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Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics

This HEDIS Measure

Assesses whether children and adolescents without an indication for antipsychotic medication use had documentation of psychosocial care as first-line treatment before being prescribed an antipsychotic medication.

So What?

Although antipsychotic medications may serve as effective treatment for a narrowly defined set of psychiatric disorders in children and adolescents, they are often prescribed for nonpsychotic conditions for which psychosocial interventions are considered first-line treatment.1 Ssafer, first-line psychosocial interventions may be underutilized, and children and adolescents may unnecessarily incur the risks associated with antipsychotic medications.

References

  1. Olfson, M., C. Blanco, L. Liu, C. Moreno, G. Laje. 2006. “National Trends in the Outpatient Treatment of Children and Adolescents with Antipsychotic Drugs.” Archives of General Psychiatry 63(6):679–85. 
tables
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO

2015

54.0

55.9

57.4

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