Use of Multiple Psychotropic Medications Among Adolescents Aging Out of Foster Care

Ramesh Raghavan · J. Curtis McMillen

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Child Welfare and Adoption Mental Health Treatment and Access Homelessness and Social Issues

Abstract

OBJECTIVES: This study described the prevalence of and risk factors for using multiple concurrent psychotropics among adolescents leaving foster care. METHODS: In-person interviews were conducted with 406 adolescents who were aged 17 years and were leaving foster care in a Midwestern state. RESULTS: Of the 403 who had complete records, most (N=257, or 64%) did not report taking any psychotropic medications, while 46 (10%) were on three or more concurrent psychotropics. A history of physical or sexual abuse and a diagnosis of major depressive disorder or manic episode were significantly associated with the use of three or more concurrent medications. Between 19% and 41% of adolescents with diagnoses for which psychotropics are indicated were not taking any medications. CONCLUSIONS: This local cohort of adolescents aging out of foster care seemed to display both overuse and underuse of psychotropics. Research on larger and more representative cohorts of youths leaving foster care is necessary in order to understand the appropriateness of psychotropic prescribing among these adolescents.

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References

1997Validity of the Childhood Trauma Questionnaire in an Adolescent Psychiatric Population 2004Prevalence of Psychiatric Disorders Among Older Youths in the Foster Care System 2004Use of Mental Health Services Among Older Youths in Foster Care 2001Mental health services for youths in foster care and disabled youths 2000The Service Assessment for Children and Adolescents (SACA): Adult and Child Reports 2005Psychotropic Medication Use in a National Probability Sample of Children in the Child Welfare System 2000Help-seeking steps and service use for children in foster care 2002Mental health services for children reported to child protective services.

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