ASSIGNMENT: PRESCRIBING FOR CHILDREN AND ADOLESCENTS WITH BIPOLAR DISORDER

ASSIGNMENT: PRESCRIBING FOR CHILDREN AND ADOLESCENTS WITH BIPOLAR DISORDER

ASSIGNMENT: PRESCRIBING FOR CHILDREN AND ADOLESCENTS WITH BIPOLAR DISORDER

PRESCRIBING FOR CHILDREN AND ADOLESCENTS WITH BIPOLAR DISORDER

Off-label prescribing is when a physician gives you a drug that the U.S. Food and Drug Administration (FDA) has approved to treat a condition different than your condition. This practice is legal and common. In fact, one in five prescriptions written today are for off-label use.

—Agency for Healthcare Research and Quality

Psychotropic drugs are commonly used for children and adolescents to treat mental health disorders, yet many of these drugs are not FDA-approved for use in these populations. Thus, their use is considered “off-label,” and it is often up to the best judgment of the prescribing clinician. As a PMHNP, you will need to apply the best available information and research on pharmacological treatments for children in order to safely and effectively treat child and adolescent patients. Sometimes this will come in the form of formal studies and approvals for drugs in children. Other times you may need to extrapolate from research or treatment guidelines on drugs in adults. Each individual patient case will need to be considered independently and each treatment considered from a risk assessment standpoint. What psychotherapeutic approach might be indicated as an initial treatment? What are the potential side effects of a particular drug?

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For this Assignment, you consider these questions and others as you explore FDA-approved (“on label”) pharmacological treatments, non-FDA-approved (“off-label”) pharmacological treatments, and nonpharmacological treatments for disorders in children and adolescents.

Reference:

Agency for Healthcare Research and Quality. (2015). Off-label drugs: What you need to know. https://www.ahrq.gov/patients-consumers/patient-involvement/off-label-drug-usage.htmlLinks to an external site.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

LEARNING RESOURCES

Required Readings

Hilt, R. J., & Nussbaum, A. M. (2016). DSM-5 pocket guide for child and adolescent mental healthLinks to an external site.. American Psychiatric Association Publishing.

Chapter 14, “Psychosocial Interventions”

Chapter 15, “Psychotherapeutic Interventions”

Chapter 16, “Psychopharmacological Interventions”Links to an external site.

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.

Chapter 43, “Pharmacological, Medically-Led and Related Treatments”

Walden University. (n.d.). Developing SMART goalsLinks to an external site.. https://academicguides.waldenu.edu/ld.php?content_id=51901492Links to an external site.

Zakhari, R. (2020). The psychiatric-mental health nurse practitioner certification review manual. Springer.

Chapter 5, “Psychopharmacology”

Required Media

CriticalThinkRx. (2019, June 9). Module 5: Links to an external site.Specific drug classes: Focus on adverse effectsLinks to an external site. [Video]. YouTube. https://youtu.be/Gbq6RnOsGKQLinks to an external site.

CriticalThinkRx. (2019, June 9). Module 2: Use of psychotropics with youth_prevalence and concernsLinks to an external site. [Video]. YouTube. https://youtu.be/NRef-g4Ding

TO PREPARE

Your Instructor will assign a specific disorder for you to research for this Assignment. Assigned disorder is: (BIPOLAR DISORDER)

Use the Walden library to research evidence-based treatments for your assigned BIPOLAR disorder in children and adolescents. You will need to recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating this disorder in children and adolescents.

THE ASSIGNMENT (1–2 PAGES)

Recommend one FDA-approved drug, one off-label drug, and

one nonpharmacological intervention for treating your assigned bipolar disorder in children and adolescents.

Explain the risk assessment you would use to inform your treatment decision making.

What are the risks and benefits of the FDA-approved medicine?

What are the risks and benefits of the off-label drug?

Explain whether clinical practice guidelines exist for bipolar disorder and, if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.

Support your reasoning with at least three scholarly resources, one each on the FDA-approved drug, the off-label, and a non-medication intervention for the disorder.

Attach the PDFs of your sources.

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NRNP_6665_Week3_Assignment1_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning Outcome

In at least 2 pages, address the following:

• Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your assigned Bipolar disorder in children and adolescents.

25 to >22.0 pts

Excellent

The response accurately and concisely explains one FDA-approved drug, one off-label drug, and one nonpharmacological intervention that would be appropriate for treating the assigned disorder in children and adolescents.

25 pts

This criterion is linked to a Learning Outcome

• Explain the risk assessment you would use to inform your treatment decision making.

What are the risks and benefits of the FDA-approved medicine?

What are the risks and benefits of the off-label drug?

25 to >22.0 pts

Excellent

The response accurately and concisely explains the risk assessment you would use to inform your treatment decision making. A concise and accurate explanation of the risks and benefits of each pharmacological intervention is provided.

25 pts

• Explain whether clinical practice guidelines exist for this disorder and, if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.

25 to >22.0 pts

Excellent

The response accurately and concisely uses either clinical guidelines (if available) or other information from the literature to justify intervention recommendations.

25 pts

• Support your reasoning with at least three scholarly resources, one each on the FDA-approved drug, the off-label, and a non-medication intervention for the disorder. Be sure they are current (no more than 5 years old). Attach the PDFs of your sources.

10 to >8.0 pts

Excellent

The response provides at least three current, evidence-based resources from the literature to support the intervention recommendations. The resources reflect the latest clinical guidelines and provide strong justification for decision-making.

10 pts

Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate a continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.

5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

5 pts

Written Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation

5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors

5 pts

Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/narrative in-text citations, and reference list.

5 to >4.0 pts

Excellent

Uses correct APA format with no errors.

5 pts

Total Points: 100

As stated above:

The Assignment- Review grading rubrics for points assigned to each of the questions below!

Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your assigned disorder in children and adolescents.

Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?

Explain whether clinical practice guidelines exist for this bipolar disorder and, if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration. (TIP: Research online IF there is any “clinical practice guidelines” for management of your assigned disorder. Hence your response should be either YES or NO WITH further explanation as required on this question)

Support your reasoning with at least three scholarly resources, one each on the FDA-approved drug, the off-label, and a non-medication intervention for the bipolar disorder.

Attach the PDFs of your sources.