Kids need care, not pills, ex-foster children tell panel

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Date: 2009-06-19

A state group looking at the suicide of a young foster child met Thursday to discuss ways to improve care and listened to adults who said they were overmedicated in the foster-care system.


As Florida child-welfare administrators study failures in the foster-care system believed to have led a 7-year-old boy to kill himself in April, they turned Thursday to experts they don't often consult: young adults who came of age in state care.

Mez Pierre, 22, and Kimberly Foster, 25, both from Broward County, told the group that mental health drugs -- already at the center of the investigation of Gabriel Myers's tragic death -- aren't the answer for many foster youth. Children need caring adults who will look at the causes of their difficult behavior, they said -- not simply write prescriptions in an attempt to control it.

Foster said doctors prescribed medication when she got upset about being removed from her home. She was ultimately placed in facilities with locked windows and restraints.

''They were trying to control the symptoms I had from being put into the system. . . . How I reacted was normal,'' Foster said. ``I was sad. I was taken away from my home. Because of that they felt medication was the right way to treat me.''

Florida Department of Children & Families (DCF) administrators and child advocates who formed a work group to study Gabriel's death held their third meeting Thursday in Fort Lauderdale. Gabriel hanged himself in the bathroom of his Margate foster home in April. He had been prescribed several psychiatric drugs during his nine months in foster care.

Workgroup members spent much of the day talking about issues such as how to improve communication between various professionals who care for foster kids. The leaders discussed various forms and documents collected for each child, and the potential roadblocks in gathering the data -- sometimes as simple as a fax not going through.

Anne Wells, pharmacy director for the state Agency for Health Care Administration, questioned how some of these efforts will help children in foster care. .

''I don't mean to criticize, but I have listened to improvements, and checked boxes, forms and paperwork. I'm sorry. I just don't get it,'' she said. ``Where does all of this stuff head off the outcome that Gabriel had?''

Wells also questioned whether administrators were too quick to blame medication for Gabriel's death, rather than talking about what led to his being medicated in the first place.


But both Pierre and Foster told the group that they were over-medicated as foster children.

''To hear a story about a foster youth who lost his life, I take that very, very personally,'' said Pierre, who choked back tears during his presentation. ``I went through a lot of things that Gabriel went through and to see one loss is very painful.''

Gabriel 'wasn't being cared for. He was just told `you have problems,' '' Pierre said.

Pierre added that he was first prescribed medications when he entered the foster-care system at age 5. He was given multiple pills and various diagnoses, including attention deficit/hyperactivity and bipolar disorders.

''When I was on medications, I always felt like a zombie,'' he said. ``I felt drowsy. I didn't feel human. I felt like I was an animal on a farm being tested.''

Today, Pierre is doing what many told him he couldn't do: living a successful life without medications. Pierre, who lives in Deerfield Beach, said he has a job, attends Broward College and hopes to become a lawyer.

''Consider the lives . . . even though it's a difficult job,'' he told the group. ``That doesn't mean to neglect your responsibility and to not work together.''

Foster said she took herself off the medications when she was 18 and pregnant. She now lives in Pompano Beach with her husband and son.


''I have never displayed any suicidal ideations, no mutilations, no disorientations,'' Foster said. 'We are lost if we send a message to youth, `if you cry you are depressed.' We are so quick to put diagnoses on a child for a lot of times being a normal adolescent.''

Both Pierre and Foster are active in a group called Florida Youth Shine which, among other things, testifies in Tallahassee about foster-care issues.

A Miami Herald article that showed Gabriel had been on several drugs, including anti-depressants associated with a higher risk of suicide, prompted DCF to investigate the prescribing of mental health drugs to children.

DCF Secretary George Sheldon formed the work group as part of the wide-ranging investigation.

The group Thursday discussed a recent state review of more than 100 foster children age 5 or younger receiving psychiatric drugs. The study revealed that child welfare administrators are ignoring rules designed to protect the children.

In the majority of cases, for example, there was no documentation to show that case managers coordinated with the prescribing practitioner to obtain a psychiatric evaluation.

Broward County's top child-welfare judge, Circuit Judge John A. Frusciante, read a statement that he recently wrote to ChildNet, Broward's private foster care agency, in response to child advocates in recent hearings who had no knowledge about the existence of ''black box warnings'' on medications. He called for more education of case workers.

''It is deeply disturbing that child advocates have no knowledge of the FDA's highest warnings for possibly life-threatening adverse effects of medications,'' he wrote.

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