Datapoints: use of multiple psychotropic drugs by Medicaid-insured and privately insured children.
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Estimates that 30% to 50% of patients with ASD have been treated with at least 1 medication may be unreliable because the underlying studies depended primarily on patient surveys, have not been replicated after shifts in ASD diagnostic criteria, and/or predate the Affordable Care Act and other significant changes to prescription drug coverage.
“However, these estimates may be unreliable because they were derived from studies that depended primarily on patient surveys; have not been replicated after shifts in diagnostic criteria for ASD; and/or predate the establishment of the Affordable Care Act and other significant changes to prescription drug coverage.”
From Medication use in the management of comorbidities among individuals with autism spectrum disorder from a large nationwide insurance database (2021) · cites this paper as [24]
Some studies have estimated that 30% to 50% of patients with ASD have been treated with at least 1 medication.
“Some studies22,23,24,25,26 have estimated that 30% to 50% of patients with ASD have been treated with at least 1 medication.”
From Medication use in the management of comorbidities among individuals with autism spectrum disorder from a large nationwide insurance database (2021) · cites this paper as [24]
Cited by
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Broadened Use Of Atypical Antipsychotics: Safety, Effectiveness, And Policy Challenges
Crystal, S., Olfson, M., Huang, C. S., Pincus, H. A., & Gerhard, T. (2009) · Health Affairs · doi:10.1377/hlthaff.28.5.w770 · Cited by 268 · see citing works
Psychotropic Medication Patterns Among Youth in Foster Care
ZITO, J. M., Safer, D. J., Sai, D., Gardner, J. F., Thomas, D., Coombes, P., Dubowski, M., & Mendez-Lewis, M. (2007) · PEDIATRICS · doi:10.1542/peds.2007-0212 · Cited by 255 · see citing works
Trends in the Use of Typical and Atypical Antipsychotics in Children and Adolescents
Patel, N. C., Crismon, M. L., Hoagwood, K., Johnsrud, M. T., Rascati, K. L., Wilson, J. P., & Jensen, P. S. (2005) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000157543.74509.c8 · Cited by 183 · see citing works
“It is possible that Medicaidenrolled youths may be treated more aggressively than those enrolled in private insurance programs (Martin et al., 2002).”
BackgroundPsychotropic Medication Use in a National Probability Sample of Children in the Child Welfare System
Raghavan, R., Zima, B. T., Andersen, R., et al. (2005) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2005.15.97 · Cited by 169 · see citing works
“…medication trends suggest that girls and children from African-American and Latino ethnicities are less likely to receive psychotropic medication treatment (Jensen et al. 1999; Rushton and Whitmire 2001; Martin et al. 2002; Olfson et al. 2002; Safer et al. 2003; narrowing (Olfson et al. 2002).”
Rosenberg, R. E., Mandell, D. S., Farmer, J. E., Law, J. K., Marvin, A. R., & Law, P. A. (2010) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-009-0878-1 · Cited by 154 · see citing works
“This discrepancy is not unexpected, since Mandell et al. relied on a sample of Medicaidenrolled children, which likely included a greater proportion of children with severe impairments than did our sample ( Martin et al. 2002; Safer et al. 2004; Zito et al. 2005).”
BackgroundResultZima, B. T., Hurlburt, M. S., Knapp, P., Ladd, H., Tang, L., Duan, N., Wallace, P., Rosenblatt, A., Landsverk, J., & Wells, K. B. (2005) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200502000-00005 · Cited by 117 · see citing works
Martin, A., & LESLIE, D. L. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.4.757 · Cited by 97 · see citing works
Self-citationConcomitant Pharmacotherapy among Youths Treated in Routine Psychiatric Practice
Duffy, F. F., Narrow, W. E., Rae, D. S., West, J. C., Zarin, D. A., Rubio‐Stipec, M., Pincus, H. A., & Regier, D. A. (2005) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2005.15.12 · Cited by 73 · see citing works
“There are also indications of a parallel increase in concomitant the psychiatric treatment of children and adolescents (Safer et al. 2003; Olfson et al. 2003; Olfson et al. 2002; Bhatara et al. 2002; Martin et al. 2002; Rushton and Whitmire 2001).”
Multiple Psychotropic Medication Use for Youths: A Two-State Comparison
dosReis, S., ZITO, J. M., Safer, D. J., Gardner, J. F., Puccia, K. B., & Owens, P. L. (2005) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2005.15.68 · Cited by 72 · see citing works
“2002), gender, physician specialty, and insurance coverage (Martin et al. 2002; Safer et al. 2003) have been noted.”
Feroe, A. G., Uppal, N., Gutiérrez-Sacristán, A., Mousavi, S., Greenspun, P., Surati, R., Kohane, I. S., & Avillach, P. (2021) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2021.1329 · Cited by 72 · see citing works
Trends in Psychotropic Medication Costs for Children and Adolescents, 1997-2000
Martin, A., & LESLIE, D. L. (2003) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.157.10.997 · Cited by 50 · see citing works
Self-citationPsychotropic Medication Use in French Children and Adolescents
Kovess–Masféty, V., Choppin, S., Gao, F., Pivette, M., Husky, M. M., & Leray, E. (2015) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2014.0058 · Cited by 38 · see citing works
“Multiprescription has been recently brought up as a major trend in the United States (Martin et al. 2002; Comer et al. 2010) where as much as 20% of the children are prescribed at least two classes of psychotropic drugs; this percentage reaching up to 32.2% for children with a diagnosed psychiatric…”
InfluentialThe Premature Demise of Public Child and Adolescent Inpatient Psychiatric Beds
Geller, J. L., & Biebel, K. (2006) · Psychiatric Quarterly · doi:10.1007/s11126-006-9013-z · Cited by 36 · see citing works
Pennap, D. D., ZITO, J. M., Santosh, P., Tom, S. E., Onukwugha, E., & Magder, L. S. (2018) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2018.0240 · Cited by 24 · see citing works
Predictors of Admission to Acute Inpatient Psychiatric Care Among Children Enrolled in Medicaid
Bryson, S. A., & Akin, B. A. (2014) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-014-0560-6 · Cited by 22 · see citing works
“…Social Welfare, University of Kansas, Lawrence, KS, USA receipt of poorly evidenced psychotropic medication combinations among Medicaid recipients (Martin et al. 2002), particularly children in foster care (Zito et al. 2008); declining inpatient lengths of stay and increasing inpatient…”
BackgroundSafer, D. J., ZITO, J. M., & Gardner, J. F. (2004) · Psychiatric Services · doi:10.1176/appi.ps.55.9.1049 · Cited by 21 · see citing works
Tanana, L., Harrison, C. M., Nishtala, P. S., & Chen, T. F. (2022) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2022.09.007 · Cited by 9 · see citing works
Multiple Psychiatric Diagnoses Common in Privately Insured Children on Atypical Antipsychotics
Halloran, D. R., Swindle, J. P., Takemoto, S. K., & Schnitzler, M. A. (2010) · Clinical Pediatrics · doi:10.1177/0009922809347369 · Cited by 7 · see citing works
Like a Prisoner in Azkaban: Medical Clearance of the Pediatric Psychiatric Patient
Onigu-Otite, E., Oyebadejo, O. A., Moukaddam, N. J., et al. (2016) · Cited by 5 · see citing works
Sarro, R. D., Varrucciu, N., Santantonio, A. D., Natali, F., Kaleci, S., Bianco, A., Cappai, M., Lucchi, F., & Bertelli, M. O. (2023) · Expert Opinion on Drug Safety · doi:10.1080/14740338.2023.2172396 · Cited by 4 · see citing works
“Martin and collaborators [85] found anxiety-related symptoms to be the reason for prescription in two-thirds of their study participants, while Houghton and collaborators found the highest likelihood to receive a pharmacological treatment for persons who had a concomitant diagnosis of bipolar…”
BackgroundPharmacoepidemiology of Psychotropic Medications in Youth
Safer, D. J., & ZITO, J. M. (2012) · Wiley eBooks · doi:10.1002/9781119958338.ch2 · Cited by 3 · see citing works
Patel, N. (2004) · Texas ScholarWorks (Texas Digital Library) · Cited by 1 · see citing works
Pediatric Bipolar and the Media of Madness
Bossewitch, J. (2010) · Ethical Human Psychology and Psychiatry · doi:10.1891/1559-4343.12.3.254 · Cited by 1 · see citing works
“They have pointed out the discrepancies between American and international diagnoses (Lane, 2009) as well as the more aggressive prescription patterns for children covered by Medicaid versus those covered by private insurance (Martin et al., 2002).”
BackgroundPediatric Bipolar and the Media of Madness
(2014) · Continuum eBooks · doi:10.5040/9781628927887.ch-007
- Authors
- Martin, A., Sherwin, T., Stubbe, D., Van Hoof, T., Scahill, L., & Leslie, D.
- Affiliations
- Yale University (US)
- Qualidigm (United States) (US)
- Venue
- Psychiatric Services
- Published
- 2002-12
- Volume
- 53
- Issue
- 12
- Pages
- 1508-1508
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2158192174
- Cited by
- 24
- References
- 0
- Citations by year
- 2023: 1 · 2022: 1 · 2021: 1 · 2018: 1 · 2016: 1 · 2015: 1 · 2014: 2 · 2012: 1
- FWCI
- 4.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- psychotropic drugs, multiple drug use, Medicaid, private insurance, children, child mental health, health insurance coverage
- MeSH terms
- Adolescent, Central Nervous System Stimulants, Mental Disorders, Child, Child, Preschool, Humans, Insurance, Health, Medicaid, Private Sector
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