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出院后的精神卫生治疗:非典型抗精神病药物的使用与再次治疗的可能性。

After out-of-home mental health treatment: atypical antipsychotic medication use and the probability of returning to treatment.

机构信息

Department of Mental Health Law and Policy, Florida Mental Health Institute, University of South Florida, 13301 Bruce B Downs Blvd., Tampa, FL 33612, USA.

出版信息

Community Ment Health J. 2012 Jun;48(3):284-93. doi: 10.1007/s10597-011-9438-1. Epub 2011 Aug 20.

DOI:10.1007/s10597-011-9438-1
PMID:21858489
Abstract

Florida Medicaid claims data were used to assess antipsychotic medication use among children after therapeutic out-of-home mental health treatment. Fifty percent of youth received antipsychotics after the treatment episode, but differences exist across age, gender, and racial groups. Utilization was higher among males and youth ages 6-12, while blacks were less likely to be prescribed antipsychotics than whites. Youth receiving antipsychotics were less likely to return to out-of-home treatment within 6 months. However, among youth receiving antipsychotic medications, a higher medication possession ratio was not associated with the likelihood of returning to treatment. Such patterns require further investigation to determine whether they indicate inadequate treatment for some youth.

摘要

佛罗里达州医疗补助计划的索赔数据被用于评估治疗性的心理健康治疗后儿童的抗精神病药物使用情况。50%的年轻人在治疗后接受了抗精神病药物治疗,但在年龄、性别和种族群体之间存在差异。男性和 6-12 岁的年轻人的利用率较高,而黑人接受抗精神病药物治疗的可能性低于白人。接受抗精神病药物治疗的年轻人在 6 个月内返回非住院治疗的可能性较低。然而,在接受抗精神病药物治疗的年轻人中,较高的药物持有率与返回治疗的可能性无关。这些模式需要进一步调查,以确定它们是否表明一些年轻人的治疗不足。

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本文引用的文献

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Psychotropic medication patterns among youth in foster care.寄养青年的精神药物使用模式。
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2
Use of psychotropic medications by youths in therapeutic foster care and group homes.青少年在治疗性寄养照料机构和集体之家使用精神药物的情况。
Psychiatr Serv. 2004 Jun;55(6):706-8. doi: 10.1176/appi.ps.55.6.706.
3
Trends in psychotropic drug use in a child psychiatric hospital from 1991-1998.1991年至1998年一家儿童精神病医院精神药物使用趋势
J Child Adolesc Psychopharmacol. 2004 Spring;14(1):87-93. doi: 10.1089/104454604773840526.
4
The management of acute mania.急性躁狂的管理
BMJ. 2003 Nov 1;327(7422):1002-3. doi: 10.1136/bmj.327.7422.1002.
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Treatment recommendations for the use of antipsychotics for aggressive youth (TRAAY). Part II.针对有攻击行为青少年使用抗精神病药物的治疗建议(TRAAY)。第二部分。
J Am Acad Child Adolesc Psychiatry. 2003 Feb;42(2):145-61. doi: 10.1097/00004583-200302000-00008.