title: Psychiatric medication refill practices of juvenile detainees.
abstract: To examine the psychiatric medication fill rates of adolescents after release from juvenile detention. The team reviewed 177 charts. A fill was defined as a psychiatric medication charge to Medicaid 30- or 90-days after release. Differences in demographic characteristics were compared among individuals with fills at 30- or 90-days and those with no medication fills. Forty-five percent of patients were on at least one psychiatric medication. Among detainees on a psychiatric medication, 62 % had a fill by 30 days after release, and 78 % by 90 days. At least 50 % of the adolescents on a psychiatric medication were on an atypical antipsychotic. There was no significant relationship between medication fill and race, age, or sex. Despite the known associations between mental health diagnosis and treatment-seeking with age, sex, and race, it appears that psychiatric medication fill patterns after release from detention are not associated with these factors.
authors: Department of Pediatrics, Indiana University School of Medicine, 410 West 10th Street, HS1020, Indianapolis, IN, 46202, USA, mrneff@iupui.edu.
authors: Mallery R
authors: MR
authors: Neff
authors: Matthew C
authors: MC
authors: Aalsma
authors: Marc B
authors: MB
authors: Rosenman
authors: Sarah E
authors: SE
authors: Wiehe
mesh_terms: D000293:Adolescent; D002648:Child; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007604:Juvenile Delinquency / Q000706:statistics & numerical data*; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data; D001523:Mental Disorders / Q000188:drug therapy*; D011329:Prisoners / Q000706:statistics & numerical data*; D011619:Psychotropic Drugs / Q000627:therapeutic use*; D013997:Time Factors; D014481:United States
chemical_list: D011619:Psychotropic Drugs
references: J Clin Psychiatry. 2005 Apr;66(4):477-84
references: 15816790
references: J Am Acad Child Adolesc Psychiatry. 2002 Mar;41(3):314-21
references: 11886026
references: Int J Law Psychiatry. 2003 Jan-Feb;26(1):55-71
references: 12554000
references: Psychiatr Serv. 2005 Jul;56(7):853-7
references: 16020819
references: Am J Public Health. 2005 Oct;95(10):1773-80
references: 16186454
references: J Am Acad Child Adolesc Psychiatry. 2004 Apr;43(4):430-9
references: 15187803
references: Arch Gen Psychiatry. 2003 Nov;60(11):1097-108
references: 14609885
references: Child Adolesc Psychiatr Clin N Am. 2006 Apr;15(2):333-51, vii-viii
references: 16527659
references: Am J Public Health. 2005 Oct;95(10):1707-11
references: 16131641
references: Ann Intern Med. 1993 Jan 15;118(2):139-45
references: 8416310
references: AMIA Annu Symp Proc. 2003;:259-63
references: 14728174
references: Child Psychiatry Hum Dev. 2001 Summer;31(4):297-312
references: 11227989
references: Pharmacol Ther. 2010 Jan;125(1):169-79
references: 19931306
references: Arch Pediatr Adolesc Med. 2008 Mar;162(3):219-24
references: 18316658
references: J Am Acad Child Adolesc Psychiatry. 2008 Sep;47(9):1010-9
references: 18664994
references: J Child Adolesc Psychiatr Nurs. 2005 Jul-Sep;18(3):103-12
references: 16137267
references: Pediatrics. 2000 Oct;106(4):860-2
references: 11015538
references: Arch Gen Psychiatry. 2003 Aug;60(8):837-44
references: 12912767
references: Arch Gen Psychiatry. 2004 Apr;61(4):403-10
references: 15066899
references: N Engl J Med. 2009 Jan 15;360(3):225-35
references: 19144938
references: J Am Acad Child Adolesc Psychiatry. 1998 Dec;37(12):1301-7
references: 9847503
references: J Am Acad Child Adolesc Psychiatry. 1990 Nov;29(6):909-13
references: 2273020
references: J Am Acad Child Adolesc Psychiatry. 2008 Mar;47(3):301-308
references: 18216738
references: J Am Acad Child Adolesc Psychiatry. 2005 Oct;44(10):972-86
references: 16175102