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  • System struggles and substitutes: A qualitative study of general practitioner and psychiatrist experiences of prescribing antipsychotics to children and adolescents

    Author(s)
    Murphy, Andrea L
    Gardner, David M
    Kisely, Steve
    Cooke, Charmaine A
    Kutcher, Stanley P
    Hughes, Jean
    Griffith University Author(s)
    Kisely, Steve R.
    Year published
    2016
    Metadata
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    Abstract
    There are significant controversies regarding rising antipsychotic prescription trends in children and adolescents. Many pharmacoepidemiology trend studies have been published, and interpretations of these data are helpful in explaining what is happening in prescribing practices, but not why these patterns exist. There is a lack of qualitative data in this area, and the experience of prescribing antipsychotics to children and adolescents has not been adequately researched. We conducted a qualitative study using an interpretive phenomenological analysis of physicians' experiences of antipsychotic prescribing to children and ...
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    There are significant controversies regarding rising antipsychotic prescription trends in children and adolescents. Many pharmacoepidemiology trend studies have been published, and interpretations of these data are helpful in explaining what is happening in prescribing practices, but not why these patterns exist. There is a lack of qualitative data in this area, and the experience of prescribing antipsychotics to children and adolescents has not been adequately researched. We conducted a qualitative study using an interpretive phenomenological analysis of physicians' experiences of antipsychotic prescribing to children and adolescents. Prescribers participated in individual interviews and a focus group. We used a staged approach for data analysis of transcriptions. In all, 11 physicians including psychiatrists and general practitioners participated in our study. We identified themes related to context, role and identity, and decision-making and filtering. Struggles with health system gaps were significant leading to the use of antipsychotics as substitutes for other treatments. Physicians prescribed antipsychotics to youth for a range of indications and had significant concerns regarding adverse effects. Our results provide knowledge regarding the prescribers' experience of antipsychotics for children and adolescents. Important gaps exist within the health system that are creating opportunities for the initiation and continued use of these agents.
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    Journal Title
    Clinical Child Psychology and Psychiatry
    Volume
    21
    Issue
    4
    DOI
    https://doi.org/10.1177/1359104515617518
    Subject
    Psychiatry (incl. psychotherapy)
    Pharmacology and pharmaceutical sciences
    Social Sciences
    Science & Technology
    Life Sciences & Biomedicine
    Psychology, Clinical
    Psychology, Developmental
    Publication URI
    http://hdl.handle.net/10072/407969
    Collection
    • Journal articles

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