American College of Physicians: Internal Medicine — Doctors for Adults ®

Advertisement

Psychotropic drug prescriptions by medical specialty

From the November ACP Internist, copyright 2009 by the American College of Physicians

By Ryan DuBosar

General practitioners play a role in prescribing antidepressant medications and treating depression, but the extent to which they prescribe other psychotropic medications has received less emphasis. Prescribing of psychotropic medications by nonpsychiatrists improves access to treatment but raises questions about adherence to evidence-based guidelines, provision of psychotherapy, adequacy of medication monitoring, and appropriateness of treatment intensity.

In 2004-2005, about two-thirds of primary care physicians reported that they were unable to obtain outpatient mental health services for patients. Given the large role of primary care providers in psychotropic drug prescribing, additional efforts may be needed to enhance the quality of psychiatric treatment in general practice settings across a range of psychiatric conditions.

The chart below used data from August 2006 to July 2007 from the IMS National Prescription Audit Plus database, which collects transaction information from approximately 36,000 retail pharmacies (70% of all pharmacies). Using a separate sample of retail pharmacy transactions that includes physicians’ Drug Enforcement Administration numbers, IMS assigns physician specialty information to obtain an estimate of the total number of prescriptions filled in retail pharmacies by medical specialty.

Psychotropic drug prescriptions by medical specialty

Source: Psychiatric Services, 2009;9(60):1167, and Healthcare Business of Thomson Reuters.

Top

This is a printer-friendly version of this page

Print this page  |  Close the preview

Share

 
 

Internist Archives Quick Links

MKSAP 16 Holiday Special: Save 10%

MKSAP 16 Holiday Special:  Save 10%

Use MKSAP 16 to earn MOC points, prepare for ABIM exams and assess your clinical knowledge. For a limited time save 10% when you use priority code MKPROMO! Order now.

Maintenance of Certification:

What if I Still Don't Know Where to Start?

Maintenance of Certification: What if I Still Don't Know Where to Start?

Because the rules are complex and may apply differently depending on when you last certified, ACP has developed a MOC Navigator. This FREE tool can help you understand the impact of MOC, review requirements, guide you in selecting ways to meet the requirements, show you how to enroll, and more. Start navigating now.