A recent audit conducted by the Massachusetts Office of the State Auditor reveals that the Department of Children and Families (DCF) apparently is really bad at doing its job and the fact that the well-being of children is at stake makes the incompetence incomprehensible.
The DCF is tasked with providing services to children who are at risk and victims of abuse or neglect. The services the state is responsible for providing include adoption, guardianship, foster care, housing stabilization, and family support.
Specifically, AbleChild is interested in the section of the audit that reviews the oversight of the drugging of children with serious psychiatric mind-altering drugs. The audit reviewed the period from July of 2019 to December of 2023.
During the audit period, 3,899 (22%) of the 17,891 children in DCF’s protective custody were prescribed at least one psychotropic medication. During the audit period, the number of prescriptions filled for each drug category included 1,065 prescriptions for anti-anxiety meds, 21,585 Antidepressants, 10,564 Antipsychotics, 10,776 Mood Stabilizers, and 48,453 Stimulants. Clearly, chemical behavior modification is a common practice, and the state’s DCF social workers are required to participate in, follow, and document the medication history of each child under their care.
To help caseworkers provide the required services, a child is provided a physical Medical Passport that records its healthcare services while in state custody. Social Workers are required to review these physical passports every six months to keep the children’s related medical records in iFN (electronic information system) updated with their most recent healthcare information.
In Massachusetts, it is required that the Courts approve antipsychotic medication use in children in the state’s protective custody. The audit revealed that “the Department of Children and Families did not always obtain or renew court approval before children in its protective custody were administered antipsychotic medications.” This is a problem because the court needs to know that the drug regimen is safe and effective. Furthermore, the courts have oversight of children who are too young to consent to the drug treatment and act as a neutral party.
The audit also found that “the Department of Children and Families did not properly maintain healthcare records in iFamilyNet (iFN) for children in its protective custody who received psychotropic medications.” Keeping up-to-date records is essential to ensure that the child is not being overprescribed with toxic mind-altering drugs. There is no oversight, leaving the children in custody at risk.
Additionally, the DCF did not list and/or update the psychotropic medications prescribed to children in their medical passports, which clearly can lead to overprescribing of dangerous mind-altering drugs and serious, if not deadly, adverse events. And with the lack of documentation, the DCF also did not document follow-up doctor appointments and recommended psychosocial services. How can these deficits possibly help children in the state’s care?
Hellbound and Down 