title: Fostering Psychotropic Medication Oversight for Children in Foster Care: A National Examination of States' Monitoring Mechanisms.
abstract: 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.
authors: Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, NJ, USA. tmackie@ifh.rutgers.edu.|Department of Health Systems and Policy, School of Public Health, Rutgers University, Piscataway, NJ, USA. tmackie@ifh.rutgers.edu.
authors: Thomas I
authors: TI
authors: Mackie
authors: Institute for Community Health, Cambridge Health Alliance, Cambridge, MA, USA.
authors: Justeen
authors: J
authors: Hyde
authors: School of Social Work, University of Southern California, Los Angeles, CA, USA.
authors: Lawrence A
authors: LA
authors: Palinkas
authors: Tufts University School of Medicine, 800 Washington Street, MC 345, Boston, MA, 02111, USA.
authors: Emily
authors: E
authors: Niemi
authors: Tufts University School of Medicine, 800 Washington Street, MC 345, Boston, MA, 02111, USA.|Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA.
authors: Laurel K
authors: LK
authors: Leslie
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D016903:Drug Monitoring / Q000379:methods* / Q000706:statistics & numerical data*; D004363:Drug Utilization / Q000706:statistics & numerical data*; D005260:Female; D005581:Foster Home Care / Q000458:organization & administration* / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D065886:Neurodevelopmental Disorders / Q000188:drug therapy*; D011619:Psychotropic Drugs / Q000627:therapeutic use*; D013221:State Health Plans / Q000706:statistics & numerical data*; D014481:United States
chemical_list: D011619:Psychotropic Drugs
keywords: Child welfare; Children; Medicaid; Pharmaceutical policy; Psychotropic medication