Differences in Medicaid Antipsychotic Medication Measures Among Children with SSI, Foster Care, and Income-Based Aid.

Journal of Managed Care & Specialty Pharmacy
Emily Leckman-WestinStephen Crystal

Abstract

Concerns about antipsychotic prescribing for children, particularly those enrolled in Medicaid and with Supplemental Security Income (SSI), continue despite recent calls for selective use within established guidelines. To (a) examine the application of 6 quality measures for antipsychotic medication prescribing in children and adolescents receiving Medicaid and (b) understand distinctive patterns across eligibility categories in order to inform ongoing quality management efforts to support judicious antipsychotic use. Using data for 10 states from the 2008 Medicaid Analytic Extract (MAX), a cross-sectional assessment of 144,200 Medicaid beneficiaries aged < 21 years who received antipsychotics was conducted to calculate the prevalence of 6 quality measures for antipsychotic medication management, which were developed in 2012-2014 by the National Collaborative for Innovation in Quality Measurement. These measures addressed antipsychotic polypharmacy, higher-than-recommended doses of antipsychotics, use of psychosocial services before antipsychotic initiation, follow-up after initiation, baseline metabolic screening, and ongoing metabolic monitoring. Compared with children eligble for income-based Medicaid, children receiving SSI...Continue Reading

References

Nov 14, 2000·Archives of Pediatrics & Adolescent Medicine·J S HarmanK J Kelleher
Jan 26, 2006·Annals of Clinical Psychiatry : Official Journal of the American Academy of Clinical Psychiatrists·Rajender R AparasuSanjay Gupta
Mar 15, 2006·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·William O CooperWayne A Ray
Oct 29, 2009·JAMA : the Journal of the American Medical Association·Christoph U CorrellAnil K Malhotra
Oct 20, 2011·Nature Reviews. Endocrinology·Marc De HertChristoph U Correll
Nov 23, 2011·Pediatrics·Susan DosreisAileen Rothbard
Dec 27, 2011·Journal of Child and Adolescent Psychopharmacology·Elizabeth PappadopulosPeter S Jensen
Mar 1, 2012·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Joyce Nolan HarrisonDeborah Gross
Dec 18, 2012·Psychiatric Services : a Journal of the American Psychiatric Association·Julie Magno ZitoLaurence S Magder
Jan 18, 2013·PloS One·L Oriana LinaresF Xavier Castellanos
Jul 25, 2013·Current Psychiatry Reports·Michael L BirnbaumChristoph U Correll
Mar 26, 2014·Pharmacoepidemiology and Drug Safety·Emily Leckman-WestinMolly Finnerty
Aug 16, 2014·Psychiatric Services : a Journal of the American Psychiatric Association·Lauren VanderwerkerStephen Crystal
Aug 26, 2014·Journal of the American Academy of Child and Adolescent Psychiatry·Amanda R KreiderDavid M Rubin
Aug 30, 2014·Academic Pediatrics·Edith KealeyMolly Finnerty
Dec 3, 2014·Journal of the American Academy of Child and Adolescent Psychiatry·Celso ArangoMara Parellada
Mar 11, 2015·Psychiatric Services : a Journal of the American Psychiatric Association·Molly FinnertyStephen Crystal
Jul 2, 2015·JAMA Psychiatry·Mark OlfsonMichael Schoenbaum
Aug 27, 2015·Journal of Managed Care & Specialty Pharmacy·Gail A EdelsohnJames Schuster
Sep 12, 2015·JAMA : the Journal of the American Medical Association·Thomas F BoatJames M Perrin
Dec 26, 2015·Journal of the American Academy of Child and Adolescent Psychiatry·Molly FinnertyMark Olfson
Jun 10, 2016·Pediatrics·James M PerrinBonnie Zima
Dec 21, 2016·Journal of the American Academy of Child and Adolescent Psychiatry·Gail A EdelsohnJames M Schuster
Feb 16, 2017·Psychiatric Services : a Journal of the American Psychiatric Association·Ayush PatelHua Chen

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Citations

Mar 20, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Kelly J KelleherKimberly Hoagwood
Apr 16, 2020·Journal of Abnormal Child Psychology·Bonnie T Zima
Feb 14, 2020·European Child & Adolescent Psychiatry·Mariken DinnissenBarbara J van den Hoofdakker
Nov 30, 2019·Journal of Managed Care & Specialty Pharmacy·Shellie L KeastTammy L Lambert
Jun 19, 2021·Journal of Child and Adolescent Psychopharmacology·Laura J ChavezRobert B Penfold

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