Psychotropic Medication Guidelines for Children and Adolescents in Colorado's Child Welfare System. October 23, 2017.
Colorado Office of Children, Youth and Families. Colorado Department of Health Care Policy and Financing.
State Resource Technical Report
82,  p.
Published: October 2017
This report updates guidelines governing the prescription of psychotropic medication to children and adolescents in Colorado’s child welfare system. It begins by sharing data on psychotropic prescribing, including trending prescribing patterns over time. The data show psychotropic prescribing increased overall for all Medicaid youth in Colorado between 2012-13 and 2015-16, but increased at a lower rate for youth in foster care. In addition, findings indicate 26% of foster youth across Colorado received at least one psychotropic medication, 7% received two or more, 2% received three or more, less than 1% received four or more, and psychotropic prescriptions fell for youth committed to the Department of Youth Services (DYS) in 2015-16 compared to 2014. This update also showcases decision aides for obtaining mental health services for foster youth, and for obtaining consent to treat for mental health. Treatment algorithms for common forms of mental illnesses have also been adapted from Seattle Children’s Hospital, as have standardized side effect rating scales from the Ministry of Government Services in Ontario, Canada. The report also discusses best prescribing practices, and show instances of prescribing patterns that are likely to trigger a review and prior authorization from Medicaid, as well as prescribing practices that may in the future be considered for prior authorization. Finally, the report discusses a number of developing initiatives aimed at providing improved mental health access and prescribing practices, such as ECHO modules to train pediatricians about safe prescribing, child psychiatric consultation hotlines for GALs and caseworkers to aid the informed consent process, and telehealth to increase access to care. 104 references. (Author abstract modified)
Colorado; mental disorders; foster children; guidelines; drug therapy; antidepressants; antipsychotics; behavior problems; mental health services; psychotropic medication