When is it appropriate to prescribe psychotropic medications to the child and adolescent clients? When should caution be taken when prescribing to these patients?
According to Merikangas, He, Rapoport, Vitiello and Olfson (2013), the prescription of psychotropic medicines to the child and adolescent clients occurs when an individual is identified with any form of behavioral or mental difficulty which does not effectively respond to the intervention provided by the primary care provider (PCP) or any person concerned. It is the responsibility of the PCP to refer the client for referral where he or she will receive medications following proper evaluation. The point of application of the given type of medication considers the role played by the PCP who is the primary provider of information which will determine whether the evaluation and subsequent application of medication will follow. Besides, the medications occur when trials have been accomplished and the piece of information accompanying the exercise should also be included to guide a qualified psychiatric who is expected to undertake the process. Therefore, the application of the psychiatric medication occurs when there is sufficient evidence that a child or an adolescent is suffering from mental illness.
The caution should be taken when a physician is inquiring for the psychiatry health problem from a client or the PCP. The information provider should be allowed a considerable time to express himself or herself regarding the health issues to ensure that the psychiatric in question attends to what is well understood. A session of adequate time is necessary so that the PCP or the client provides the information on the problem clearly with all the details.
What can be done to increase the use of psychotherapy for children, adolescents, and their families?
Anderson, Chen, Perrin, and Van Cleave (2015) argued that the use of psychotherapy for children, adolescents, and their families requires the intervention of a psychiatrist or any qualified mental health professional who will determine if the targeted medication will be effective to the case of the patient in question. It, therefore, implies that the decision should only be made by the psychiatric healthcare provider so that the experience will be of a great benefit to the patient. McLeod (2011) added that the decision is undertaken after considering factors such as the client's current problems, level of development, history, proper interventions and the ability to cooperate with treatment.
Furthermore, it necessary to ensure that psychotherapy is applied together with other treatment measures, for instance, behavior management, medication, or work with a community or school. On the same note, the therapist must develop a proper relationship with the patient which is considered to be very important in the need to achieve success in the mediation process. The given level of relationship is meant to ensure that the client does not suffer from an inferiority complex which may otherwise reduce the likelihood of experiencing a proper and relevant mental health intervention (Ahmedani & Hock, 2012).
What are some of the unique needs of the child/adolescent patient population when it comes to both prescribing psychotropic medication and providing psychotherapy?
Chenven (2012) provided that the prescription of psychotropic medication and provision of psychotherapy requires special forms of attention which. These unique needs are targeted for the achievement of the best in terms of the expected relief out of the mental health condition. For instance, the unique needs can manifest through the occurrence of an environment that is friendly to the client. This will enable the patient to feel comfortable to interact with the physician who will thereafter accomplish a proper prescription and subsequent medication. The attending psychiatric must also ensure that the clients feel that they are understood and safe. The relationship develops trust between the patient and the clients, therefore, the child or adolescent or their family members involved provide the required piece of information freely.
References
Ahmedani, B., & Hock, R. (2012). Health care access and treatment for children with co-morbid autism and psychiatric conditions. Social Psychiatry And Psychiatric Epidemiology, 47(11), 1807-1814. doi: 10.1007/s00127-012-0482-0
Anderson, L., Chen, M., Perrin, J., & Van Cleave, J. (2015). Outpatient Visits and Medication Prescribing for US Children With Mental Health Conditions. PEDIATRICS, 136(5), e1178-e1185. doi: 10.1542/peds.2015-0807
Chenven, M. (2012). A Guide for Community Child Serving Agencies on Psychotropic Medications for Children and Adolescents. American Journal Of Child Adolescent And Psychiatry. Retrieved from http://www.aacap.org/app_themes/aacap/docs/press/guide_for_community_child_serving_agencies_on_psychotropic_medications_for_children_and_adolescents_2012.pdf
McLeod, B. (2011). Relation of the alliance with outcomes in youth psychotherapy: A meta-analysis. Clinical Psychology Review, 603-616. Retrieved from https://lmscontent.embanet.com/MVU/NURS663/readings/MVU_NURS663_McLeod.pdf
Merikangas, K., He, J., Rapoport, J., Vitiello, B., & Olfson, M. (2013). Medication Use in US Youth With Mental Disorders. JAMA Pediatrics, 167(2), 141. doi: 10.1001/jamapediatrics.2013.431
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