Rates of psychotropic medication use over time among youth in child welfare/child protective services

Laurel K. Leslie, Ramesh Raghavan, Jinjin Zhang, Gregory A. Aarons

    Research output: Contribution to journalArticle

    Abstract

    Objective: The aim of this study was to examine rates of psychotropic medication use over time among a national probability sample of youths involved with child welfare/child protective services (CW/CPS) in the National Survey of Child and Adolescent Well-Being (NSCAW). Methods: Growth mixture modeling was used to classify 2,521 youths into groups based on individual medication use trajectories. Determinants associated with groupings were examined using logistic regression. Results: Overall, 22% of youths used medications over 3 years. Three groups were identified: (1) Low medication use (85%, n=2,057), where medication was used rarely or never; (2) increasing medication use, where medication was commonly started after investigation (4%, n=148); and (3) high medication use, where medication use was endorsed over multiple study waves (12%, n=316). On multivariate modeling, physical abuse predicted membership in the increasing-use group (reference group, low use); Caucasian (versus African American) and need predicted membership in the high-use group (reference group, low use). Male gender was associated with membership in both the increasing-use and high-use groups (reference group, low use). Age and abuse type (physical abuse, neglect) demonstrated complex relationships with group membership. Conclusions: Psychotropic medication use trajectories for children in child welfare vary and are best understood when disaggregated into distinct subpopulations.

    Original languageEnglish (US)
    Pages (from-to)135-143
    Number of pages9
    JournalJournal of Child and Adolescent Psychopharmacology
    Volume20
    Issue number2
    DOIs
    StatePublished - Apr 1 2010

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    Child Welfare
    Sampling Studies
    African Americans
    Logistic Models
    Child Protective Services
    Growth
    Physical Abuse

    ASJC Scopus subject areas

    • Pediatrics, Perinatology, and Child Health
    • Psychiatry and Mental health
    • Pharmacology (medical)

    Cite this

    Rates of psychotropic medication use over time among youth in child welfare/child protective services. / Leslie, Laurel K.; Raghavan, Ramesh; Zhang, Jinjin; Aarons, Gregory A.

    In: Journal of Child and Adolescent Psychopharmacology, Vol. 20, No. 2, 01.04.2010, p. 135-143.

    Research output: Contribution to journalArticle

    Leslie, Laurel K. ; Raghavan, Ramesh ; Zhang, Jinjin ; Aarons, Gregory A. / Rates of psychotropic medication use over time among youth in child welfare/child protective services. In: Journal of Child and Adolescent Psychopharmacology. 2010 ; Vol. 20, No. 2. pp. 135-143.
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