Psychotropic medication treatment patterns among school-aged children in foster care.
Psychotropic medication treatment patterns among school-aged children in foster care.
复制标题
寄养学龄儿童的精神药物治疗模式。
DOI：
10.1089/cap.1999.9.135
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Belin,TR
中科院分区：
文献类型：
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作者：
Zima,BT;Bussing,R;Crecelius,GM;Kaufman,A;Belin,TR
本研究描述了精神药物的使用水平和这种治疗模式的学龄儿童寄养。在寄养家庭中进行了结构化调查访谈，随机选择了302名6 - 12岁的儿童，这些儿童来自三个县服务区，在寄养家庭中生活了6个月或更长时间。对255名儿童进行了利用现有护理系统格式的后续心理健康评估。在这些被寄养的学龄儿童中，16%的人被发现在他们的一生中服用过精神药物。在过去一年中使用的最常见的药物是兴奋剂（62%）。年龄较大、来自白人和混血儿背景、住在集体之家的儿童在过去一年中更有可能服用精神药物。在那些被临床医生诊断为严重精神障碍的儿童中，药物治疗是治疗的一个公认组成部分，男孩比女孩更有可能接受药物治疗。社会人口学特征和安置史变量可能影响这一人群的精神药物使用水平。需要进一步的研究来检查药物治疗在这一人群中的适宜性和获益水平。
This study describes the level of psychotropic medication use and patterns of such treatment among school-aged children in foster care. Structured survey interviews were conducted in the foster homes of 302 randomly selected children, aged 6–12 years, who were living in foster care for 6 months or more and placed from three county service areas. Follow-up mental health assessments using the existing system of care format were completed on 255 children. Sixteen percent of these school-aged children in foster care were found to have taken psychotropic medication during their lifetime. The most common class of medication used in the past year was stimulants (62%). Children who were older, from Caucasian and biracial backgrounds, and who lived in a group home more likely to have taken psychotropic medication in the past year. Among those children who received a clinician diagnosis of a severe psychiatric disorder for which medication is an accepted component of care, boys were more likely to receive medication treatment than girls. Sociodemographic characteristics and placement history variables may be influential in the level of psychotropic medication use among this population. Further research to examine the appropriateness and level of benefit of medication treatment in this population is needed.