Treatments and Services Provided to Children Diagnosed with Bipolar Disorder

Jennifer L. Vande Voort, Amandeep Singh, Julio Bernardi, Christopher A. Wall, Cosima C. Swintak, Kathryn M. Schak, Peter S. Jensen

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

To better understand the types and quantity of mental health services and medication usage for youth diagnosed with bipolar disorder (BD) within an integrated healthcare system, medical records were reviewed from 2000 to 2011. Eighty-five youth diagnosed with BD were identified and healthcare services (medication and psychotherapy follow-up appointments, emergency room (ER) visits, admissions, phone contacts) and visit-related details (medication usage) were abstracted for 2 years after initial BD diagnosis. Despite complex medication regimens (91.7 and 81.2 % received mood stabilizers and antipsychotic agents, respectively), medication appointments were infrequent, averaging 1 visit every 2 months. Only 36 (42 %) of 85 youth were noted to receive psychotherapy services following BD diagnosis, also averaging 1 visit every 2 months. Most (58.8 %) patients needed one or more hospitalizations during the follow-up period; nearly half (48.2 %) had psychiatric ER visits. The relative lack of psychotherapy and infrequent follow-up visits suggests need for improvement to optimize healthcare delivery.

Original languageEnglish (US)
Pages (from-to)494-502
Number of pages9
JournalChild Psychiatry and Human Development
Volume47
Issue number3
DOIs
StatePublished - Jun 1 2016

Keywords

  • Pediatric bipolar disorder
  • Quality of care
  • Services
  • Treatments

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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