Providers’ Behaviors and Beliefs on Prescribing Antipsychotic Medication to Children: A Qualitative Study

W. David Lohr; Kyle B. Brothers; Deborah Winders Davis; Carla A. Rich; Lesa Ryan; Michael Smith; Michelle Stevenson; Yana Feygin; Charles Woods; John Myers; Gilbert C. Liu

doi:10.1007/s10597-017-0125-8

Providers’ Behaviors and Beliefs on Prescribing Antipsychotic Medication to Children: A Qualitative Study

W. David Lohr
, Kyle B. Brothers
, Deborah Winders Davis
, Carla A. Rich
, Lesa Ryan
, Michael Smith
, Michelle Stevenson
, Yana Feygin
, Charles Woods
, John Myers
, Gilbert C. Liu

Biostatistics

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Fragmentation in behavioral and mental health care to children has resulted in suboptimal care and high rates of psychotropic medication use, especially antipsychotic medications (APM). A qualitative study, based on the Theory of Planned Behavior (TPB), aimed to better understand prescribing practices, barriers to optimal treatment, and potential interventions to safeguard the use of APM for children in Kentucky. The most common barrier to optimal care was access to mental health specialists. Social norms and pressure from families contribute to increased medication use. We identify promising interventions to safeguard the use of APM through the lens of the TPB.

Original language	English
Pages (from-to)	17-26
Number of pages	10
Journal	Community Mental Health Journal
Volume	54
Issue number	1
DOIs	https://doi.org/10.1007/s10597-017-0125-8
State	Published - Jan 1 2018

Bibliographical note

Publisher Copyright:
© 2017, Springer Science+Business Media New York.

Funding

The study was funded, in part, by a grant from Passport Health Plans, Louisville, Kentucky and from the Kentucky Cabinet for Health & Family Services, Department of Medicaid Services. The authors wish to thank the providers and their office staff for their participation.

Funders	Funder number
Kentucky Cabinet for Health and Family Services
National Center for Advancing Translational Sciences (NCATS)	UL1TR001425

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Antipsychotic medications
Childhood
Qualitative methods
Theory of Planned Behavior

ASJC Scopus subject areas

Health(social science)
Public Health, Environmental and Occupational Health
Psychiatry and Mental health

Access to Document

10.1007/s10597-017-0125-8

Cite this

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abstract = "Fragmentation in behavioral and mental health care to children has resulted in suboptimal care and high rates of psychotropic medication use, especially antipsychotic medications (APM). A qualitative study, based on the Theory of Planned Behavior (TPB), aimed to better understand prescribing practices, barriers to optimal treatment, and potential interventions to safeguard the use of APM for children in Kentucky. The most common barrier to optimal care was access to mental health specialists. Social norms and pressure from families contribute to increased medication use. We identify promising interventions to safeguard the use of APM through the lens of the TPB.",

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AU - Lohr, W. David

AU - Brothers, Kyle B.

AU - Davis, Deborah Winders

AU - Rich, Carla A.

AU - Ryan, Lesa

AU - Smith, Michael

AU - Stevenson, Michelle

AU - Feygin, Yana

AU - Woods, Charles

AU - Myers, John

AU - Liu, Gilbert C.

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AB - Fragmentation in behavioral and mental health care to children has resulted in suboptimal care and high rates of psychotropic medication use, especially antipsychotic medications (APM). A qualitative study, based on the Theory of Planned Behavior (TPB), aimed to better understand prescribing practices, barriers to optimal treatment, and potential interventions to safeguard the use of APM for children in Kentucky. The most common barrier to optimal care was access to mental health specialists. Social norms and pressure from families contribute to increased medication use. We identify promising interventions to safeguard the use of APM through the lens of the TPB.

KW - Antipsychotic medications

KW - Childhood

KW - Qualitative methods

KW - Theory of Planned Behavior

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DO - 10.1007/s10597-017-0125-8

M3 - Article

C2 - 28364300

AN - SCOPUS:85016518207

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Providers’ Behaviors and Beliefs on Prescribing Antipsychotic Medication to Children: A Qualitative Study

Abstract

Bibliographical note

Funding

UN SDGs

Keywords

ASJC Scopus subject areas

Access to Document

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