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Paediatric psychotropic prescribing practices in Ireland
F McNicholas1, N Orakwue-Ononye2, S O'Hanrahan1
11 Lucena Clinic, Rathgar, Dublin, Ireland.
Irish Journal of Psychological Medicine
|September 8, 2018
Summary
Psychotropic medication is commonly used and valued for children in Ireland, though professional differences exist. Further education is desired to improve prescribing practices and address public perception barriers.
Area of Science:
- Child and Adolescent Psychiatry
- Psychopharmacology
- Pediatric Mental Health
Background:
- Psychotropic medication is frequently prescribed for children's mental health conditions.
- Understanding healthcare professionals' perspectives on its use is crucial for effective treatment.
Purpose of the Study:
- To assess the attitudes, knowledge, and prescribing practices of psychotropic medication among child psychiatrists, pediatricians, and general practitioners (GPs).
- To identify factors influencing prescribing decisions and perceived barriers to optimal use.
Main Methods:
- A survey questionnaire was distributed to child psychiatrists, pediatricians, and GPs in a specific catchment area.
- Response rate was 39% with 116 participants.
Main Results:
- Psychotropic medication is generally valued and utilized across professional groups (70.1%).
- Initiation of medication is primarily seen as the role of child psychiatry.
- GPs and pediatricians expressed a need for further education in psychotropic prescribing, with many feeling under-qualified and willing to prescribe more with additional training.
Conclusions:
- Psychotropic medication use in children is common and accepted in Ireland, with variations in attitudes and practices among professional groups.
- A significant desire for enhanced professional development exists, particularly among GPs and pediatricians.
- Public perception and perceived lack of competence are potential barriers, emphasizing the need for public health initiatives and ongoing education.
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