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Knowledge Agenda for Studying Psychotropic Medication in the Child Welfare System

Title: A Knowledge Agenda for Studying Psychotropic Medication in the Child Welfare System: Technical Report, Florida Institute for Child Welfare.
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Name(s): Lacasse, Jeffrey R, author
Lieber, Angela, author
Type of Resource: text
Genre: Text
Technical Report
Date Issued: 2017-03-30
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Executive Summary Many questions persist regarding the use of psychotropic medication in Florida’s child welfare system. The purpose of this report is to (1) describe both the broad and local contexts (including research and policy) for the use of psychotropics in child welfare, and (2) to propose a research agenda which could realistically lead to improvements in the Florida system. This technical report provides an overview of the issues that are most relevant and pressing for the Florida child welfare system. The report also presents a set of recommendations that can improve the knowledge base through the development and implementation of empirical research that can produce relevant and valid findings for future practice and policy. The prescription of psychotropic drugs to children in the child welfare system has rightfully attracted increasing attention over the past decade. Over this same time period, the profession of psychiatry has experienced a series of important debates, critiques and controversies about the use of psychotropic medication with adults and children. These have taken place at both the scientific and practice levels. This is important to note because practices in the Florida child welfare cannot help but be impacted to a large extent by “upstream” dynamics. Significant problems include (1) the integrity of the scientific literature that concerns the use of psychotropic drugs; (2) the nature and scope of the influence of pharmaceutical companies on prescribing patterns; (3) the regulatory rigor of the U.S. Food and Drug Administration; (4) the accuracy of psychiatric diagnosis that provides the basis for prescribing decisions; and (5) the efficacy of psychotropic drugs and their long-term impacts on children. The disconnect between the scientific data and conventional wisdom is likely to be large and represents a major barrier to evidence-based prescribing and decision-making. In such a vulnerable population, such issues should raise deep concerns. The relative lack of influence of the emergent scientific data on conventional psychiatric medication practices is significant and represents major barriers to evidence-based prescribing and decision-making. The long-term effects of psychotropic medication during childhood are only beginning to be understood, but most researchers agree that these are non-trivial for the children involved. In light of this situation, the special vulnerabilities of the child welfare population as a subset of all children using such medications should raise deep concerns and inspire an abundance of caution.
Identifier: FSU_libsubv1_scholarship_submission_1505824419_9e9645de (IID)
Keywords: Child welfare, Psychotropic medication, Psychiatric medication, Antidepressant, Antipsychotic, Stimulant, Mood stabilizer, Anticonvulsant, Psychiatric diagnosis, Reliability, Validity, Polypharmacy
Preferred Citation: Lacasse, J.R., & Lieber, A. (2017). A knowledge agenda for studying psychotropic medication in the Florida child welfare system. Florida Institute for Child Welfare: Tallahassee, Fl.
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_libsubv1_scholarship_submission_1505824419_9e9645de
Owner Institution: FSU
Is Part Of: Technical Report, Florida Institute for Child Welfare.

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Lacasse, J. R., & Lieber, A. (2017). A Knowledge Agenda for Studying Psychotropic Medication in the Child Welfare System: Technical Report, Florida Institute for Child Welfare. Technical Report, Florida Institute For Child Welfare. Retrieved from http://purl.flvc.org/fsu/fd/FSU_libsubv1_scholarship_submission_1505824419_9e9645de