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Psychotropic Medication Use in the Foster Care Population in Arizona

Psychotropic Medication Use in the Foster Care Population in Arizona
Author:
Publisher:
Total Pages: 11
Release: 2012
Genre:
ISBN:

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The GAO released a report in December 2011 comparing rates of psychotropic prescribing for foster children to non-foster children in Medicaid for calendar year 2008 by analyzing fee-for-service prescription claims for Florida, Maryland, Massachusetts, Michigan, Oregon, and Texas. Results indicate that hundreds of foster and non-foster children studied were on five or more psychotropic medications, thousands of foster and non-foster children were prescribed doses higher than maximum cited in guidelines based on The Food and Drug Administration (FDA) approved labels, foster and non-foster children under 1 year of age were prescribed psychotropic medications, and psychotropic medications were prescribed at over two to four times higher for the foster care children compared to non-foster children. As the results of the GAO analysis cannot be generalized to Arizona, this paper evaluates Arizona data during this same period.


Prescription Psychotropic Drug Use Among Children in Foster Care

Prescription Psychotropic Drug Use Among Children in Foster Care
Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Income Security and Family Support
Publisher:
Total Pages: 96
Release: 2009
Genre: Family & Relationships
ISBN:

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Red Item Report

Red Item Report
Author: Florida. Statewide Advocacy Council
Publisher:
Total Pages: 24
Release: 2003
Genre: Behavior disorders in children
ISBN:

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Critical Psychiatry

Critical Psychiatry
Author: Sandra Steingard
Publisher: Springer
Total Pages: 225
Release: 2018-12-24
Genre: Medical
ISBN: 3030027325

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This book is a guide for psychiatrists struggling to incorporate transformational strategies into their clinical work. The book begins with an overview of the concept of critical psychiatry before focusing its analytic lens on the DSM diagnostic system, the influence of the pharmaceutical industry, the crucial distinction between drug-centered and disease-centered approaches to pharmacotherapy, the concept of “de-prescribing,” coercion in psychiatric practice, and a range of other issues that constitute the targets of contemporary critiques of psychiatric theory and practice. Written by experts in each topic, this is the first book to explicate what has come to be called critical psychiatry from an unbiased and clinically relevant perspective. Critical Psychiatry is an excellent, practical resource for clinicians seeking a solid foundation in the contemporary controversies within the field. General and forensic psychiatrists; family physicians, internists, and pediatricians who treat psychiatric patients; and mental health clinicians outside of medicine will all benefit from its conceptual insights and concrete advice.


Descriptive Analysis of Authorized Psychotropic Medication Trends in Foster Care Youth in California

Descriptive Analysis of Authorized Psychotropic Medication Trends in Foster Care Youth in California
Author: Jamila Amber Russ
Publisher:
Total Pages: 130
Release: 2011
Genre: Psychotropic drugs
ISBN:

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Knowledge of the trends of authorized psychotropic medication among foster care youth in California is of great importance. With the understanding of these trends, child welfare agencies are able to improve their policies pertaining to consent and oversight.


Policy Analysis

Policy Analysis
Author: Elizabeth Grigorian
Publisher:
Total Pages: 38
Release: 2020
Genre:
ISBN:

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Purpose: Senate Bill 238 (2015) addresses the lack of oversight and regulation of psychotropic medication for foster youth. Hypothesis: This policy analysis examined the impact of Senate Bill 238 on the psychotropic medication practices of California with foster youth. Methods: The Jimenez Policy Analysis Framework (Jimenez, Pasztor, Chambers, & Pearlman- Fujii, 2015), Critical Race Theory Framework (Kolivoski, Weaver, & Constance-Huggins, 2014) and Centers for Disease Control Policy Analytical Framework (cdc.gov) were utilized to assess how the goals of Senate Bill 238 were supported. Results: Treatment disparities found amongst African Americans and Latinos included lower use of psychotropic medication, but higher rates of treatment non-completion and likelihood of receiving inadequate treatment, whereas White children were at least two times more likely to receive psychotropic medications (Alegria, Vallas, & Pumariega, 2010). As an oversight mechanism, Senate Bill 238 required a JV-220 form submittal to Court for administration of psychotropic medication to foster youth in out of home care placement. This allowed the child, their caregivers, and court-appointed special advocates to provide feedback on the medication, behavioral health assessment, and treatment plan (leginfo.legislature.ca.gov, 2015), thus allowing all foster youth the same access to appropriate mental health services and psychotropic medication (Lee, Bell, & Ackerman-Brimberg, n.d.). Discussion: Future recommendations include revisions of Senate Bill 238 to implement a shorter approval process in Court, inclusivity to all foster children regardless of out of home care status, require trainings for families of origin involved with child welfare agencies, and for foster children to receive mental health services prior to exploring psychotropic medications.


Psychotropic Medications

Psychotropic Medications
Author:
Publisher:
Total Pages: 0
Release: 2014
Genre: Foster children
ISBN:

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Ending Discrimination Against People with Mental and Substance Use Disorders

Ending Discrimination Against People with Mental and Substance Use Disorders
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 171
Release: 2016-09-03
Genre: Social Science
ISBN: 0309439124

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Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.