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Children's mental health: recommendations for research, practice and policy
A G Steinberg1, A Gadomski, M D Wilson
1University of Pennsylvania, USA.
Insights
Prescription rates for stimulants and antidepressants are rising in preschoolers, sparking concerns about early-life medication effects. This brief examines the Children
Area of Science:
- Child Psychology
- Pediatric Mental Health
- Psychopharmacology
Background:
- Documented increase in stimulant and antidepressant prescriptions for preschoolers.
- Public and professional concern regarding mood-altering drug effects on young children.
- Initiation of a White House initiative on children's mental health.
Purpose of the Study:
- To contextualize recent events in children's mental health.
- To summarize findings from the Children's Mental Health Alliance Project.
- To inform ongoing dialogue among clinicians, researchers, and families.
Main Methods:
- Multidisciplinary consensus conference in November 1998.
- Year-long dialogue involving clinicians, researchers, and families.
- Synthesis of findings from expert consensus and stakeholder discussions.
Main Results:
- Increased prescription rates highlight a growing trend in pediatric psychotropic medication use.
- The White House initiative addresses research, drug labeling, and public education.
- The Children's Mental Health Alliance Project provides a framework for understanding these developments.
Conclusions:
- Urgent need for multidisciplinary collaboration to address pediatric mental health.
- Importance of evidence-based practices and informed parental decision-making.
- Ongoing research and dialogue are crucial for responsible psychotropic drug use in children.
Abstract:
A recent study documented a large increase in prescriptions of stimulants and antidepressants among preschoolers, and has prompted public and professional concern about the effects of mood-altering drugs on young children. In response, the White House announced a broad initiative on children's mental health, including more government money for research, new labels on drugs for pediatric use, educational materials for parents, and a fall White House conference. To place these events in their larger context, this Issue Brief summarizes the findings of the Children's Mental Health Alliance Project, which conducted a multidisciplinary consensus conference in November 1998 followed by a year-long dialogue with clinicians, researchers, and families.
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