1 / 10

Incentivized Medicine and Mis d iagnosis of Pediatric Bipolar Disorder (PBD)

Incentivized Medicine and Mis d iagnosis of Pediatric Bipolar Disorder (PBD). By Tristin Pfeifer. United States Food and Drug Administration. Image 1. Critical S ituation.

leigh-chen
Download Presentation

Incentivized Medicine and Mis d iagnosis of Pediatric Bipolar Disorder (PBD)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Incentivized Medicine and Misdiagnosis of Pediatric Bipolar Disorder (PBD) By Tristin Pfeifer United States Food and Drug Administration Image 1

  2. Critical Situation Pediatric Bipolar Disorder went from being rarely diagnosed up until the 1990’s to being the most frequent (Littrell & Lyons 2010) It became a trendy diagnosis and a result of incentivized medicine (Littrell & Lyons 2010) Considered a severe mental disorder Medications not approved for children

  3. Rhetorical Timing Negative effects on child's/adolescent health Worrisome spike in a particular diagnosis Clonidine causes death of 2 year old (Kaplen, 2011) Image 2

  4. Causes • Media Attention (Littrell & Lyons 2010) • Pressure to give clinical diagnosis (Spiegel, 2010) • Too broad/vague diagnostic tools (As cited by Jenkins, Youngstrom, & Washburn, 2011). • Pharmaceutical Companies (Frances, 2012)

  5. Effects • Over diagnosis of PBD due to being “trendy”(Littrell & Lyons 2010) • Children taking potentially harmful pharmaceuticals (As cited by Jenkins, Youngstrom, & Washburn, 2011). • Incentives for Clinicians (Littrell & Lyons 2010)

  6. Pharmaceutical Spending Image 3

  7. Solutions • Updates to Diagnostic and Statistical Manual of Mental Disorders (DSM) • Improve Parent awareness • Mandatory reporting of any cases of children prescribed dangerous medications • Mandatory reporting of any financial exchange between pharmaceutical companies and clinicians.

  8. Questions? tpfeifer@csumb.edu

  9. Image References Image 1 https://encrypted-tbn1.gstatic.com/images?q=tbn:ANd9GcRP6Q5kixwgWcidqwCVHf6hdg27i6IVR9FvtgmYoC9wD4NtnGTB Image 2 http://newsblaze.com/pix/2008/0820/pix/History-of-Bipolar-Disorder-.jpg Image 3 http://www.pewhealth.org/uploadedImages/PHG/Content_Level_Pages/Issue_Briefs/rxp-chart2.jpg

  10. References Frances, A. (2012, April 3). The False Epidemic of Childhood Bipolar Disorder. Retrieved from HuffingtonPost: http://www.huffingtonpost.com/allen-frances/children-bipolar-disorder_b_1213028.html Instruments in the Application of DSM-IV-TR Criteria for Pediatric Bipolar Disorder. Journal Of The American Academy Of Child & Adolescent Psychiatry,51(6), 605-621 Galanter, C., Hundt, S., Goyal, P., Le, J., & Fisher, P. (2012). Variability Among Research Diagnostic Interview Jenkins, M. M., Youngstrom, E. A., & Washburn, J. J. (2011). Evidence-Based Strategies Improve Assessment of Pediatric Bipolar Disorder by Community Practitioners. Professional Psychology, Research And Practice, 42(2), 121-129 Lance, Jeffrey, I., Boris, Michael, Shirley, Bettina, B., . . . Martin. (2013). Manic symptoms in youth with bipolar disorder: Factor analysis by age of symptom onset and current age. Journal of Affective Disorders, 145(3), 409-412. doi: http://dx.doi.org/10.1016/j.jad.2012.06.024 Littrell, J., & Lyons, P. (2010). Pediatric Bipolar Disorder: An issue for Child Welfare. Children & Youth Services Review, 32(7), 965-973. Miller, L., & Barnett, S. (2008). Mood lability and bipolar disorder in children and adolescents. International Review of Psychiatry (Abingdon, England), 20(2), 171-176. doi: http://dx.doi.org/10.1080/09540260801889088 PEW. (2013, January). Persuading the prescribers: Pharmaceutical Industry Marketing and its influence on Physicains and patients. Retrieved from PEW: http://www.pewhealth.org/other-resource/persuading-the-prescribers- pharmaceutical-industry-marketing-and-its-influence-on-physicians-and-patients-85899439814 Spiegel, A. (2010, Febuary 10). Children Labeled 'Bipolar' May Get A New Diagnosis. Retrieved from National Public Radio: http://www.npr.org/templates/story/story.php?storyId=123544191 Staurt L. Kaplan, M. (2011, June 19). Mommy, Am I Really Bipolar? Retrieved from The daily beast: http://www.thedailybeast.com/newsweek/2011/06/19/mommy-am-i-really-bipolar.html

More Related