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Foster care, externalizing disorders, and antipsychotic use among Medicaid-enrolled youths. | LitMetric

AI Article Synopsis

  • * Researchers analyzed Medicaid claims data from over 300,000 foster care youths and found significantly higher rates of externalizing disorders and antipsychotic use among them compared to non-foster care youths.
  • * Even after accounting for various demographic factors and the presence of externalizing disorders, being in foster care still significantly predicted higher antipsychotic use, indicating other factors may also contribute to this disparity.

Article Abstract

Objectives: The authors investigated the extent to which clinical diagnoses of externalizing disorders explain higher rates of antipsychotic use by foster care youths.

Methods: Medicaid claims data from 44 states for 2009 for youths in foster care (N=301,894) and those not in foster care (N=5,092,574) were analyzed, excluding those with schizophrenia, bipolar disorder, autism, and major depressive disorder. Logistic regressions assessed the relationship between foster care, externalizing disorders, and antipsychotic use.

Results: Foster care youths had higher rates of externalizing disorders than the comparison group (attention-deficit hyperactivity disorder, 17.3% versus 6.5%; disruptive behavior disorder, 7.2% versus 2.5%; conduct disorder, 2.3% versus .5%) and greater antipsychotic use (7.4% versus 1.4%). Foster care remained a significant predictor of antipsychotic use after control for demographic and diagnostic covariates, including externalizing disorders (adjusted odds ratio=2.59, 95% confidence interval=2.54-2.63).

Conclusions: High rates of externalizing disorder diagnoses only partially explained elevated levels of antipsychotic use in this vulnerable population.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4489136PMC
http://dx.doi.org/10.1176/appi.ps.201300455DOI Listing

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