An audit conducted this summer revealed that children in Florida’s foster care system are being prescribed powerful psychotropic medications at alarmingly high rates. In many cases, state child welfare officials are failing to properly document prescriptions, resulting in children taking powerful medications with scant medical records available to justify them.
Over 2,200 children that are currently in Florida’s foster care system—around one in 10—are prescribed psychotropic medications, reported the Tampa Bay Times. For foster children over the age of 13, more than one in three are on this kind of medication, which includes treatments for conditions like ADHD, depression, anxiety, and schizophrenia.
According to state rules, “the physician or psychiatric nurse recommending the psychotropic medication is required to complete and sign a medical report,” and each prescription “is required to be documented on a medication log. The case manager must obtain the medication logs at each home visit and include the medication logs in the child’s case file” with the Florida Safe Families Network (FSFN), the state’s child welfare agency.
Yet a state audit released in July found “no records of the psychotropic medications prescribed in the case file in the state’s primary case management system,” according to the Tampa Bay Times. “Logs that record the frequency and dosage of psychotropic medication were missing from 66% of case files reviewed, and authorization records were not found in more than one-third of the case files.”
Even more troubling, the audit found that the state welfare agency did not document prescriptions in 57 out of the 60 cases of children prescribed opioid medication that were reviewed.
“These documentation deficiencies occurred because the State agency did not have adequate controls to ensure the [child protective investigators] and case managers maintained the children’s case files in FSFN in accordance with State requirements,” the audit reads. “Without adequate controls in place, the State agency could not ensure that children in foster care received the necessary monitoring and care. As a result, the children’s quality of care and health and safety may have been at risk.”
This lack of documentation has had severe effects on many children in Florida’s foster care system. Without proper documentation, children can end up taking unnecessary medications or not getting the prescriptions they actually need.
Hellbound and Down 