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Are We Prescribing the Right Psychotropic Medications to the Right Children Using the Right Treatment Plan?

Arch Pediatr Adolesc Med. 2003;157:14-16.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

DURING THE period (1987-1996) reported by Zito et al,¹ researchers from the field of child and adolescent psychiatry and pediatrics conducted studies to refine diagnostic criteria, applied these criteria to determine the prevalence of child psychiatric disorders, and provided the infrastructure for treatment studies. The research also led to greater standardization of an "evaluation" that facilitated an expectation that a formal diagnosis and treatment plan could be achieved in 1 or 2 hours. New medications emerged that were studied in adults but used widely for children as well. This clinical evolution was taking place in the context of dramatic changes in the health care delivery system secondary to managed care cost controls being applied for both general pediatric care and child mental health services.² The data reported by Zito et al¹ are a reflection, an imperfect mirror, of the scientific, clinical, financial, and systems changes that affected the care of . . . [Full Text of this Article]

CLINICAL PERSPECTIVE


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