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Improving Adherence to Atypical Antipsychotic Agent Screening Guidelines in Pediatric Patients: A Quality Improvement Project Within an Integrated Community Mental Health Setting

2016
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Metric Options:   Counts1 Year3 Year

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Thesis / Dissertation Description

Background: Approximately 14% - 20% of children and adolescents have a mental health problem (Harrison, Cluxton-Keller, and Gross, 2012). Atypical Antipsychotic Agents (AAA) are used to treat behavioral, emotional, and mental health problems in children and adolescents. A discrepancy between best practices and actual practices exist. Objective: To increase adherence, above baseline, to recommended screening guidelines in children, ages 4-18, prescribed Atypical Antipsychotic Agents over 12 weeks. Results: Aggregate comparison of the mean ranks of scores were tested with the Mann-Whitney U test, U = 1,087.5, n1 = n2 = 70, total N =140, p < .001. All seven variables were observed and tested using the Chi Square with Fisher's Exact tests and are significant at or above 99% confidence (p <0.01). Conclusion: Educating the Mental Health Provider (MHP) on the recommended screening guidelines and implementing a checklist had a measurable effect on increasing adherence to the recommended screening guidelines.

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