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

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

Why It Matters

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

Results

USE OF FIRST-LINE PSYCHOSOCIAL CARE FOR CHILDREN AND ADOLESCENTS ON ANTIPSYCHOTICS
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 57.9 57.6 60.2
2015 54.0 55.9 57.4

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.

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