{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:42:55Z","timestamp":1777520575544,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2012,5,1]],"date-time":"2012-05-01T00:00:00Z","timestamp":1335830400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine whether implementation of a metabolic monitoring training program (MMTP) in an urban community-based setting improved monitoring in children treated with second-generation antipsychotics (SGAs) and changed prescription rates of SGAs to children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>The MMTP was implemented in the Vancouver Coastal Health Child and Youth Mental Health Teams (CYMHTs) on January 1, 2009. A retrospective review of paper charts and electronic records for children seen at the CYMHTs from September 1, 2007, to May 1, 2010, was performed to collect the following data: age, sex, foster care, immigrant status, Axis I diagnosis, and medications. In SGA-treated children, anthropometric measurements and blood work completed at baseline and 3, 6, and 12 months were also collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among the 1114 children seen pre-MMTP and 1262 children seen post-MMTP implementation, 174 (15.4%) and 81 (6.4%), respectively, were SGA-treated ( P &lt; 0.001). Among the SGA-treated children seen at the CYMHTs after MMTP implementation, 38.3% had a copy of the MMTP in their paper chart. Metabolic monitoring increased by up to 40% at baseline ( P &lt; 0.01), 20% at 3 ( P &lt; 0.01) and 6 months ( P &lt; 0.01), and 18% at 12 months after MMTP implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Implementation of an MMTP was associated with significantly improved monitoring rates of anthropometric and blood work parameters at baseline and the 3- and 6-month time points, with a trend for improvement at the 12-month time point, in SGA-treated children cared for in urban community mental health clinics. In addition, a 56% decrease in SGA prescriptions was observed following MMTP implementation in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/070674371205700504","type":"journal-article","created":{"date-parts":[[2017,7,20]],"date-time":"2017-07-20T10:22:37Z","timestamp":1500546157000},"page":"292-299","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Metabolic Monitoring Training Program Implementation in the Community Setting Was Associated with Improved Monitoring in Second-Generation Antipsychotic-Treated Children"],"prefix":"10.1177","volume":"57","author":[{"given":"Rebecca","family":"Ronsley","sequence":"first","affiliation":[{"name":"Medical Student, University of Toronto, Toronto, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Rayter","sequence":"additional","affiliation":[{"name":"Manager, Vancouver Coastal Health Child and Youth Mental Health, Vancouver, British Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derryck","family":"Smith","sequence":"additional","affiliation":[{"name":"Medical Director, Vancouver Coastal Health Child and Youth Mental Health, Vancouver, British Columbia; Clinical Professor, Department of Psychiatry, University of British Columbia, Vancouver, British Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jana","family":"Davidson","sequence":"additional","affiliation":[{"name":"Clinical Associate Professor and Head, Child and Adolescent Psychiatry Program, Department of Psychiatry, University of British Columbia, Vancouver, British Columbia; Medical Director, Mental Health and Addiction Programs, British Columbia Children's Hospital, Vancouver, British Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Constadina","family":"Panagiotopoulos","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Pediatrics, University of British Columbia, Vancouver, British Columbia; Endocrinologist, British Columbia Children's Hospital, Vancouver, British Columbia; Clinician Scientist, Child & Family Research Institute, Vancouver, British Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,5,1]]},"reference":[{"issue":"1","key":"bibr1-070674371205700504","first-page":"13","volume":"49","author":"Olfson M","year":"2010","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"bibr2-070674371205700504","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2008.59.5.507"},{"issue":"2","key":"bibr3-070674371205700504","first-page":"124","volume":"19","author":"Panagiotopoulos C","year":"2010","journal-title":"J Can Acad Child Adolesc 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