Department of Pediatrics, Indiana University School of Medicine, 410 West 10th Street, HS1020, Indianapolis, IN, 46202, USA,
Child Psychiatry Hum Dev. 2013 Dec;44(6):717-26. doi: 10.1007/s10578-013-0365-y.
To examine the psychiatric medication fill rates of adolescents after release from juvenile detention. The team reviewed 177 charts. A fill was defined as a psychiatric medication charge to Medicaid 30- or 90-days after release. Differences in demographic characteristics were compared among individuals with fills at 30- or 90-days and those with no medication fills. Forty-five percent of patients were on at least one psychiatric medication. Among detainees on a psychiatric medication, 62 % had a fill by 30 days after release, and 78 % by 90 days. At least 50 % of the adolescents on a psychiatric medication were on an atypical antipsychotic. There was no significant relationship between medication fill and race, age, or sex. Despite the known associations between mental health diagnosis and treatment-seeking with age, sex, and race, it appears that psychiatric medication fill patterns after release from detention are not associated with these factors.
研究青少年从少年拘留所获释后的精神科药物配药率。研究小组审查了 177 份图表。配药定义为在释放后 30 或 90 天内向医疗补助计划收取精神科药物费用。在 30 天或 90 天内有配药和无配药的个体之间比较了人口统计学特征的差异。45%的患者至少服用一种精神科药物。在服用精神科药物的被拘留者中，有 62%在释放后 30 天内有配药，78%在 90 天内有配药。至少 50%的服用精神科药物的青少年服用的是一种非典型抗精神病药物。药物配药与种族、年龄或性别之间没有显著关系。尽管精神健康诊断与寻求治疗之间存在已知的关联，与年龄、性别和种族有关，但从拘留所获释后的精神科药物配药模式似乎与这些因素无关。
