Psychotropic Medication Use in Children and Youth with Autism Enrolled in Medicaid

Rast, Jessica E.1, Tao, Sha2, Schott, Whitney1, Shea, Lindsay L.2, Brodkin, Edward S.3, Kerns, Connor M.4, Leonard, Charles E.5,6,7,8, Murray, Michael J.9, Lee, Brian K.2,10
1A. J. Drexel Autism Institute, Drexel University, Philadelphia, USA
2A.J. Drexel Autism Institute, Drexel University, Philadelphia, USA
3Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
4Department of Psychology, University of British Columbia, Vancouver, Canada
5Center for Real-World Effectiveness and Safety of Therapeutics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
6Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
7Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
8Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, USA
9Department of Psychiatry, College of Medicine, Pennsylvania State University, Hershey, USA
10Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, USA

Tóm tắt

Children with autism frequently present with complex mental health diagnoses and psychotropic medications are often a component of comprehensive biopsychosocial treatment plans for these conditions. The purpose of this study is to provide rates and patterns of psychotropic medication use, and predictors thereof, in children and youth with autism enrolled in Medicaid across the US. This study examined national Medicaid claims from 2008 to 2016 of all children and youth with autism ages 0–21 years enrolled in Medicaid. Psychotropic medication use was examined across several child and youth characteristics, including age, co-occurring mental health conditions, sex, and race and ethnicity. About half of children and youth with autism enrolled in Medicaid had at least one psychotropic prescription in a year, a number that decreased slightly across the study period due to decreases in the prescription of antipsychotics. As new medications for autism or co-occurring conditions are developed and deployed, and as the understanding of the characteristics of the population of children with autism evolves, studying rates of medication usage helps to understand utilization patterns and differences in access to quality care.

Tài liệu tham khảo

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