Psychotropic medication patterns for American indian children in foster care

David Glesener, Gwendolyn Anderson, Xuan Li, Jacob T Brown, Jim Amell, Ronald Regal, Donald Ferguson

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: This study assesses the effects of race, age, sex, and time spent in foster care on rates of psychotropic medication use for children in foster care in 2012. Methods: Using existing electronic records through county Social Service and Minnesota Medical Assistance databases, 626 children were identified using the inclusion criteria of having been in foster care for at least 30 days during 2012 in St. Louis County, Minnesota. All prescriptions for dispensed psychotropic medications were identified into the following classes: antidepressants, attention-deficit/hyperactivity disorder (ADHD) medications, antipsychotics, alpha-agonists, and other (including anticonvulsants/mood stabilizers, lithium, benzodiazepines, and sedative hypnotics). Results: Overall, 26% of children were dispensed at least one psychotropic medication during the year with the percentage of children on medication for each race as follows: American Indian (AI) 23.3%, European American (EA) 29.2%, and African American (AA) 18.3%. AI children were significantly less likely to be dispensed any psychotropic medication and ADHD medication. EA children, males, and older children received psychotropic medications from significantly more classes than AI or AA children, females, and younger children. Males were significantly more likely to be dispensed alpha-agonists, antipsychotics, and ADHD medications. Increased time since placement into foster care was also significantly associated with increased dispensing rates of antidepressants, ADHD medication, and multiple medication classes. Conclusions: The results of this study show that non-EA children, in particular AI children, were dispensed psychotropics both overall and across different medication classes less often compared to other racial groups. While the reasons for this difference are not known, future studies are needed to address whether mental health needs of all children in foster care are being appropriately addressed, accounting for need and patient preference.

Original languageEnglish (US)
Pages (from-to)225-231
Number of pages7
JournalJournal of child and adolescent psychopharmacology
Volume28
Issue number3
DOIs
StatePublished - Apr 1 2018

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North American Indians
Attention Deficit Disorder with Hyperactivity
African Americans
Antidepressive Agents
Antipsychotic Agents
Medical Assistance
Patient Preference
Social Work
Hypnotics and Sedatives
Benzodiazepines
Lithium
Anticonvulsants
Prescriptions
Mental Health
Databases

Keywords

  • American Indian Children
  • foster care
  • psychotropic medication

PubMed: MeSH publication types

  • Journal Article

Cite this

Psychotropic medication patterns for American indian children in foster care. / Glesener, David; Anderson, Gwendolyn; Li, Xuan; Brown, Jacob T; Amell, Jim; Regal, Ronald; Ferguson, Donald.

In: Journal of child and adolescent psychopharmacology, Vol. 28, No. 3, 01.04.2018, p. 225-231.

Research output: Contribution to journalArticle

Glesener, David ; Anderson, Gwendolyn ; Li, Xuan ; Brown, Jacob T ; Amell, Jim ; Regal, Ronald ; Ferguson, Donald. / Psychotropic medication patterns for American indian children in foster care. In: Journal of child and adolescent psychopharmacology. 2018 ; Vol. 28, No. 3. pp. 225-231.
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AB - Objective: This study assesses the effects of race, age, sex, and time spent in foster care on rates of psychotropic medication use for children in foster care in 2012. Methods: Using existing electronic records through county Social Service and Minnesota Medical Assistance databases, 626 children were identified using the inclusion criteria of having been in foster care for at least 30 days during 2012 in St. Louis County, Minnesota. All prescriptions for dispensed psychotropic medications were identified into the following classes: antidepressants, attention-deficit/hyperactivity disorder (ADHD) medications, antipsychotics, alpha-agonists, and other (including anticonvulsants/mood stabilizers, lithium, benzodiazepines, and sedative hypnotics). Results: Overall, 26% of children were dispensed at least one psychotropic medication during the year with the percentage of children on medication for each race as follows: American Indian (AI) 23.3%, European American (EA) 29.2%, and African American (AA) 18.3%. AI children were significantly less likely to be dispensed any psychotropic medication and ADHD medication. EA children, males, and older children received psychotropic medications from significantly more classes than AI or AA children, females, and younger children. Males were significantly more likely to be dispensed alpha-agonists, antipsychotics, and ADHD medications. Increased time since placement into foster care was also significantly associated with increased dispensing rates of antidepressants, ADHD medication, and multiple medication classes. Conclusions: The results of this study show that non-EA children, in particular AI children, were dispensed psychotropics both overall and across different medication classes less often compared to other racial groups. While the reasons for this difference are not known, future studies are needed to address whether mental health needs of all children in foster care are being appropriately addressed, accounting for need and patient preference.

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