Medications for School-Age Children Effects on Learning and Behavior

by Brown, Ronald T.; Sawyer, Michael G.

• ISBN13: 9781572303164
• ISBN10: 1572303166
• Format: Hardcover
• Copyright: 1998-02-27
• Publisher: The Guilford Press

Summary

Providing essential information about current pharmacological approaches to learning and behavior problems in children and adolescents, this practical and accessible guide focuses on issues of particular relevance to clinical child psychologists, pediatric psychologists, and school psychologists. Short-term and long-term effects of specific medications are covered in depth, as is the psychologist's role in assessing and monitoring medication response. Written from a balanced ecological perspective, the book gives special attention to such topics as treatment acceptability and satisfaction; compliance; ethical, cultural, and legal issues; and informed consent.

Author Biography

Ronald T. Brown, PhD, has published widely in the areas of pediatric psychopharmacology, childhood psychopathology, and pediatric psychology. He serves on the editorial boards of eight major journals, including the Journal of Pediatric Psychology, the Journal of Clinical Child Psychology, and School Psychology Review. He is Professor of Pediatrics and Director of Program Development and Research in Developmental and Behavioral Pediatrics at the Medical University of South Carolina.

Michael G. Sawyer, MBBS, PhD, Associate Professor in the Department of Psychiatry at the University of Adelaide, is Director of the Research and Evaluation Unit, Division of Mental Health, at Women's and Children's Hospital in North Adelaide, Australia. His current research focuses on the epidemiology of child and adolescent mental health disorders and the impact of chronic illness on children, parents and families.

Table of Contents

CHAPTER 1 Overview	1	(17)
Increased Prevalence of Medication	3	(6)
Social-Ecological Perspective	9	(5)
Monitoring Safety and Efficacy	14	(1)
Research Opportunities	15	(2)
Format of the Book	17	(1)
CHAPTER 2 Basic Principles of Pharmacology	18	(11)
Development of Pharmaceutical Agents	19	(1)
Pharmacokinetics	19	(3)
Dose Response and Individual Variation	22	(1)
Tolerance	22	(1)
Dependence	23	(1)
Addiction	23	(1)
Mechanisms of Drug Action	24	(1)
Drug Interactions and Adverse Side Effects	24	(4)
Conclusions	28	(1)
CHAPTER 3 Short-Term Cognitive and Behavioral Effects of Psychotropic Medications	29	(33)
Stimulants	29	(16)
Antipsychotics	45	(5)
Tricyclics, Selective Serotonin Reuptake Inhibitors, Atypical Antidepressants, and Lithium	50	(3)
Antiepileptic Medications	53	(4)
Hypnotics and Sedatives	57	(4)
Conclusions	61	(1)
CHAPTER 4 Long-Term Cognitive and Behavioral Effects of Psychotropic Medications	62	(24)
Stimulants	62	(13)
Antipsychotics	75	(4)
Tricyclics and Selective Serotonin Reuptake Inhibitors	79	(1)
Antiepileptic Medications	80	(3)
Hypnotics and Sedatives	83	(1)
Conclusions	84	(2)
CHAPTER 5 Psychopharmacological Approaches to Treatment of Childhood and Adolescent Disorders	86	(39)
Developmental Issues Relevant to Prescribing Psychotropic Medications for Pediatric Populations	88	(3)
Use of Psychotropics	91	(32)
Conclusions	123	(2)
CHAPTER 6 Assessment and Monitoring of Children Receiving Psychotropic Medications	125	(30)
Monitoring Physical Effects	128	(1)
Assessment of Adverse Physical Effects	129	(2)
Assessment of Behavior, Emotion, and Cognition	131	(17)
Model Assessment Approach	148	(1)
Predicting Response to Psychotropic Medication	149	(1)
Conclusions	150	(5)
CHAPTER 7 Acceptability and Satisfaction Issues	155	(19)
Consumer Attitudes and Satisfaction	155	(9)
Compliance	164	(3)
Ethical Issues	167	(1)
Legal Issues and Informed Consent	167	(3)
Social, Political, and Cultural Issues	170	(2)
Conclusions	172	(2)
CHAPTER 8 Issues Related to Training and Research	174	(13)
Curriculum	175	(4)
Levels of Training	179	(5)
Research Issues	184	(1)
Conclusions	185	(2)
REFERENCES	187	(35)
INDEX	222