate any antipsychotic use and psychotropic polypharmacy among children in foster care during the last decade and to characterize interstate variation in these trends. Design/methods: Centers for Medicare and Medicaid Services Medicaid Analytic Extract data files for 47 states and the District of Columbia for years 2002-2007. The study sample included an average of 686,080 children annually aged 3-18. years of age with foster care Medicaid eligibility. Repeated cross-sectional design conducted with multilevel logistic regression, clustered at the state level and controlling for patient demographics. Main outcome measures were rates of filled prescriptions for any antipsychotic medication and for psychotropic polypharmacy (defined as concurrent use of 3 or more psychotropic medication classes for at least 30. days during the year). State-level rate trajectories over time were classified as increased (≥. 5% relative increase over interval), decreased (≥. 5% relative decrease over the interval), or stable. Results: The rate of any antipsychotic use increased from 8.9% in 2002 to 11.8% in 2007 (P.
KW - Foster care
KW - Medicaid
KW - Psychotropic medication
UR - http://www.scopus.com/inward/record.url?scp=84861862047&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84861862047&partnerID=8YFLogxK
U2 - 10.1016/j.childyouth.2012.04.006
DO - 10.1016/j.childyouth.2012.04.006
M3 - Article
AN - SCOPUS:84861862047
VL - 34
SP - 1492
EP - 1499
JO - Children and Youth Services Review
JF - Children and Youth Services Review
SN - 0190-7409
IS - 8
ER -