Ontology highlight
ABSTRACT: Objective
To develop a new approach to prescribing guidelines as part of a pragmatic trial, Safer Use of Antipsychotics in Youth (SUAY; ClinicalTrials.gov Identifier: NCT03448575), which supports prescribers in delivering high-quality mental health care to youths.Method
A nominal group technique was used to identify first- to nth-line treatments for target symptoms and potential diagnoses. The panel included US pediatricians, child and adolescent psychiatrists, and psychopharmacology experts. Meeting materials included information about Medicaid review programs, systematic reviews, prescribing guidelines, and a description of the pragmatic trial. Afterward, a series of 4 webinar discussions were held to achieve consensus on recommendations.Results
The panel unanimously agreed that the guideline should focus on target symptoms rather than diagnoses. Guidance included recommendations for first- to nth-line treatment of target mental health symptoms, environmental factors to be addressed, possible underlying diagnoses that should first be considered and ruled out, and general considerations for pharmacological and therapeutic treatments.Conclusion
Prescribing guidelines are often ignored because they do not incorporate the real-world availability of first-line psychosocial treatments, comorbid conditions, and clinical complexity. Our approach addresses some of these concerns. If the approach proves successful in our ongoing pragmatic trial, Safer Use of Antipsychotics in Youth (SUAY), it may serve as a model to state Medicaid programs and health systems to support clinicians in delivering high-quality mental health care to youths.Clinical trial registration information
Safer Use of Antipsychotics in Youth; http://clinicaltrials.gov/; NCT03448575.
SUBMITTER: Penfold RB
PROVIDER: S-EPMC8566327 | biostudies-literature | 2022 Jan
REPOSITORIES: biostudies-literature
Penfold Robert B RB Thompson Ella E EE Hilt Robert J RJ Schwartz Nadine N Robb Adelaide S AS Correll Christoph U CU Newton Douglas D Rogalski Kelly K Earls Marian F MF Kowatch Robert A RA Beck Arne A Yarborough Bobbi Jo H BJH Crystal Stephen S Vitiello Benedetto B Kelleher Kelly J KJ Simon Gregory E GE
Journal of the American Academy of Child and Adolescent Psychiatry 20210504 1
<h4>Objective</h4>To develop a new approach to prescribing guidelines as part of a pragmatic trial, Safer Use of Antipsychotics in Youth (SUAY; ClinicalTrials.gov Identifier: NCT03448575), which supports prescribers in delivering high-quality mental health care to youths.<h4>Method</h4>A nominal group technique was used to identify first- to nth-line treatments for target symptoms and potential diagnoses. The panel included US pediatricians, child and adolescent psychiatrists, and psychopharmaco ...[more]