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Typically, they are adopted based on knowledge generalized from adult studies or assume that the com- bination is as safe and effective as each component of the regimen. Instead, exhibit material should be referenced and quoted or paraphrased. Healthcare of Young Chil- dren in Foster Care. Our Nation Must Address the Health Needs of Children in Foster Care On any given day, approximately , children are in foster care, most of whom have been placed there as a result of abuse or neglect at home. A pharmacoepidemiologic analysis of Texas foster care.

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LaLghran'sdcsa lies wth Industry and hr- n. Medications that have more data regarding safety and efficacy are preferred over newly FDA-approved medica- tions. Any deviations from FDA guidelines should be supported by an explanation from the prescribing clinician and may warrant review by a consultant to the child welfare system.

Overmedication for children in foster care is especially a concern given that they often go without adequate healthcare, little monitoring or adjustment of medica- tions, and are offered few alternative treatment options, such as psychotherapy. In many cases, this is related to the trauma that resulted in the removal from their family, but in the significant number of cases, the mental illness appears to have pre-dated their removal.

I would like to make four points in my 4 minutes, leifi these will be fairly brief. A pharmacoepidemiologic analysis of Texas foster care. Treatment of at- tention-deficit hyperactivity disorder by different physician specialties.

Medicaid-insured preschoolers from 7 states were 5-times more like- ly to received an antipsychotic and twice as likely to receive an antidepressant in compared with data from rii other states Zito et al. Chairman, for conducting this im- portant hearing and thank you to the panelists for joining us today. We could get serious in the United States about drug safety, in order to look for low frequency rare events.

ET TEHIJATU ELIFI I RI, DUAT E NAMAZIT, AFET BEADINI

I TC iK'lcul e. The Committee will not alter the content eliif your submission, but we reserve the right to format it according to our guidelines. PCS Case Malinger so itipi follow up can occur.

Note that 44 percent of prescriptions that are at high dose are in the very young, when our community and us agree that this is actually the appropriate use. In general, oversight is pretty weak. California State University, Capitol Police will refuse sealed-pack- elii deliveries to all House Office Buildings.

The experience of the Center for the Vulnerable Child.

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Needs of children in the foster care system. The few research studies available show rates of psychotropic medication use ranging from 13 to 50 percent among children in foster care, which is much rri than the approximately 4 percent rate of youth in the general popu- lation.

Thank you Representative McDermott. Massachusetts, for example, somewhat like Tennessee, has just hired a whole group of nurses who are going to work and provide oversight within child welfare for what are the medical problems and what medications children are on. Such programs are understand- ably weak because: To address this important gap in our knowledge base on the benefits and risks of such treatments requires sustained study in community-based youth populations — not just in clinical trial volunteers.

I will not further apologize but to say thank you very much for eliri. Tennessee is able to see cases in which children and youth in our custody have benefited from the oversight and monitoring proc- esses we have put in place regarding medication.

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Simply, this State statute puts children at the center of care and ensures that the medical care, the mental healthcare, and the family services are all integrated. They slipped Ihe medication one nigfit, made oocoa, and sac around playing cares wrlh me late into the evening.

We also note that there are many providers or prescriptions that are happening for a single cli- ent, so we are concerned about whether there is good continuity of care; and, we have questions about medication adherence.

Healthcare of young children in foster care. Most psychotropic combina- tions lack adequate evidence of effectiveness or safety in youth. Casey Family Programs, available elici http: We need to carefully oversee the prescription of these medicines, espe- cially when it comes to placing foster children on multiple drugs or pre- scribing medication for off-label use.

Adverse drug reactions to unlicensed and off-label drugs on paediatric wards: Dont forget before sleeping.