Atypical antipsychotic use in treating adolescents and young adults with developmental disabilities
Female; Humans; Male; Adult; Sex Factors; Benzodiazepines; adolescent; Antipsychotic Agents/adverse effects/therapeutic use; Risperidone/adverse effects/therapeutic use; Movement Disorders/etiology; Mental Retardation/psychology; Pirenzepine/adverse effects/analogs & derivatives/therapeutic use; Psychotic Disorders/drug therapy/etiology
OBJECTIVE: To study the usage, efficacy, and side effects patterns of atypical neuroleptics (atypicals) in adolescents and young adults with developmental disabilities (DDs) (mental retardation). METHOD: We undertook a chart review of adolescents and young adults (under age 25 years) seen by our specialized mental health team. RESULTS: Risperidone and olanzapine were by far the most frequently prescribed atypicals. Robust clinical effects were noted for both psychotic and nonpsychotic disorders. Most patients tolerated atypicals well, although a significant minority did experience neuroleptic induced movement disorders (NIMDs), particularly dystonias and dyskinesias. Female patients with DDs appear to be at particular risk of NIMDs. CONCLUSIONS: Atypicals are useful in treating various conditions associated with DDs. This population, however, seems particularly sensitive to NIMDs, hence caution and close monitoring are required.
2001
Friedlander R; Lazar S; Klancnik J
Canadian Journal Of Psychiatry
2001
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1177/070674370104600807" target="_blank" rel="noreferrer">10.1177/070674370104600807</a>
Child psychiatric epidemiology: current status and future prospects
Child; Cross-Sectional Studies; Humans; Incidence; Forecasting; adolescent; Causality; Canada/epidemiology; Child Behavior Disorders/epidemiology/prevention & control; Mental Disorders/epidemiology/prevention & control; Patient Care Team/trends; Psychiatric Status Rating Scales/statistics & numerical data
OBJECTIVE: The purpose of this paper is to present selected findings from child psychiatric epidemiology in areas of prevalence and correlates, and discuss issues in interpreting these data and their relevance. METHOD: Selected references were used. RESULTS: Prevalence rates of 1 or more child psychiatric disorders in nonclinical community samples of children and adolescents vary between 17.6% and 22%. Issues in interpreting these data include: the boundary between normal and abnormal, boundary between disorders, disagreement among informants, and problems with instrumentation. Knowledge about the correlates of child psychiatric disorders is quite extensive, but information on causal factors is relatively sparse. CONCLUSIONS: Findings in child psychiatric epidemiology are relevant to clinicians, and future emphasis in the field will be on prospective studies with multiple waves of data from different domains including the child, the family, the school, and the wider community.
1995
Offord DR
Canadian Journal Of Psychiatry
1995
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1177/070674379504000602" target="_blank" rel="noreferrer">10.1177/070674379504000602</a>
The use of mental health services in Ontario: epidemiologic findings
Female; Humans; Male; Adult; Logistic Models; Middle Aged; Socioeconomic Factors; Urban Population; adolescent; Ontario/epidemiology; Mental Health Services/utilization; Rural Population; Mental Disorders/diagnosis/epidemiology
OBJECTIVE: To describe the distribution and predictors of mental health service use for a survey of Ontario household residents aged 15 to 64 years. METHOD: Service use was defined as any past-year contact with formal or informal health care providers for mental health reasons. Data from the Mental Health Supplement (the Supplement) to the Ontario Mental Health Survey were used to compare the sociodemographic, geographic, and diagnostic status characteristics of service users with these characteristics among nonusers. RESULTS: Mental health services were used by 7.8% of respondents in the past year. The majority (57.8%) had a past-year University of Michigan Composite International Diagnostic Interview (UM-CIDI) diagnosis, although 27.1% had never met diagnostic criteria. Other significant predictors were marital status, household public assistance, gender, age, and urban/rural residence. CONCLUSION: Although diagnosis is the strongest predictor of use, the fit between "need" and "care" in Ontario is not perfect. Help seeking differs within specific sociodemographic and geographic groups. Furthermore, the association of marital disruption and economic disadvantage with utilization indicates that prevention and intervention should address needs beyond the medical or psychological.
1996
Lin E; Goering P; Offord DR; Campbell D; Boyle MH
Canadian Journal Of Psychiatry
1996
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1177/070674379604100905" target="_blank" rel="noreferrer">10.1177/070674379604100905</a>