1.1 .................... moves to amend H. F. No. 297, the delete everything amendment
1.2(A07-0645), as follows:
1.3Page 145, line 2, after "
written" insert "
informed"
1.4Page 145, line 3, after the period insert
1.5"
The informed consent for social and emotional screening shall fully inform the parent or
1.6legal guardian of the child of all known and potential consequences of and alternatives for
1.7such psychological, mental health, or socioemotional screening, evaluation, examination,
1.8or testing and acknowledge and sign the following statement which may be revoked
1.9any time by the parent or legal guardian:
1.10 (1) I understand that my child has been referred to be screened for an emotional,
1.11behavioral, or mental disorder, a specific learning disability, or other health impairment,
1.12that may lead to psychological or psychiatric evaluation. The screening, testing,
1.13examination, evaluation may ultimately result in the diagnosis of a "mental disorder" or
1.14"syndrome" which is based on the observation and subjective interpretation of my child's
1.15behavior as reported by teachers, psychologists, psychiatrists, or others.
1.16 (2) I understand that, unlike most medical diagnostic methods, a diagnosis of mental
1.17disorder or syndrome, including, but not limited to, attention deficit hyperactivity disorder
1.18(ADHD), bipolar disorder, and depression, is not based on any medical test, such as a
1.19brain scan, chemical imbalance test, X-ray, biopsy, blood test, or urinalysis, that can
1.20scientifically detect a physical abnormality in an infant, child, adolescent, or adult.
1.21 (3) I understand that if my child is diagnosed or labeled with any mental disorder
1.22or syndrome, treatment may include prescriptions for psychotropic or psychiatric
1.23medications, such as antidepressants or stimulants, which may have side effects and
1.24uncertain effectiveness.
1.25 (4) Most antidepressants are not approved for children by the Food and Drug
1.26Administration, and all antidepressants and the ADHD drug Straterra contain warnings
1.27of suicide risk in children. The Food and Drug Administration has also issued warnings
2.1that stimulants often prescribed for children may cause suicidal and psychotic behavior or
2.2sudden death due to heart failure.
2.3 (5) I understand that I have the right to be informed of all the known side effects
2.4of any recommended drug, including the current information concerning the drug in
2.5the Physicians' Desk Reference.
2.6 (6) I understand that I may request full information on the short-term and long-term
2.7benefits and risks of a drug, any interactions the drug has with other medications, the
2.8length of time my child will need to take the drug, and all of the up-to-date accumulation
2.9of adverse reaction reports of the drug from the FDA. I understand that psychotropic or
2.10psychiatric drugs may be addictive and could cause dependency.
2.11 (7) I understand that physical problems such as poor nutrition, exposure to toxins,
2.12including lead poisoning, or allergies and other medical conditions can cause emotional,
2.13behavioral, or mental symptoms and that these causes may be detectible through medical
2.14examination, including, but not limited to, blood testing.
2.15 (8) I understand that there are alternatives to psychotropic or psychiatric drug
2.16treatment and that I should ask the evaluation personnel and my physician about such
2.17alternatives. I understand that it is my responsibility to make an informed decision on
2.18behalf of my child. I understand that I may with draw my permission for psychiatric
2.19screening, evaluation, examination, testing, or treatment at any time.
2.20 (9) I acknowledge that I have read and understood the above information and, based
2.21on my understanding, I hereby:
2.22 (i) Give my full and informed consent for my child to undergo psychiatric,
2.23socioemotional, or mental health screening, evaluation, examination, or testing.
2.24
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2.25
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(Signature of Parent or Legal Guardian)
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2.26 (ii) Do not give my consent for my child to undergo psychiatric, socioemotional, or
2.27mental health screening, evaluation, examination, or testing.
2.28
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2.29
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(Signature of Parent or Legal Guardian)"
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