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Related Experiment Videos

Psychotropic practice patterns for youth: a 10-year perspective.

Julie Magno Zito1, Daniel J Safer, Susan DosReis

  • 1Department of Pharmacy Practice and Science, University of Maryland, 100 Greene St, Room 5-13, Baltimore, MD 21201, USA. jzito@rx.umaryland.edu

Archives of Pediatrics & Adolescent Medicine
|January 9, 2003
PubMed
Summary

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Psychotropic medication use in youth significantly increased during the 1990s, with stimulants and antidepressants being most common. Treatment patterns varied by healthcare system and demographics.

Area of Science:

  • Pediatric psychopharmacology
  • Health services research
  • Public health

Background:

  • Psychotropic medication use in youth has seen significant changes over time.
  • Understanding these trends is crucial for assessing treatment efficacy and safety.
  • Previous research has not fully captured the spectrum of psychotropic medication use in pediatric populations during the 1990s.

Purpose of the Study:

  • To analyze trends in psychotropic medication prescriptions for individuals under 20 years old between 1987 and 1996.
  • To compare medication use patterns across different healthcare systems and demographic groups.

Main Methods:

  • Population-based analysis of nearly 900,000 youth from two US healthcare systems.
  • Utilized computerized Medicaid prescription claims and health maintenance organization dispensing records.

Related Experiment Videos

  • Analyzed ten 1-year cross-sectional datasets from 1987 to 1996.

    • Main Results:

    • Overall psychotropic medication prevalence in youth increased 2- to 3-fold from 1987 to 1996.
    • Stimulants and antidepressants were the most common, followed by alpha-agonists, neuroleptics, and anticonvulsants.
    • Prevalence rates in 1996 were similar across sites (5.9%-6.3%), with Medicaid rates generally higher than HMO rates for most drug classes.

    Conclusions:

    • Youth psychotropic medication utilization approached adult rates by the late 1990s.
    • Findings highlight the need to monitor treatment duration and practice pattern shifts.
    • Identified trends can inform safety assessments and clinical practice guidelines for pediatric psychotropic medication use.