Providers' Behaviors and Beliefs on Prescribing Antipsychotic Medication to Children: A Qualitative Study

Community Ment Health J. 2018 Jan;54(1):17-26. doi: 10.1007/s10597-017-0125-8. Epub 2017 Mar 31.

Abstract

Fragmentation in behavioral and mental health care to children has resulted in suboptimal care and high rates of psychotropic medication use, especially antipsychotic medications (APM). A qualitative study, based on the Theory of Planned Behavior (TPB), aimed to better understand prescribing practices, barriers to optimal treatment, and potential interventions to safeguard the use of APM for children in Kentucky. The most common barrier to optimal care was access to mental health specialists. Social norms and pressure from families contribute to increased medication use. We identify promising interventions to safeguard the use of APM through the lens of the TPB.

Keywords: Antipsychotic medications; Childhood; Qualitative methods; Theory of Planned Behavior.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Antipsychotic Agents / therapeutic use*
  • Attitude of Health Personnel*
  • Child
  • Child Psychiatry
  • Child, Preschool
  • Humans
  • Interviews as Topic
  • Kentucky
  • Mental Disorders / drug therapy
  • Practice Patterns, Physicians'
  • Qualitative Research

Substances

  • Antipsychotic Agents