犹他州的精神药物监督计划:在未经事先授权的情况下,在寄养家庭的青少年中共同解决抗精神病药物的使用问题
Eric T Monson1, Sachi Shastri2, Danli Chen1,3
1Department of Psychiatry, University of Utah, Salt Lake City, UT, United States.
Frontiers in psychiatry
|November 29, 2023
概括
犹他州的精神药物监督计划 (UPOP) 在不增加护理需求的情况下减少了青少年的抗精神病药物 (AP) 处方. 专注于情绪,焦虑和睡眠可能有助于中止AP,减少药物的副作用.
科学领域:
- 儿童和青少年精神病学
- 医疗保健服务研究 医疗服务研究
- 药理学 药理学是指药理学的学科.
背景情况:
- 寄养青少年面临更高的创伤风险,往往导致心理药物使用.
- 犹他州的精神药物监督计划 (UPOP) 旨在指导基于证据的处方为寄养青年.
- 监督对这一群体的影响,特别是没有事先授权的情况下,需要进行评估.
研究的目的:
- 在四年内评估UPOP计划的有效性.
- 确定未来对青少年心理药物使用的干预措施的潜在目标.
主要方法:
- 对2019-2022年0-18岁的青少年的非识别UPOP数据的分析.
- 接受抗精神病药物 (AP) 处方的青少年 (UPOP_AP) 与没有 (UPOP_NAP) 和非UPOP的青少年相比.
- 统计分析包括ANOVA,Chi-square,未配对的t-test和后勤回归.
主要成果:
- 在UPOP计划中,AP处方率在男性和女性中显著下降.
- 在AP的年轻人更有可能是年长的男性,有行为诊断,多药,以及更长的寄养时间.
- 停止服用AP与总量较少的精神药物药物相关,但增加了抗抑郁药物和睡眠处方.
结论:
- 寄养青少年使用抗精神病药物 (AP) 的比例高且不均.
- 监督计划可以修改处方实践,而不需要升级护理水平或事先授权.
- 针对情绪,焦虑和睡眠问题的治疗可能有助于停止药物治疗,并减少药物负担.
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