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Study: 13.19% of Florida foster kids take psychiatric drugs

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By Carol Marbin Miller

May 28, 2009 / Miami Herald

Almost three of every 10 teenage foster children in Florida have been prescribed at least one mental health drug, and 73 foster children younger than 6 are taking mind-altering drugs, according to a detailed study released Thursday by the state's child welfare agency.

In all, a total of 2,669 children -- or 13.19 percent of all Florida foster children -- are being administered powerful psychiatric drugs, says the study, commissioned last month by Depatment of Children & Families Secretary George Sheldon. The largest group of such children, or almost 60 percent, are teens age 13 to 17.

Sheldon ordered the study, which included every child in state custody, after The Miami Herald reported that 7-year-old Gabriel Myers, who hanged himself April 16 at a Margate foster home, had been prescribed several mental health drugs without the required consent of a parent or state court judge.

Gabriel's foster care records showed he had been taking at least two psychiatric drugs at the time of his death. And though his caseworker had repeatedly checked off a box indicating the state had obtained parental consent, no such approval had ever been sought or received.

Among the 20,235 children whose case files were studied, investigators found no parental or judicial consent on record for 16.2 precent of the children, the report says.

Like prior studies, the new report shows that children in foster homes, group homes or other institutional settings are far more likely to be taking mental health drugs than children living with relatives. Overall, only 4.3 percent of children in relative care have been prescribed psychiatric drugs, compared with 21 percent for foster homes and 26 percent for other out-of-home settings.

The disparity is particularly acute among older children: Among children 13 to 17, 11.8 percent of those living with relatives have been prescribed at least one mental health drug, compared with 35 percent in foster care and 33 percent in other institutional settings, the report says.

Sheldon is expected to discuss the report in detail Thursday afternoon.

The five-page report outlines a host of steps DCF administrators will take in coming days, including:

• State child welfare lawyers will be seeking consent from parents who still have authority to make decisions on their children's behalf, or going to court to seek approval for drugs for children who currently lack such consent.

• Administrators are launching an ''immediate'' review to determine how reliable the state's computerized child welfare database is, in light of findings that the database did not accurately reflect about one-third of kids in state care who are taking psychiatric drugs.

''The top priority of this review will be children 5 and under,'' the report said.

• DCF administrators and the heads of privately run foster care agencies throughout the state will discuss ongoing issues over the use of psychiatric drugs by foster children once each week by telephone.

''The purpose of these calls is to ensure effective communication on improvements that must take place, to respond to any questions from [the private agencies] concerning psychotropic medications and to resolve outstanding issues,'' the report said.

2009 May 28