xvi Introduction anxiety disorder received treatment, and just over 75% with a depressive disorder received treatment.1 There is wide variation by state.2 Pediatric PCCs are ideally suited to meet this need because of their knowl- edge of child development, their long-term relationships with patients and families, and the frequency with which they evaluate and treat children and teens. The American Academy of Pediatrics3 recommends that primary care pediatricians achieve competence in initiating care for children and adoles- cents with ADHD, anxiety, depression, and substance use and abuse. There are more than 170,000 US pediatric PCCs who can meet this need these include more than 60,000 primary care pediatricians (AAP Pediatric Workforce), more than 80,000 family physicians,4 and more than 30,000 pediatric and youth-dedicated nurse practitioners and pediatric physician assistants.5–7 Although these numbers suggest a solution, ade- quate training for these clinicians remains a challenge. Treatment for the 3 most common mental health diagnoses—ADHD, anxiety, and depres- sion—includes medication, yet pediatric residency training in psychiatric assessment and psychopharmacology is limited, and requirements are minimal.8 Many pediatric PCCs report having insufficient knowledge, skills, and training to prescribe psychotropic medications to youth with these conditions.9 The effectiveness of postgraduate pediatric psychopharmacology courses targeted to pediatric PCCs has not been well studied, and the courses can be difficult and costly to access. Because of limited time and resources for acquiring new knowledge and skills, pediatric PCCs, and those who train or consult with them, need an approach to pediatric psychopharmacology that is coherent, practical, and flexible to meet their needs. What Does This Book Contribute? This book offers clinicians at all levels of training (as well as nonclinicians) a straightforward and coherent model for making sense of the many medi- cations on the market and prescribing them for pediatric psychiatric condi- tions in a safe and an effective manner. One does not need to be an expert in psychopharmacology to prescribe medications for youth, but one does need a foundational framework that guides one’s practice. That is what this book aims to provide. 00b_Psychopharmacology_FM_3ed.indd 16 7/29/21 8:32 AM
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