![Challenging Over-prescription of psychoactive drugs by Professionals in Education for Young People](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwRfsGqYSCK07qU1zBuDsXbKT7Q8NYg-G1iYr5uJbIZQzDU4BVrOhTGyCERHE4VuCK5ohnO2j3VPaymqqhxsTFpNBUIgctaxaAhVdf2-ldIRUYAWoYqy19dQoHiajyQO0xQJB0ApkEJK4/s760/GOLDEN+QUESTION+FOR+PRESCRIBERS.jpg)
HALF A MILLION DOWNLOADS REACHED - Helping Safeguard children from psychiatric drug harm due to possible severe toxic side effects. We need alternatives like psychological interventions, physical activity, or mindfulness training as a first course of action. Let's 'Enable not Label' kids to give them better futures - - - - - - - - -"There can be no keener examination of a society's soul than the way it chooses to treat its children." - - - - - - Nelson Mandela
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ANOTHER RINGING ENDORSEMENT FROM LEADING U.S. PSYCHIATRIST FOR OUR DECP REFLECTIVE CHECKLIST IN OCTOBER 2019 By Allen Frances MD - ex-editori in chief of DSMIV - Checklist inspired by the seminal book 'The Checklist manifesto' by Atul Gawande.
"In kids, psychiatric diagnosis should always be written in pencil & meds should be the last resort, not a first reflex.
We must re-educate MDs/parents/teachers/public on a careful stepped approach that serves the child, not the system.Another ringing endorsement from Professor Allen Frances - ex-Editor in Chief of the DSMIV Diagnostic Manual from the American Psychiatric Association."
"This useful checklist is wonderful start."
PAUSE - REFLECT - REVIEW
1)· Are the child’s behavioural differences pervasive, occurring in a wide range of social settings and observed by a range of different individuals in the community?
· 2) Are the child’s difficulties severe, enduring, and significantly impairing?
· 3) Have there been any stresses in the child’s relationships, social context, and recent history which might explain this pattern of behaviours?
· 4) Does the child have presenting behaviours that closely conform to an approved usage for the particular medication being considered at this time?
· 5) Is there research evidence on the efficacy and safety of this specific medication with children of the same age, gender, and social grouping?
· 6) Are the child’s presenting behaviours significantly impairing in a range of settings to acceptably balance the possible impact on the child’s developing brain and body from the evidence based side effects of the specific medications being considered?
· 7) Do the child’s parents and involved professionals see the child’s differences as significant enough to require this medication?
· 8) Has a psychological intervention, such as a talking therapy (CBT etc.); a social intervention such as ‘Circle of Friends’ / ‘Buddy System’ or a physical intervention such as participation in sport been tried prior to prescribing this particular psychotropic medication being considered?
· 9) Have there been any reported significant adverse side effects from this specific medication with children of the same age, gender and social grouping?
· 10) Have you carefully weighed up the short and long-term risks and balanced them against possible benefits?
· 11) Have you received valid consent from the parent and the child?
And perhaps the most searching question:
· 12) If a child in your immediate family or circle of friends had the same presenting behaviours that are in front of you now, would you still be prepared to prescribe this drug?
Thursday 3 October 2019
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