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August 14, 2026Journal of PsychopharmacologyOpen Access

Psychotropic medication prescribing to children and young people mental health inpatient services: An English national study

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Authors

DBDavid BranfordNHS EnglandAWAnne WebsterNHS EnglandMKMarinos KyriakopoulosKing's College London

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Overview

National audit reveals high rates of psychotropic prescribing and polypharmacy in youth psychiatric inpatients, highlighting substantial reliance on regular and as-needed medications.

Key Points

  • To evaluate psychotropic prescribing patterns across English mental health inpatient units for children and young people and to capture inpatient and parent-carer perspectives on these medications.
  • Conducted an anonymous nationwide medication census across NHS England-commissioned child and young person mental health inpatient units (48 providers, 73 units, N=625 inpatients).
  • Administered co-produced questionnaires to inpatients (N=142) and parent-carers (N=75), analyzing quantitative data descriptively and free-text responses thematically.
  • Of 625 inpatients, 545 (87%) were prescribed psychotropic medications, and 354 (57%) were prescribed two or more concurrent psychotropics.
  • Pro re nata (PRN, or as-needed) prescribing practices varied considerably across the surveyed units.
  • Thematic analysis of qualitative feedback identified 7 key themes from young people and 11 key themes from parent-carers regarding inpatient medication use.

Cite This Study

Branford et al. (2026) studied this question.

synapsesocial.com/papers/6a7ee587b70b84ec8b9146ffhttps://doi.org/10.1177/02698811261473383
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