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Journal of Psychopharmacology
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0269881106075642v1
21/5/486    most recent
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Article

Psychotropic drug prescribing in child and adolescent learning disability psychiatry

D Bramble*

Services for Children and Young People, Telford and Wrekin PCT, Shrewsbury, UK.

* To whom correspondence should be addressed.


   Abstract

This postal questionnaire study investigated the prescribing practices of a group of senior British psychiatrists who have responsibilities for children and adolescents with learning disabilities (mental retardation). The study revealed that all of the clinicians surveyed (n = 16) were prescribing psychotropic medication; psychostimulants and major tranquillizers represented the most frequently prescribed classes and, respectively, methylphenidate, risperidone, melatonin, sodium valproate and carbamazepine were the most frequently employed specific agents. Most patients were receiving monotherapy. Many (14/16) clinicians reported difficulties in shared-care prescribing arrangements with General Practitioners. The study concludes that psychopharmacology is an established part of the psychiatric management of learning disabled children but acknowledges the need for the elaboration of clinical governance standards to this area of practice.

Key Words: paediatric psychopharmacology;prescribing;autism;mental retardation

First published on April 19, 2007, doi:10.1177/0269881106075642

Journal of Psychopharmacology 2007;21:486.

A more recent version of this article appeared on July 1, 2007


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