This HHS OIG report is horrifying. Please read.

In five States, one in three children in foster care who were treated with psychotropic medications did not receive treatment planning or medication monitoring as required by States.

https://oig.hhs.gov/oei/reports/oei-07-15-00380.pdf

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OIG study was of a sample of 625 children in foster care from the 5 States in FY 2013 that had the highest utilization of psychotropic medications in their foster care populations.