Fostering Psychotropic Medication Oversight for Children in Foster Care: A National Examination of States’ Monitoring Mechanisms

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• 作者：Thomas I. Mackie ; Justeen Hyde…
• 关键词：Pharmaceutical policy ; Children ; Child welfare ; Psychotropic medication ; Medicaid
• 刊名：Administration and Policy in Mental Health and Mental Health Services Research
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：44
• 期：2
• 页码：243-257
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Public Health; Health Administration; Clinical Psychology; Psychiatry; Health Informatics;
• 出版者：Springer US
• ISSN：1573-3289
• 卷排序：44

文摘

To describe state responses to psychotropic medication safety concerns among children in foster care, this study proposes a taxonomy for state-level psychotropic medication monitoring mechanisms and highlights state variations. Seventy-two key informants, representing state child-serving agencies within the 50 states and DC, completed semi-structured interviews. We employed modified grounded theory to develop the taxonomy, and then generated state-specific summaries that were validated by key informants. Nationally, 88.2 % of the states employed at least one of seven mechanisms. For the most frequently implemented mechanisms (collegial secondary review, prior authorization, database review), over half were implemented between January 2011 and July 2013.