"Real world" atypical antipsychotic prescribing practices in public child and adolescent inpatient settings

Elizabeth Pappadopulos, Peter S. Jensen, Sarah B. Schur, James C. MacIntyre, Scott Ketner, Kimberly Van Orden, Jeffrey Sverd, Sadhana Sardana, David Woodlock, Robert Schweitzer, David Rube

Research output: Contribution to journalArticle

65 Scopus citations

Abstract

This article examines the factors that influence antipsychotic use among youth treated in public inpatient facilities. By combining data from 11 focus groups, a survey of 43 researchers and clinicians, and a chart review of 100 closed patient charts, we investigated the interplay between physicians' and staff members' perceptions of problems related to antipsychotic prescribing, their beliefs concerning optimal approaches, their actual recorded prescribing behaviors, and the discrepancies between their beliefs and their recorded practices. We discovered that antipsychotics are prescribed broadly to treat a variety of conditions, including nonpsychotic disorders among children in public inpatient facilities. Despite overall expert consensus regarding "best practices," physicians described systemic obstacles that prevent the application of these practices, and our data confirmed that best practices are not always followed. Future research should be done with this patient population and should investigate the factors that influence antipsychotic use among inpatient youth.

Original languageEnglish (US)
Pages (from-to)111-121
Number of pages11
JournalSchizophrenia Bulletin
Volume28
Issue number1
DOIs
StatePublished - 2002

Keywords

  • Antipsychotics
  • Pediatric psychopharmacology
  • Public psychiatric inpatient settings

ASJC Scopus subject areas

  • Psychiatry and Mental health

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    Pappadopulos, E., Jensen, P. S., Schur, S. B., MacIntyre, J. C., Ketner, S., Van Orden, K., Sverd, J., Sardana, S., Woodlock, D., Schweitzer, R., & Rube, D. (2002). "Real world" atypical antipsychotic prescribing practices in public child and adolescent inpatient settings. Schizophrenia Bulletin, 28(1), 111-121. https://doi.org/10.1093/oxfordjournals.schbul.a006913