Psychotropic Medication Prescription Patterns Among Children in South Carolina Medicaid.
Lopez-De Fede, Ana. Vyavaharkar, Medha. Bellinger, Jessica D.
South Carolina Department of Health and Human Services. University of South Carolina. Institute for Families in Society. Division of Policy and Research on Medicaid and Medicare.
Published: January 2013 update
psychotropic medication use in children in foster care in South Carolina. Data was drawn from South Carolina Medicaid claims and included children with at least one psychotropic medication prescription in calendar year 2011 (n=62,859). The status of the children in the study was classified as adoption, ISCEDC (Interagency System of Care for Emotionally Disturbed Children), MCC (Medically Complex Children), regular foster care, and non-foster care. Findings indicate ADHS was the most common psychiatric diagnosis irrespective of the child's foster care status; children in the ISCEDC category were significantly more likely, but children in non-foster and adoption categories were significantly less likely to have listed psychiatric diagnoses compared to their regular foster care peers; the top three psychotropic drugs prescribed included ADHD medications, antidepressants, and anticonvulsants; males were significantly more likely to receive antipsychotic prescriptions; and 36.26% of the children received psychiatric services an adjunct therapy to psychotropic medication. The report concludes that there are several opportunities to improve the oversight and management of psychotropic medication prescribed to children in Medicaid and proposes several recommendations. 20 figures, 26 tables, and 32 references.
foster children; risk factors; psychotropic medication; drug therapy; antidepressants; antipsychotics; attention deficit disorder; mental health services; medicaid; South Carolina