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Ethics and the prescription pad.
Mary Lynn Dell1, Brigette S Vaughan, Christopher J Kratochvil
1Psychiatry and Behavioral Sciences, Emory University School of Medicine, 492 Ponce de Leon Manor NE, Atlanta, GA 30307, USA. dellml@comcast.net
Child and Adolescent Psychiatric Clinics of North America
|November 27, 2007
Summary
This review explores ethical considerations for prescribing psychotropic medications to children and adolescents. It covers physician factors, cultural influences, informed consent, and special populations to guide clinical practice.
Area of Science:
- Child and Adolescent Psychiatry
- Clinical Ethics
- Psychopharmacology
Background:
- Ethical psychotropic medication prescription is crucial for child and adolescent patients.
- Clinical practice involves complex decisions influenced by multiple factors.
Purpose of the Study:
- To review ethical considerations in psychotropic prescribing for pediatric populations.
- To provide guidance for clinicians managing child and adolescent patients.
Main Methods:
- Literature review of ethical principles and psychopharmacology.
- Analysis of physician attributes, cultural, and psychodynamic factors.
- Examination of informed consent, assent, and special population challenges.
Main Results:
- Ethical prescribing requires attention to physician, patient, family, and societal factors.
- Special populations present unique challenges to ethical prescribing.
- Black box warnings and off-label use necessitate careful ethical deliberation.
Conclusions:
- Clinicians need practical guidance for ethical psychopharmacologic management in youth.
- Integrating ethical principles ensures patient well-being and optimal treatment outcomes.
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