H. Monitoring Psychotropic Medications
In February 2005, DFPS, the Department of State Health Services (DSHS), and the Health and Human Services Commission (HHSC) released a "best practices" guide to ensure the proper use of psychotropic medications for the children in foster care.
The Psychotropic Medication Utilization Parameters for Children and Youth in Texas Public Behavioral Health (6th Version) (Parameters)[112] and the Psychotropic Medication Utilization Parameters for Children and Youth in Texas Public Behavioral Health: Medication Tables (7th version)[113] are the most recent versions of these guidelines. They serve as a resource for physicians and clinicians who care for children diagnosed with mental health disorders. The guides provides recommendations for the appropriate use of psychotropic medications for children served by the public behavioral health system in Texas, including those in foster care, and includes nine criteria indicating the need for review of the child's clinical status.
Since April 2008, STAR Health has conducted PMURs on the children whose medication treatment fall outside of the expectations of the Parameters.
PMUR Process for STAR Health Members FAQ and Stakeholder Manual explains this process and how to request a review.[114] Please also see the Psychotropic Medication chapter of this Bench Book.