Journal Article

“Real World” Atypical Antipsychotic Prescribing Practices in Public Child and Adolescent Inpatient Settings

Elizabeth Pappadopulos, Peter S. Jensen, Sarah B. Schur, James C. MacIntyre, Scott Ketner, Kimberly van Orden, Jeffrey Sverd, Sadhana Sardana, David Woodlock, Robert Schweitzer and David Rube

in Schizophrenia Bulletin

Published on behalf of Maryland Psychiatric Research Center

Volume 28, issue 1, pages 111-121
Published in print January 2002 | ISSN: 0586-7614
Published online January 2002 | e-ISSN: 1745-1701 | DOI: http://dx.doi.org/10.1093/oxfordjournals.schbul.a006913
“Real World” Atypical Antipsychotic Prescribing Practices in Public Child and Adolescent Inpatient Settings

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This article examines the factors that influence antipsychotic use among youth treated in public inpatient facilities. By combining data from 11 focus groups, a survey of 43 researchers and clinicians, and a chart review of 100 closed patient charts, we investigated the interplay between physicians' and staff members' perceptions of problems related to antipsychotic prescribing, their beliefs concerning optimal approaches, their actual recorded prescribing behaviors, and the discrepancies between their beliefs and their recorded practices. We discovered that antipsychotics are prescribed broadly to treat a variety of conditions, including nonpsychotic disorders among children in public inpatient facilities. Despite overall expert consensus regarding “best practices,” physicians described systemic obstacles that prevent the application of these practices, and our data confirmed that best practices are not always followed. Future research should be done with this patient population and should investigate the factors that influence antipsychotic use among inpatient youth.

Keywords: Pediatric psychopharmacology; public psychiatric inpatient settings; antipsychotics

Journal Article.  0 words. 

Subjects: Child and Adolescent Psychiatry

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