Outpatient Psychotropic Medication Use in the US: A Comparison Based on Foster Care Status
Using data from the Client/Patient Sample Survey, a nationally representative study of outpatient mental health service utilization, the prevalence and correlates of psychotropic medication receipt for youth who live with families and in foster care are compared. The medication rate is similar for b...
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| Veröffentlicht in: | Journal of child and family studies 2014-05, Vol.23 (4), p.652-665 |
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| container_title | Journal of child and family studies |
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| creator | Warner, Lynn A. Song, Na Kyoung Pottick, Kathleen J. |
| description | Using data from the Client/Patient Sample Survey, a nationally representative study of outpatient mental health service utilization, the prevalence and correlates of psychotropic medication receipt for youth who live with families and in foster care are compared. The medication rate is similar for both groups, with slightly more than one-third of youth treated with medication. Additionally, when medication is prescribed, it is the sole intervention provided for close to one half of each group, and the distribution of other services received (such as clinical case management and collateral services) is similar, regardless of living situation. However, the predictors of medication use differ for the two groups. Among foster care youth, only presenting problems of depressed mood, being withdrawn, and suicidality significantly increase the odds of medication; among youth with families, sociodemographic characteristics (male gender), and a range of clinical factors (disruptive behavior disorder, presenting problems of hyperactivity and sleep disturbance, prior mental health service receipt, and inpatient or residential care referral sources) increase the likelihood of medication. The conclusion that distinct sets of factors predict medication for the two groups was reinforced by results of multivariate analyses; foster care status moderates the association between medication receipt and only one of the correlates examined (gender). Implications, limitations, and areas for future research are presented. |
| doi_str_mv | 10.1007/s10826-013-9885-0 |
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The medication rate is similar for both groups, with slightly more than one-third of youth treated with medication. Additionally, when medication is prescribed, it is the sole intervention provided for close to one half of each group, and the distribution of other services received (such as clinical case management and collateral services) is similar, regardless of living situation. However, the predictors of medication use differ for the two groups. Among foster care youth, only presenting problems of depressed mood, being withdrawn, and suicidality significantly increase the odds of medication; among youth with families, sociodemographic characteristics (male gender), and a range of clinical factors (disruptive behavior disorder, presenting problems of hyperactivity and sleep disturbance, prior mental health service receipt, and inpatient or residential care referral sources) increase the likelihood of medication. The conclusion that distinct sets of factors predict medication for the two groups was reinforced by results of multivariate analyses; foster care status moderates the association between medication receipt and only one of the correlates examined (gender). Implications, limitations, and areas for future research are presented.</description><identifier>ISSN: 1062-1024</identifier><identifier>EISSN: 1573-2843</identifier><identifier>DOI: 10.1007/s10826-013-9885-0</identifier><identifier>CODEN: JCFSES</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adolescents ; Behavior Disorders ; Behavior Problems ; Behavioral Science and Psychology ; Child and School Psychology ; Child Welfare ; Comparative studies ; Correlation ; Dependents ; Depression ; Drug therapy ; Drug Use ; Family (Sociological Unit) ; Foster Care ; Gender ; Group Homes ; Guidelines ; Health Needs ; Health Problems ; Health Services ; Hyperactivity ; Insurance ; Mental health ; Mental Health Programs ; Mental Health Services ; Moods ; National Surveys ; Original Paper ; Outpatient care facilities ; Patients ; Psychiatry ; Psychology ; Psychotropic drugs ; Referral ; Residential Care ; Residential Programs ; Self Destructive Behavior ; Sex ; Social Sciences ; Sociodemographic Characteristics ; Sociology ; State Surveys ; U.S.A ; Young people ; Youth</subject><ispartof>Journal of child and family studies, 2014-05, Vol.23 (4), p.652-665</ispartof><rights>Springer Science+Business Media New York 2013</rights><rights>Springer Science+Business Media New York 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-14bd57079ce9349548dc004ae24c5e63d60e0a9a689ab201b0d0a228a8b0d4873</citedby><cites>FETCH-LOGICAL-c415t-14bd57079ce9349548dc004ae24c5e63d60e0a9a689ab201b0d0a228a8b0d4873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10826-013-9885-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10826-013-9885-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,12848,27926,27927,31001,31002,33777,41490,42559,51321</link.rule.ids></links><search><creatorcontrib>Warner, Lynn A.</creatorcontrib><creatorcontrib>Song, Na Kyoung</creatorcontrib><creatorcontrib>Pottick, Kathleen J.</creatorcontrib><title>Outpatient Psychotropic Medication Use in the US: A Comparison Based on Foster Care Status</title><title>Journal of child and family studies</title><addtitle>J Child Fam Stud</addtitle><description>Using data from the Client/Patient Sample Survey, a nationally representative study of outpatient mental health service utilization, the prevalence and correlates of psychotropic medication receipt for youth who live with families and in foster care are compared. The medication rate is similar for both groups, with slightly more than one-third of youth treated with medication. Additionally, when medication is prescribed, it is the sole intervention provided for close to one half of each group, and the distribution of other services received (such as clinical case management and collateral services) is similar, regardless of living situation. However, the predictors of medication use differ for the two groups. Among foster care youth, only presenting problems of depressed mood, being withdrawn, and suicidality significantly increase the odds of medication; among youth with families, sociodemographic characteristics (male gender), and a range of clinical factors (disruptive behavior disorder, presenting problems of hyperactivity and sleep disturbance, prior mental health service receipt, and inpatient or residential care referral sources) increase the likelihood of medication. The conclusion that distinct sets of factors predict medication for the two groups was reinforced by results of multivariate analyses; foster care status moderates the association between medication receipt and only one of the correlates examined (gender). Implications, limitations, and areas for future research are presented.</description><subject>Adolescents</subject><subject>Behavior Disorders</subject><subject>Behavior Problems</subject><subject>Behavioral Science and Psychology</subject><subject>Child and School Psychology</subject><subject>Child Welfare</subject><subject>Comparative studies</subject><subject>Correlation</subject><subject>Dependents</subject><subject>Depression</subject><subject>Drug therapy</subject><subject>Drug Use</subject><subject>Family (Sociological Unit)</subject><subject>Foster Care</subject><subject>Gender</subject><subject>Group Homes</subject><subject>Guidelines</subject><subject>Health Needs</subject><subject>Health Problems</subject><subject>Health Services</subject><subject>Hyperactivity</subject><subject>Insurance</subject><subject>Mental health</subject><subject>Mental Health Programs</subject><subject>Mental Health Services</subject><subject>Moods</subject><subject>National Surveys</subject><subject>Original Paper</subject><subject>Outpatient care facilities</subject><subject>Patients</subject><subject>Psychiatry</subject><subject>Psychology</subject><subject>Psychotropic drugs</subject><subject>Referral</subject><subject>Residential Care</subject><subject>Residential Programs</subject><subject>Self Destructive Behavior</subject><subject>Sex</subject><subject>Social Sciences</subject><subject>Sociodemographic Characteristics</subject><subject>Sociology</subject><subject>State Surveys</subject><subject>U.S.A</subject><subject>Young 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Psychotropic Medication Use in the US: A Comparison Based on Foster Care Status</title><author>Warner, Lynn A. ; Song, Na Kyoung ; Pottick, Kathleen J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-14bd57079ce9349548dc004ae24c5e63d60e0a9a689ab201b0d0a228a8b0d4873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescents</topic><topic>Behavior Disorders</topic><topic>Behavior Problems</topic><topic>Behavioral Science and Psychology</topic><topic>Child and School Psychology</topic><topic>Child Welfare</topic><topic>Comparative studies</topic><topic>Correlation</topic><topic>Dependents</topic><topic>Depression</topic><topic>Drug therapy</topic><topic>Drug Use</topic><topic>Family (Sociological Unit)</topic><topic>Foster Care</topic><topic>Gender</topic><topic>Group Homes</topic><topic>Guidelines</topic><topic>Health Needs</topic><topic>Health 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The medication rate is similar for both groups, with slightly more than one-third of youth treated with medication. Additionally, when medication is prescribed, it is the sole intervention provided for close to one half of each group, and the distribution of other services received (such as clinical case management and collateral services) is similar, regardless of living situation. However, the predictors of medication use differ for the two groups. Among foster care youth, only presenting problems of depressed mood, being withdrawn, and suicidality significantly increase the odds of medication; among youth with families, sociodemographic characteristics (male gender), and a range of clinical factors (disruptive behavior disorder, presenting problems of hyperactivity and sleep disturbance, prior mental health service receipt, and inpatient or residential care referral sources) increase the likelihood of medication. The conclusion that distinct sets of factors predict medication for the two groups was reinforced by results of multivariate analyses; foster care status moderates the association between medication receipt and only one of the correlates examined (gender). Implications, limitations, and areas for future research are presented.</abstract><cop>Boston</cop><pub>Springer US</pub><doi>10.1007/s10826-013-9885-0</doi><tpages>14</tpages></addata></record> |
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| subjects | Adolescents Behavior Disorders Behavior Problems Behavioral Science and Psychology Child and School Psychology Child Welfare Comparative studies Correlation Dependents Depression Drug therapy Drug Use Family (Sociological Unit) Foster Care Gender Group Homes Guidelines Health Needs Health Problems Health Services Hyperactivity Insurance Mental health Mental Health Programs Mental Health Services Moods National Surveys Original Paper Outpatient care facilities Patients Psychiatry Psychology Psychotropic drugs Referral Residential Care Residential Programs Self Destructive Behavior Sex Social Sciences Sociodemographic Characteristics Sociology State Surveys U.S.A Young people Youth |
| title | Outpatient Psychotropic Medication Use in the US: A Comparison Based on Foster Care Status |
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