{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T05:14:59Z","timestamp":1777785299613,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,1,22]],"date-time":"2018-01-22T00:00:00Z","timestamp":1516579200000},"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":["J Am Psychiatr Nurses Assoc"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>\n                    Background: Approximately 14% to 20% of children and adolescents have a mental health problem. Atypical antipsychotic agents are used to treat behavioral, emotional, and mental health problems in children and adolescents. A discrepancy between best practices and actual practices exists. Objective: The purpose of this quality improvement project was to increase adherence above baseline, through implementation of a checklist, to recommended screening guidelines in children, ages 4 to 18, prescribed atypical antipsychotic agents over 12 weeks. Design\/Results: Aggregate comparison of the mean ranks of scores were tested with the Mann\u2013Whitney U test, U = 1,087.5, n\n                    <jats:sub>1<\/jats:sub>\n                    = n\n                    <jats:sub>2<\/jats:sub>\n                    = 70, total N =140, p &lt; .001. Variables of body mass index, blood pressure, waist circumference, fasting glucose, fasting lipids, personal history, and family history were observed and tested using the chi-square with Fisher\u2019s exact tests and are significant at or above 99% confidence level ( p &lt; .01). Conclusion: Educating mental health providers, child and adolescent psychiatrists, and psychiatric mental health nurse practitioners on recommended screening guidelines and implementing a checklist had a measurable effect on increasing adherence to the recommended screening guidelines in a community mental health setting.\n                  <\/jats:p>","DOI":"10.1177\/1078390317752444","type":"journal-article","created":{"date-parts":[[2018,1,23]],"date-time":"2018-01-23T01:47:19Z","timestamp":1516672039000},"page":"352-359","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Improving Adherence to Atypical Antipsychotic Agent Screening Guidelines in Pediatric Patients: A Quality Improvement Project Within an Integrated Community Mental Health Setting"],"prefix":"10.1177","volume":"24","author":[{"given":"Elishia L.","family":"Featherston","sequence":"first","affiliation":[{"name":"Elishia L. Featherston, DNP, RN, CPNP-PC, PMHS, University of Texas Arlington, Arlington, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharolyn","family":"Dihigo","sequence":"additional","affiliation":[{"name":"Sharolyn Dihigo, DNP, RN, CPNP-PC, University of Texas Arlington, Arlington, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard E.","family":"Gilder","sequence":"additional","affiliation":[{"name":"Richard E. Gilder, MS, BSN, RN-C, Baylor Health Care System Dallas, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,1,22]]},"reference":[{"key":"bibr1-1078390317752444","doi-asserted-by":"publisher","DOI":"10.1002\/pds.2082"},{"key":"bibr2-1078390317752444","doi-asserted-by":"publisher","DOI":"10.1007\/s40272-013-0016-6"},{"key":"bibr3-1078390317752444","unstructured":"American Academy of Child and Adolescent Psychiatry. (2011). Practice parameters for the use of antipsychotic medications in children and adolescents. Retrieved from http:\/\/www.aacap.org\/App_Themes\/AACAP\/docs\/practice_parameters\/Atypical_Antipsychotic_Medications_Web.pdf"},{"key":"bibr4-1078390317752444","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.2.596"},{"key":"bibr5-1078390317752444","doi-asserted-by":"publisher","DOI":"10.1080\/10673220216217"},{"key":"bibr6-1078390317752444","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182682f27"},{"key":"bibr7-1078390317752444","doi-asserted-by":"publisher","DOI":"10.1007\/s\/11605-015-2772-9"},{"key":"bibr8-1078390317752444","doi-asserted-by":"publisher","DOI":"10.1016\/j.ambp.2005.11.002"},{"key":"bibr9-1078390317752444","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2010.09.011"},{"key":"bibr10-1078390317752444","volume-title":"Purposeful program theory: Effective use of theories of change and logic models","author":"Funnell S.","year":"2011"},{"key":"bibr11-1078390317752444","doi-asserted-by":"publisher","DOI":"10.5897\/AJPP11.227"},{"key":"bibr12-1078390317752444","doi-asserted-by":"publisher","DOI":"10.1111\/j.0887-378X.2004.00325.x"},{"key":"bibr13-1078390317752444","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm062"},{"key":"bibr14-1078390317752444","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.159.8.740"},{"key":"bibr15-1078390317752444","unstructured":"International Diabetes Federation. (2007). The IDF consensus definition of the metabolic syndrome in children and adolescents. Retrieved from https:\/\/www.idf.org\/e-library\/consensus-statements\/61-idf-consensus-definition-of-metabolic-syndrome-in-children-and-adolescents"},{"key":"bibr16-1078390317752444","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-11-211"},{"key":"bibr17-1078390317752444","doi-asserted-by":"publisher","DOI":"10.1017\/S003329171100105X"},{"key":"bibr18-1078390317752444","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2010.48"},{"key":"bibr19-1078390317752444","unstructured":"National Research Council & Institute of Medicine. (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. Washington, DC: National Academy of Sciences."},{"key":"bibr20-1078390317752444","doi-asserted-by":"crossref","unstructured":"Pappadopulos E., Jensen P. S., Schur S. B, MacIntyre S. K.II, Van Orden K., Sverd J. Rube D. (2002). \u201cReal world\u201d: Atypical antipsychotic prescribing practices in public child and adolescent inpatient settings. Schizophrenia Bulletin, 28, 111-121. 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