Prescribing Practices in Child and Adolescent Psychiatry: Change Over Time 1993-2000.
Tania Phillips1, Gill Salmon2, Anthony C James3
1CAMHS Academic Unit, Child and Adolescent Mental Health Services, Dunstable Health Centre, Priory Gardens, Dunstable LU6 3SU, UK.
UK child psychiatrists increased prescribing of stimulants for Attention Deficit Hyperactivity Disorder and selective serotonin reuptake inhibitors for depression over ten years, mirroring international trends.
Area of Science:
- Child and Adolescent Psychiatry
- Psychopharmacology
- Public Health
Background:
- International prescribing practices among child and adolescent psychiatrists have evolved over the last decade.
- This study investigates shifts in UK prescribing patterns during the same period.
Purpose of the Study:
- To examine changes in the prescribing practices of child and adolescent psychiatrists in the UK over a 10-year timeframe.
- To compare current prescribing trends with data from seven years prior.
Main Methods:
- A questionnaire survey was administered to child and adolescent psychiatrists in the Oxford Region and Wales.
- Prescribing data from the current survey were compared with historical data from the Oxford Region.
Main Results:
- A significant increase in the prescription of stimulants for Attention Deficit Hyperactivity Disorder (ADHD) was observed.
- Prescribing of selective serotonin reuptuptake inhibitors (SSRIs) for depression also showed a notable rise.
- Similar prescribing patterns were found in both Oxford and Wales in 2000, suggesting broader applicability across Britain.
Conclusions:
- UK prescribing practices have likely shifted, with increased use of stimulants and SSRIs in child and adolescent psychiatry.
- These changes align with observed trends in the United States.
- The findings highlight evolving treatment approaches for common childhood mental health conditions.
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