Data From Evaluations of 0-5 Year Old Foster care Children

19 Examined Children (on meds), Responses: 5 (4 on no meds, 1 on seizure med), 6 Unknown (5 not in custody, 1 in care)

idperson / Age
(2012 June 1) / Placement County (Region) / placement / adrenergic ADHD / anti cholinergic / anti convulsant mood stabilizing / anti depressant antianxiety / anti psychotic / benzo diazepine / stimulant / total rx (classes)
11428050 / 4 yr 3 mo / Grady (10) / DFCS / 2a / 1 / 1 / 4 (3)
16919146 / 5 yr 1 mo / McIntosh (12) / CPA / 2b / 1 / 1 / 4 (3)
9426264 / 5 yr 6 mo / Walker (1) / CPA / 1 / 1 / 1 / 3
10421894 / 5 yr 11 mo / DeKalb (14) / CPA / 1 / 2c / 3 (2)
10428589* / 5 yr 10 mo / Cherokee (3) / CCI / 1 / 2d / 3 (2)
11795019 / 5 yr 10 mo / Tattnall (9) / CPA / 1 / 1 / 1 / 3
17195285 / 4 yr 1 mo / Jones (6) / DFCS / 1 / 1 / 1 / 3
16973872 / 5 yr 2 mo / Twiggs (6) / CPA / 1 / 1 / 1 / 3
8822009 / 5 yr 9 mo / Dougherty (10) / CPA / 1 / 1 / 2
9032890 / 4 yr 7 mo / DeKalb (14) / CPA / 1 / 1 / 2
10683483 / 5 yr 5 mo / Whitfield (1) / CPA / 1 / 1 / 2
17182212 / 4 yr 7 mo / Emmanuel (9) / DFCS / 1 / 1 / 2
17647066 / 5 yr 5 mo / DeKalb (14) / DFCS to CPA 5/2012 / 1 / 1 / 2
9009462 / 4 yr 9 mo / Tift (11) / DFCS / 1 / 1
9009491 / 4 yr 9 mo / Tift (11) / DFCS / 1 / 1
10689636 / 5 yr 0 mo / Toombs (9) / DFCS / 1 / 1
11416102 / 5 yr 8 mo / Douglas (3) / Relative (Paid) / 1 / 1
11428055 / 5 yr 10 mo / Mitchell (10) / DFCS / 1 / 1
11593331 / 4 yr 10 mo / Henry (13) / CPA to DFCS 6/2012 / 1 / 1
11593344 / 5 yr 10 mo / Henry (13) / CPA to DFCS 6/2012 / 1 / 1
10410079* / 5 yr 9 mo / Clayton (13) / CPA / 0
11641467** / 5 yr 10 mo / Not in custody / Not in custody / 0
11700196* / 5 yr 3 mo / Gwinnett (15) / CPA / 0
17551285* / 4 yr 6 mo / Murray (1) / Relative to CPA 6/2012 / 0
11439690* / 4 yr 9 mo / Muscogee (8) / DFCS / Unknown
16949676** / 3 yr 9 mo / Adopted / Adopted / Unknown
17302809** / 5 yr 4 mo / Not in custody / Not in custody / Unknown
8820485** / 5 yr 9 mo / Adopted / Adopted / Unknown
11699655** / 4 yr 11 mo / Adopted / Adopted / Unknown
17322930*** / 5 yr 8 mo / Out of State / Relative - Paid / Unknown

a. Clonidine, Intuniv; b. Clonidine, guanfacine; c. Adderall, Vyvanse; d. Keppra, Klonopin

*no visit; **discharged from custody;***out of state

male vs female

Trauma

Only 1 report of trauma, more than one year ago, in the group. Most were unknown or blank, and two reported “no trauma” ever.

Risk Factors

No/Unknown / Yes
Suicidal ideations / 30 / 0
Homicidal / 30 / 0
Aggression / 20 / 10
Harm to Self / 28 / 2
GraveDisability / 28 / 2
Impulsivity / 15 / 15
Cognitive / 29 / 1
Pain / 28 / 2
Psychosis / 30 / 0
Anxiety / 23 / 7
LegalTrouble / 30 / 0
No Risk Factors / 30 / 0
OtherRsks (details below) / 24 / 6
other risk details
ADHD; Inattention; Hyperactivity
H/O ADHD, Expressive Language Disorder, Learning Disorder NOS
h/o ADHD; Inattention; Hyperactivity
h/o disruptive behavior; inattention symptoms; easily distracted; previous restrain at school for verbal abuse x 2
Hyperactivity; easily distracted
Inattention; Hyperactivity

Developmental History

Don't Know / No / Yes
preterm delivery / 7 / 10 / 4
prenataldrug exposure / 8 / 3 / 10
delay in milestones / 5 / 5 / 11

Psychiatric History

Don't Know / No / Yes
any psychiatric history / 3 / 6 / 12
psychhospital in past 3months / 2 / 19 / 0
psychhospital ever / 2 / 19 / 0
psychoutpatient / 9 / 1 / 9
psychotropic medicine in past / 3 / 0 / 15
past medication list (each row represents prescriptions that a child no longer receives)
Hydroxyzine / Risperdal / Zoloft
Remeron / Risperdal / Seroquel
Adderall / Ritalin / (3 children)
Clonidine / Risperdal
Risperdal / Tenex / (2 children)
Risperdal / Vyvanse
Stimulants-Names Unknown
Risperdal / (2 children)
Clonidine
Zoloft

* Note that 6 children have used Risperdal in the past. Another 7 had current prescriptions, so 13 out of 21 (with data) have experience with Risperdal (risperidone).

Don't Know / No / Yes
Suicidal Thoughts / 1 / 19 / 0
Suicide Attempt / 0 / 20 / 1?
Self Harm / 1 / 19 / 1
Family History of Psychiatric Conditions* / 11 / 0 / 9

*Table of Family Psychiatric Conditions below

Also note: The Suicide Attempt ‘Yes’ and the Self Harm ‘Yes’ were not the same child. In the comment section of the form, a note declared uncertainty about the suicide attempt.

[1] "famhistpsychlist"

Bipolar / 1
Bipolar Disorder-Mother / 2
Depression / 1
Mother-Bipolar, Schizophrenia / 1
Mother-Possible Mood Disorder* / 1
Mother-Possible Mood Disorder*; History of drug and alcohol abuse / 1
Mother-Schizophrenia and Bipolar Disorder, along with MDD; Sister-Bipolar Disorder and PTSD / 1

Mother-Possible Mood Disorder appears for two children that are siblings, but substance abuse only recorded for one of the children.

Don't Know / No / Yes
Family History of Drug Abuse / 8 / 0 / 13
Family History of Alcohol Abuse / 13 / 0 / 8

* Note: All 8 of the children with Family History of Alcohol Abuse also suffered Family History of Drug Abuse.

(Only 8 of 21 known did not have a recorded history of drug or alcohol abuse.)

Medical History

Don't Know / No / Yes
Prior Hospitalizations / 2 / 15 / 4
Head Injury / 3 / 17 / 0
Motor Vehicle Accidents / 2 / 18 / 0
Seizures / 1 / 16 / 3
Heart Condition / 1 / 19
Other Illnesses
Cerebral Palsy / Ear Problem / Lazy Eye / Previous RightLeg Fracture
Benign heart murmur. EKG has normal limits, and no follow-up is needed.
Craniosynostosis. S/P Craniotomy
h/o heart problems (no need for follow up with cardiologist)
No seizures since March 2011. / Cerebral palsy / chiarri malformation / cranial cystitis
bronchitis / GERD / G-tube for swallowing difficulties
When child was born, she was diagnosed with macrocephally (microcephally?)

Social Functioning

Don't Know / Not Applicable
peersoc / 20 / 1
oldersoc / 20 / 1
youngersoc / 20 / 1
adultsoc / 20 / 1

Education Related Risk Factors

Don't Know / Not Applicable / No / Yes
Performs adequately in school / 9 / 2 / 9 / 0
Has failed a core subject / 4 / 9 / 8 / 0
Disciplinary actions in school / 1 / 2 / 16 / 2
Asked to repeat a grade / 1 / 14 / 6 / 0
Absent10 times or more in the past year / 11 / 5 / 4 / 1
Learning Disability / 9 / 0 / 7 / 5
Individualized Education Plan / 3 / 2 / 6 / 9
Special Education / 2 / 2 / 10 / 7

Substance Abuse

No substance abuse by these children.

Axis I

ADHD, combined type / 16
Separation Anxiety Disorder / 2
Anxiety Disorder NOS / 6
Pervasive Developmental Disorder NOS / 2
Expressive Language Disorder / 2
Learning Disorder NOS / 1
DBD NOS / 2
ODD / 1
Depression / 1
Bipolar Disorder / 1
OCD / 1
no diagnosis given / 1

Axis II

Cognitive Impairment (3) / Borderline Intellectual Functioning / 1
Cognitive Delays / 1
MR, profound / 1
Deferred / Deferred / 15

Axis III

Asthma / 1
Cerebral Palsy / 1
H/O Hypospadia / 1
Microcephaly / 1
H/O prenatal exposure to drugs / 10
History of Craniosynostosis; s/p craniotomy / 1
Multiple medical problems / 1
Prematurity / 4
Seizure Disorder / 3
None / 10

Medical Visits in the Past Year

Child Psychiatrist / Family Practitioner / Other / Pediatrician / Psychiatrist / Neuropsychiatrist
Medical Visits in the Past Year / 13 / 1 / 3 / 2 / 2 / 3
also, one child visited: / Neurologist,neurosurgeon,orthopedicsurgeon,ophthalmologist,plasticsurgeongastroenterologist