naa a22 4500 51078173X CHVBK 20180411083249.0 cr unu---uuuuu 180411e20130101xx s 000 0 eng 10.1007/s11414-012-9314-y doi (NATIONALLICENCE)springer-10.1007/s11414-012-9314-y Antipsychotic Treatment Patterns and Aggressive Behavior Among Adolescents in Residential Facilities [Elektronische Daten] [Leslie Miller, Mark Riddle, David Pruitt, Al Zachik, Susan dosReis] This study examined the association between acute aggressive behavior patterns of 145 adolescents in residential treatment facilities with use of and changes in antipsychotic medication for the chronic management of aggression. Seclusion/restraint (S/R) frequency over 12months was used to categorize youth into none, low, moderate, and high S/R groups. Data were analyzed using longitudinal mixed effects logistic regression models that allowed for intra-subject variability over time. The high and moderate S/R groups were significantly more likely to receive antipsychotics, get higher doses, and have changes in medication compared with the none S/R group. Increases in antipsychotic dose were associated with a lower likelihood of changes in antipsychotic medication over time. Despite persistent antipsychotic use at higher doses, youth in the high and moderate S/R groups continued to be secluded/restrained frequently. The findings question the adequacy of these medications in managing aggressive behavior. National Council for Community Behavioral Healthcare, 2013 Miller Leslie Johns Hopkins University School of Medicine, Division of Child and Adolescent Psychiatry, 4940 Eastern Avenue, D2E, 21224, Baltimore, MD, USA aut Riddle Mark Johns Hopkins University School of Medicine, Division of Child and Adolescent Psychiatry, Children's Center 12th Floor, 1800 Orleans Street, 21287, Baltimore, MD, USA aut Pruitt David Division of Child and Adolescent Psychiatry, University of Maryland School of Medicine, 701 W. Pratt Street, 4th Floor, 21201, Baltimore, MD, USA aut Zachik Al Maryl and Mental Hygiene Administration Spring Grove Hospital Center, 55 Wade Avenue, 21228, Catonsville, MD, USA aut dosReis Susan Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, 220 Arch Street, 12th Floor, Room 01-220, 21201, Baltimore, MD, USA aut The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/1(2013-01-01), 97-110 1094-3412 40:1<97 2013 40 11414 https://doi.org/10.1007/s11414-012-9314-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11414-012-9314-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Miller Leslie Johns Hopkins University School of Medicine, Division of Child and Adolescent Psychiatry, 4940 Eastern Avenue, D2E, 21224, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Riddle Mark Johns Hopkins University School of Medicine, Division of Child and Adolescent Psychiatry, Children's Center 12th Floor, 1800 Orleans Street, 21287, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Pruitt David Division of Child and Adolescent Psychiatry, University of Maryland School of Medicine, 701 W. Pratt Street, 4th Floor, 21201, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Zachik Al Maryl and Mental Hygiene Administration Spring Grove Hospital Center, 55 Wade Avenue, 21228, Catonsville, MD, USA aut NATIONALLICENCE 700 1- dosReis Susan Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, 220 Arch Street, 12th Floor, Room 01-220, 21201, Baltimore, MD, USA aut NATIONALLICENCE 773 0- The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/1(2013-01-01), 97-110 1094-3412 40:1<97 2013 40 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer