Assessment & Research

Prevalence of Psychotropic Medicine Use in Australian Children with Autism Spectrum Disorder: A Drug Utilization Study Based on Children Enrolled in the Longitudinal Study of Australian Children.

Rasmussen et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Expect one in three autistic clients to be on psychotropic meds—always get the current list at intake.

✓ Read this if BCBAs working with autistic children and teens in any setting.
✗ Skip if Clinicians who only serve adults or non-autistic populations.

01Research in Context

01

What this study did

Rasmussen et al. (2019) counted how many Australian kids with autism were taking psychotropic meds. They used national insurance claims from 2014. The sample covered children and teens across the country.

02

What they found

One in three autistic children had at least one psychotropic medication claim that year. ADHD medicines and antidepressants topped the list. Antipsychotic use was lower.

03

How this fits with other research

Levin et al. (2014) looked at 30 countries and saw huge gaps: rich nations prescribe up to 900 times more meds than poor ones. Lotte’s 33 % rate sits inside that high-income range, so Australia follows the same money-linked pattern.

Schaaf et al. (2015) asked UK parents and found lower med rates than most published numbers. Lotte used hard claims data, not parent memory, so the higher count likely reflects true use, not under-reporting.

Storch et al. (2012) surveyed Williams parents and found SSRIs helpful with mild side effects. Lotte shows these same drugs are common in autism, but leaves open whether benefits and side effects match.

04

Why it matters

You now have a clear benchmark: expect about one third of autistic clients to be on psychotropic meds. Always ask for a current medication list and the prescribing doctor’s name at intake. Update the list each quarter and loop prescribers into behavior-plan changes. This simple step prevents drug-behavior interactions and keeps treatment teams on the same page.

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Add one intake question: 'List every psychotropic medication and the doctor who prescribed it.'

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Based on data from the Longitudinal Study of Australian Children linked with pharmacy dispensing data from the Australian Government's Pharmaceutical Benefits Scheme, we calculated the 1-year prevalence of psychotropic medicine supply in children and adolescents with Autism Spectrum Disorder (ASD) as reported by parents in 2014. The majority of children and adolescents with ASD in Australia were not treated with psychotropic medicine. One-third had claims for at least one psychotropic medication, most commonly medications for attention-deficit/hyperactivity disorder (ADHD), and antidepressants. Antipsychotics were supplied to less than one in twenty children and approximately one in ten adolescents. In line with findings from North America, psychotropic medicine was more often supplied to children and adolescents with ASD and comorbid ADHD.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-018-3718-3