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Psychotropic medication prescribing trends in a developmental–behavioural clinic during the COVID ‐19 pandemic
Author(s) -
Ong Jun J,
Roberts Gehan
Publication year - 2022
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.15982
Subject(s) - medicine , telehealth , medical prescription , pandemic , logistic regression , telemedicine , covid-19 , medical record , public health , psychiatry , pediatrics , family medicine , health care , emergency medicine , disease , nursing , pathology , infectious disease (medical specialty) , economics , radiology , economic growth , pharmacology
Aim Psychotropic medication prescribing among children with developmental–behavioural and mental health problems appears to be rising globally. We aim to examine the effects of the COVID‐19 pandemic and rapid introduction of telehealth consultations on the prescribing trends and medication change in a large paediatric public hospital developmental–behavioural outpatient service. Methods Data for developmental–behavioural outpatient encounters from 23 March 2019 to 22 March 2021 were extracted from the electronic medical record; representing the 12 months following the conversion to telehealth consultations during the onset of COVID‐19 pandemic and the 12 months prior to this change. Excel and Statistical Package for the Social Sciences were used to calculate percentages and logistic regression to compare psychotropic prescribing trends during both periods. Results During the pandemic, there were a total of 3201 encounters (92.0% telehealth), compared with 2759 encounters (1.6% telehealth) during the previous year. Despite the higher number of encounters during the pandemic, the rates of encounters with psychotropic medication prescriptions reduced compared to the previous 12 months (19.8% vs. 29.3%). Prescriptions made during COVID‐19 were more likely to be provided at review visits, patients ≥12 years and during consultant led encounters. The reduction in prescriptions involved both new and follow‐up psychotropic medications. The majority of follow‐up medication dosages were left unchanged. Conclusions Psychotropic prescribing rates were lower during the COVID‐19 pandemic. Fewer new medications were commenced and most medication dosages were unchanged.