November 01, 2007

50 Percent Of Child Antipsychotic Use In Florida Is In ADHD

That headline should shock you, but according to a new study by researchers at the University of South Florida, roughly half of the antipsychotics used in Florida's state Medicaid program are given to children aged 0 to 12 years old for ADHD. Not schizophrenia, not autism. That works out to about 6,600 ADHD kids on an atypical antipsychotic in the state's program as compared to about 600 similarly aged kids with schizophrenia who are getting antipsychotics.

In kids aged 0 to 5 years old, 53.8 percent of antipsychotic use is for ADHD. In kids aged 6 years old to 12 years old, it is 48.8 percent.

The report, which is lengthy and detailed, is a bit much for me to get into in full right now as I got it late yesterday and I was prepping to go out of town last evening. But something very odd is going on. The report says that these ADHD kids are also diagnosed with comorbid aggression disorders. Gee, does anyone want to take a guess as to how many of these ADHD kids on Seroquel and the like are little boys?

So we have now reached a moment in time in America where we are going to take very powerful drugs that are almost completely unresearched in children--especially as regards safety and long-term brain development--and give them to kids for a disorder which is not marked by psychosis and where the use of these drugs isn't indicated, except in very rare circumstances. That amazes me on more levels than I can get into. Welcome to the atypical nation.

Overall, the report states that 19,629 youths aged 0 to 18 were taking antipsychotics in the state's Medicaid program between 2002 and 2005. The report states that utilization rates of these drugs compare with those in other states.

This situation is frustrating in the extreme. Even odder, the report claims that use of antipsychotics in kids and teens is at a rate 5 times greater than that in Italy. Why?

I could find very few mentions in the report of atypicals being used in kids aged 0 to 12 for bipolar disorder, so I'll dig into the report more over the weekend.

I've got a copy of the report here and I'm sure others who write about mental health issues will find much to chew on. It's over 2 Mbs in size. To date, this study has not been reported in the media. Many, many thanks to Vince for passing along this report.

Posted by Philip Dawdy at November 1, 2007 12:05 AM
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Comments

"In kids aged 0 to 5 years old, 53.8 percent of antipsychotic use is for ADHD."

That age bracket is what concerns me the most. That is the Rebecca Riley age bracket.

Antipsychotics are hard core chemicals, why are they being used in little kids.

Posted by: Stephany at November 1, 2007 03:00 AM

Replace the term antipsychotic with the more accurate description of these drugs - MAJOR TRANQUILIZERS - and you'll understand what is really happening.

I can't wait for all of the parents who think their children really do need constant sedation because of purported brain chemical output defects to write in with their descriptions. One of my favorites from John Mcanami (sp)'s sight is the one about a woman who had her 3 year old diagnosed with bipolar after the three year old jumped out of a second story window. Her response to my concern that maybe a three year old shouldn't be left locked in a second story room with a wide open window was, I'm a good mother, you don't understand.

Posted by: Sally at November 1, 2007 07:25 AM

Whew, since Florida's quarterly antipsychotic utilization rate for 3/06 - 5/06 was 14.84 per 1000 children ages 0 to 17 there is still plenty of room to Grow the Market. It would be valuable to know if earlier Medicaid records could be mined to determine how (and if) children who took antipsychotics are faring as adults, ex. how many are still alive versus cohorts who were not on antipsychotics.

When it comes to prescribing, practitioners too often medicate little kids like adults and treat adults like little kids.

Posted by: Joe at November 1, 2007 08:03 AM

One thing that's important here is that it's 50% of kids on Medicaid -- it's foster kids and kids who are economically deprived who really have no one advocating for them that are being treated and medicated (i.e.controlled) by state agencies that are in turn being taken advantage of by pharmaceutical companies. Talk about a neglect of human rights -- this is it. You could find a similar rate of medicating foster children around the country I'm sure.

Posted by: Sara at November 1, 2007 08:33 AM

I only have one question: Do these parents have shit for brains?

Posted by: Francesca Allan at November 1, 2007 08:52 AM

What crop is the "atypical nation" growing?
peaking 19.9/1000 texas . I guess the psychiatrists who wanted to test the theory of preventing schizophrenia with antipsychotics(tranquilizers) have succeeded.
"plenty of room to Grow the Market" wrote Joe
No I dissagree. If the prescribers follow the pseudo-science of incidence of approx 1 in 123 or 0.81%(for schizophrenia), they have exceeded the market already.

Posted by: mark p.s. at November 1, 2007 09:19 AM

Sara, exactly re: foster kids. One inpatient private hospital teen unit my daughter went to were 99% foster kids, being treated for behaviour "issues" and medicated, while waiting for RTC placement. Many teens told me they wished they had a parent visit them, but they don't. I've seen some now as legal adults, back inside adult psych ward units. It's a long and sad story re: foster kids and medicaid and that hospital also has a contract with the state of Washington for payments.
~
Also, I linked an article in "Abilify Sales Up" on this site that states the time bracket listed here and illegal promotion of antipsychotic Abilify by BMS [BMS was fined big bucks]in kids.[lots more to that article].

Posted by: Stephany at November 1, 2007 10:07 AM

"Welcome to the atypical nation."

We seem to be witnessing the pathologizing of the full range of human experience. As alchemicalmusings put it: http://alchemicalmusings.org/2007/06/13/we-are-all-dying-sick-and-crazy/

as the "mission critical" drugs come out from under patent, Big Pharma is desperate to replace its blockbuster profit pills. Nowadays they seem to be in the business of selling disease - disease which they conveniently also sell the cure for. Quite dastardly.

Posted by: Danny at November 1, 2007 11:30 AM

i too believe that these are medicaid records factors into this in a big way.

Posted by: anonymous mom at November 1, 2007 11:35 AM

In a few years we will be seeing a lot of young kids with movement disorders as a result of taking these drugs. And all they will get from their doctors is "what's the big deal. It's a side effect. Don't worry about it".

Posted by: Jane at November 1, 2007 06:37 PM

In writing that there was "plenty of room to grow the market", I was being facetious. I can imagine that some big wheel from pharma might be thinking, "Well, if 14.84 per 1000 children are taking antipsychotics, then we still have lots of market potential with the other 985." Sad.

Posted by: Joe at November 2, 2007 05:35 AM

Jane, I imagine the doctors will be saying the movement disorders are a symptom of either bipolar disorder I or schizophrenia, which ever one they have diagnosed the drug side effects as, similar to the tactic of Eli Lilly in saying that zyprexa doesn't cause diabetes, schizophrenia does.

Posted by: Sally at November 2, 2007 06:06 AM

I completely agree about the strong role Medicaid plays here...yet another example of how we would rather tranquilize our abused youth (further abusing them I would say) then stand up against societal injustice. The country as a whole has shifted away from taking responsibility - prevention, and toward entitlement - intervention.

Posted by: Ab at November 2, 2007 06:26 AM

Tardive dyskinesia, definitely. But potentially even more troubling is that these kids have learned drug-seeking behaviour twice: first, by being told that behavioural disorders need drug treatment and, second, by hardwiring their brains for addiction. At some point in the far future, I really believe the current "drug 'em" climate will be soon to be the child abuse that it is.

Posted by: Francesca Allan at November 2, 2007 09:18 AM

Today it is politically incorrect, and socially (accepted) wrong, to physically abuse children. Evidence of it was/is obvious. This has created a vacuum. What is left for the adults as a method to control misbehaving children? (Why children misbehave and when did this start? is another matter)
The rise in prescriptions/medication matchs the decline of corporal punishment in children.

Posted by: mark p.s. at November 3, 2007 07:20 AM

Hi, Philip.

Please consider posting information on this conference: http://www.sfu.ca/madcitizenship-conference/submit.htm

It looks like it's going to be wonderful.

Thanks.

Francesca

Posted by: Francesca Allan at November 3, 2007 04:32 PM

It seems to make some sense that the medicating of children is filling a vacuum that was created by the declining use of corporal punishment. Since people are probably basically the same now as they were before these medications were invented, there is the obvious question of how the same types of behavior were dealt with before there were drugs to deal with them. I think there may also have been more benign ways that similar problems were dealt with in the past (as is illustrated by the childhood experience of Ansel Adams, for example), but they may have been more the exception than the rule.

Sometimes I wonder the same type of thing about people in general - since people who lived before the dawn of psychiatric drugs were probably not much different than they are today, how did they manage to live with the same conditions? From what little I know of history, I think the numbers of people taking medications nowadays are much more than those who were crippled or unable to go on due to psychiatric-type problems in earlier centuries or decades, so how did they cope before chemicals? What used to fill the vacuum that is now being filled by prescription drugs?

Posted by: Kent at November 3, 2007 04:55 PM

re kent "how did they cope before chemicals?" Depending on the era, I think the masses used the chemical alcohol. Then before that we had real diseases to worry about.Penicillin

Posted by: mark p.s. at November 3, 2007 10:45 PM

Regarding Mark's comment about the rise in prescription drug used to control children as it becomes un pc to beat your child, this is probably true though these days beating your child is not a sign you need to be prosecuted, it's a sign the little brute has bipolar or adhd. These diagnoses make physical abuse of your child politcally correct. "It's not my fault I hit him, turns out his was crazy," the evil parents can whine at their NAMI parents support meeting.

I agree with the people that say the rise in hyperactive kids correlates with the increase in technology and decline in physical activity in society in general, also of course with the obesitiy levels and rise in "mental illness" in adults.

As for penicillin and disease, so many people are immune to antibiotics these days but that's another can of worms.

Posted by: Sally at November 4, 2007 06:37 AM

yeah the old medicine man bottled tonic [alcohol], and also the nutrients in the soil were actually there,[as opposed to now]so that eating the non-processed foods actually did give the vitamin/minerals the body needed. Besides not having air pollution, etc.Kids worked alongside family in business, and also were expected to do chores, lots of reasons why no child was laying in front of a TV whining he/she is bored, or being taken to walmart during nap time. American lifestyle has changed, obviously, and this is why the medication paradigm can/will/is out of control. The kids who couldn't sit still in class in the old days, or who mouthed off, ended up cleaning the chalkboard after school or sent to the Principal's office. I remember gum chewing got me there once. So did talking.

Posted by: Stephany at November 4, 2007 08:41 AM

How do you think? if the reason interferes with evolution, it too evolution? its soon be like throatjobs
.

Posted by: Susan at November 16, 2007 05:14 PM

How do you think? if the reason interferes with evolution, it too evolution? its soon be like try to check
.

Posted by: Salome at November 18, 2007 07:00 PM

How do you think? if the reason interferes with evolution, it too evolution? its soon be like Interesting Pages
.

Posted by: Bernardyn at November 19, 2007 05:34 AM
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