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Psychotropic medication prescribing in male juvenile justice facilities

Author

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  • Anderson, Ashley N.
  • Rapp, John T.
  • Ramey, Erica S.

Abstract

This study examined medical files for former residents of six juvenile residential facilities. A review of medical files for 223 male, justice-involved adolescents revealed that 139 (62.33 %) received one or more psychotropic medications during at least one of their stays. Of the residents who received at least one medication (n = 139), prescribers most often prescribed antidepressants (74.8 %), antipsychotics (50.4 %), and stimulants (43.32 %). The authors assessed the predicting and maintaining variables that impacted psychotropic medication use as a treatment for adolescents with mental health concerns. Receiving medication prior to intake increased the likelihood of a resident receiving psychotropic medication. Additionally, older adolescents had a decreased likelihood of receiving psychotropic medication. Surprisingly, only risk score significantly impacted the continuation of medication at discharge. Overall, residents received less medication at discharge when compared to medication count at intake. Furthermore, additional comparisons between the residents in this study and those of Anderson et al. (2022) revealed no prescribing differences for residents who did or did not receive additional psychotherapeutic services.

Suggested Citation

  • Anderson, Ashley N. & Rapp, John T. & Ramey, Erica S., 2024. "Psychotropic medication prescribing in male juvenile justice facilities," Children and Youth Services Review, Elsevier, vol. 160(C).
    • Handle: RePEc:eee:cysrev:v:160:y:2024:i:c:s0190740924001695
    DOI: 10.1016/j.childyouth.2024.107597
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    References listed on IDEAS

    as
    1. Griffith, Annette K. & Smith, Gail & Huefner, Jonathan C. & Epstein, Michael H. & Thompson, Ronald & Singh, Nirbhay N. & Leslie, Laurel.K., 2012. "Youth at entry to residential treatment: Understanding psychotropic medication use," Children and Youth Services Review, Elsevier, vol. 34(10), pages 2028-2035.
    2. Bush, Helena & Rapp, John T. & Kierce, Erica, 2021. "Combining stimulants with antipsychotics for foster children and adolescents: Do prescribers adhere to guidelines?," Children and Youth Services Review, Elsevier, vol. 121(C).
    3. Wolff, Kevin T. & Baglivio, Michael T. & Intravia, Jonathan, 2022. "Adverse childhood experiences (ACEs), psychotropic medication prescription, and continued offending among youth with serious offending histories in juvenile justice residential placement," Journal of Criminal Justice, Elsevier, vol. 83(C).
    4. Barnert, Elizabeth S. & Abrams, Laura S. & Lopez, Nathalie & Sun, Ava & Tran, John & Zima, Bonnie & Chung, Paul J., 2020. "Parent and provider perspectives on recently incarcerated youths’ access to healthcare during community reentry," Children and Youth Services Review, Elsevier, vol. 110(C).
    5. Mackie, Thomas I. & Hyde, Justeen & Rodday, Angie Mae & Dawson, Emily & Lakshmikanthan, Ravi & Bellonci, Christopher & Schoonover, Diana R. & Leslie, Laurel K., 2011. "Psychotropic medication oversight for youth in foster care: A national perspective on state child welfare policy and practice guidelines," Children and Youth Services Review, Elsevier, vol. 33(11), pages 2213-2220.
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