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Editorial: Best Practices in Child Antipsychotic Use Monitoring
1Seattle Children's Hospital, University of Washington, Seattle.
Journal of the American Academy of Child and Adolescent Psychiatry
|November 11, 2020
Summary
Antipsychotic prescribing for children has surged, raising concerns about off-label use and side effects. Health systems developed strategies to ensure appropriate medication use in youth.
Area of Science:
- Child and Adolescent Psychiatry
- Pediatric Pharmacology
- Health Services Research
Background:
- Pediatric antipsychotic use has dramatically increased since the 1990s.
- Significant rise in prescribing rates observed from 1996 to 2004, with continued high usage.
- Concerns include variations in use (e.g., foster care), off-label indications, and cardio-metabolic complications.
Discussion:
- Significant variations in antipsychotic use were observed, with higher rates in foster care.
- A majority of prescriptions were for off-label indications.
- Concerns arose regarding cardio-metabolic complications and high costs, impacting healthcare budgets.
Key Insights:
- Rapid increase in pediatric antipsychotic use necessitates careful monitoring.
- Off-label prescribing and adverse events are critical considerations.
- Health systems developed strategies to ensure appropriate antipsychotic medication use in children.
Outlook:
- Need for evidence-based guidelines for pediatric antipsychotic prescribing.
- Ongoing research into long-term effects and safer alternatives.
- Focus on appropriate use to mitigate risks and optimize patient outcomes.
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