Department of Mental Health Law and Policy, Florida Mental Health Institute, University of South Florida, 13301 Bruce B Downs Blvd., Tampa, FL 33612, USA.
Community Ment Health J. 2012 Jun;48(3):284-93. doi: 10.1007/s10597-011-9438-1. Epub 2011 Aug 20.
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.
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。