Psychotropic Medication Use by Children in Texas Foster Care: HB 915 Update Stakeholder Meeting March 7, 2014. Kathy Teutsch, RN, LMSW-MSSW: CPS Division Administrator for Medical Services. Collaboration to Improve Health Care.
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Psychotropic Medication Use by Children in Texas Foster Care:
HB 915 Update
March 7, 2014
Kathy Teutsch, RN, LMSW-MSSW:
CPS Division Administrator for Medical Services
Since 2004, Texas stakeholders have collaborated to improve the health care and oversight of psychotropic medication use by children in DFPS conservatorship:
Fiscal Years 2002-2012
There's been a 34% decrease since 2004 in Psychotropic Med use that lasts longer than 60 days for Texas Foster Children. There has been a 66% decrease since 2004 in Class Polypharmacy and 69% decrease in five or more Meds Polypharmacy.
“Options that don't include medicines. They include any psychological and social therapies and behavior strategies provided to the child or youth. Non-medication interventions are specific methods a caregiver can use to help a child or youth manage behavior. In other words, non-pharmacological interventions are methods to manage behavior without the use of medicines. This may include therapy and counseling.”
DFPS has revised the “Summary of Medical Care” section in court reports for permanency and placement hearings to require caseworkers to address:
DFPS has revised policy to require caseworkers to notify parents of the initial prescription of psychotropic medications and any dosage changes at the next scheduled meeting with the caseworker after the prescription.
This Spring, DFPS will release new requirements concerning completion of online Medical Consent Training (and online Psychotropic Medication Training if the youth takes psychotropic medications) by youth who are authorized to consent to their own medical care or who are aging out of DFPS conservatorship.
Processes are in place: