2026-02-04 イェール大学
<関連情報>
- https://news.yale.edu/2026/02/04/guideline-based-treatment-linked-better-outcomes-kids-anxiety-and-depression
- https://www.journals.uchicago.edu/doi/10.1086/738249
ルールと裁量:米国の青少年における精神疾患の治療 Rules versus Discretion: Treatment of Mental Illness in US Adolescents
Emily Cuddy and Janet Currie
Journal of Political Economy Published:January 2026
Abstract
Many mental health disorders start in adolescence, and appropriate initial treatment may improve trajectories. But what is appropriate treatment? We use a large national database of insurance claims to examine the impact of initial mental health treatment on the outcomes of adolescent children over the next 2 years, where treatment is either consistent with US Food and Drug Administration guidelines, consistent with looser guidelines published by professional societies (gray area prescribing), or inconsistent with any guidelines (red-flag prescribing). We find that red-flag prescribing increases self-harm, use of emergency rooms, and health care costs, suggesting that treatment guidelines effectively scale up good treatment in practice.
