Oversight of Psychotropic Medication for Children in Foster Care ...

nrc4tribes.org

Oversight of Psychotropic Medication for Children in Foster Care ...

June 30, 2012• States and Tribes will need to address how they areresponding to these new requirements in theirAnnual Progress and Services Reports (APSRs)which are due on June 30, 2012.5Prevalence of psychotropic medication useamong children in foster care• There has been a steady rise in the use of medicationto address children’s emotional and behavioralproblems over the last decade, even amongpreschoolers.• At this time, there is no comprehensive source ofdata regarding psychotropic medication usage ratesfor children and adolescents in child welfare,including data on those in foster care.6• Despite deficiencies (in data),published studies consistently revealeven higher rates of use for childreninvolved in child welfare than in thegeneral population, with usage ratesbetween 13 and 52 percent.7Social-emotional, behavioral, and mental healthneeds of children with \child welfare involvement• Children who come to the attention of the childwelfare system have disproportionally high rates ofsocial-emotional, behavioral, and mental healthchallenges.• Data identified in the ACYF-CB-IM-12-03 clearlyshow that the broader group of children whoexperience maltreatment and come to the attentionof a child welfare agency have emotional andbehavioral problems that derail normaldevelopment, hinder healthy functioning, andimpede the achievement of permanency.8


17• The Children’s Bureau has issues related ProgramInstructions ACYF-CB-PI-12-05 and ACYF-CB-PI-12-06 that provides further guidance on requiredAPSR content for States and Tribes respectively.• Among other information, a forthcoming IM onPromoting Social and Emotional Well-Being forChildren and Youth Receiving Child WelfareServices will provide States, Territories and Tribeswith more information on the effects of childhoodtrauma and ways to promote social and emotionalwell-being.

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