April 04, 2008

The Bipolar Child: Riley's Parents Sue Psychiatrist

The parents of Rebecca Riley, the four-year-old Massachusetts girl diagnosed with ADHD and alleged child bipolar disorder who died in 2006 from an overdose of psych meds, have sued the psychiatrist who made the diagnoses and wrote prescriptions for the girl.

"A medical malpractice suit filed yesterday asserts that a Tufts Medical Center psychiatrist who diagnosed the girl as bipolar when she was 28 months old and then treated her for two years with a regimen of powerful drugs is to blame for her death.

"'This child was subject to mostly telephone prescriptions and a slipshod diagnosis,' said Boston lawyer Andrew C. Meyer Jr., who represents Rebecca Riley's estate and filed the suit against Dr. Kayoko Kifuji in Suffolk Superior Court.

"Six weeks before Rebecca Riley was found dead on Dec. 13, 2006, in a Hull house shared by her parents and other relatives, a nurse at her Weymouth preschool warned Kifuji that she suspected the child was overmedicated because she was often too tired to participate in school activities and appeared like a 'floppy doll,' according to Meyer. Kifuji did not reduce her medication after examining the child, he said.

"'They made her a 4-year-old zombie,' said Meyer, whose Boston law firm Lubin & Meyer specializes in medical malpractice cases. 'We don't believe that she did suffer from bipolar or that this was the appropriate medication.'"

Riley's parents continue to await trial on second-degree murder charges. They are being held in jail without bail. I continue to be outraged by the behavior of the prosecutors in this case, who apparently believe that the Rileys are a danger to the community. That's simply bizarre, since I think the chances of them giving psych meds to any more kids is pretty limited at this point.

Their trial date has still not been set. Prosecutors are appealing a ruling by the trial judge who tossed out first-degree murder charges--premeditated murder.

Previous coverage of the Riley case is here.

Posted by Philip Dawdy at April 4, 2008 09:21 AM
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Comments

I'm not saying that the psych doc responsible for the dx and rx of rebecca wasn't hugely at fault. But somehow I don't have much sympathy for parents who had all their kids on psych meds and who overdosed their own child, giving her dosages that she was not even prescribed. They really should be held accountable for this, not just get away with suing the doctor.

Posted by: Adam Korvin at April 4, 2008 10:05 AM

my personal feeling is that her parents killed her. they were medicating her into oblivion to keep her quiet. the doctors of course are also at fault and are flaming morons, but i believe her parents murdered her.

Posted by: anon mom at April 4, 2008 10:56 AM

Well I guess I'm not sure the Rileys should be held in jail without bail but I have read they are both pretty heavily medicated themselves and I'm not sure they were exactly following doctor's instructions when they were giving meds to Rebecca. As bad as the doctor's instructions probably were I'm guessing her parents made it even worse. I'm not saying they were deliberately trying to harm her but they were incredibly stupid and selfish, trying to preserve their own peace and quiet rather than help Rebecca. That's my read on it. I might be wrong.

Posted by: Sara at April 4, 2008 11:29 AM

Bi-polar at 28 months old?? You've got to be kidding me. However, whats more disturbing is the fact that this child's parents took the poor baby to a psych doctor at 28 months old to be evaluated for bi-polar disorder and ADHD. So many people these days are too quick to diagnose a bored and rammy child as ADHD. Whatever happened to just accepting "the terrible twos". The story is just sad all around.

Posted by: Amber Tardiff at April 4, 2008 11:45 AM

My question is why the parents had a psychiatrist evaluate her when she was 28 months old. Even if my child's behavior was bizarre, I'd probably be consulting a pediatrician at that age. Unless the pediatrician recommended a psychiatrist. Even then I'd be skeptical to hand my child psych meds.

Posted by: Marissa at April 4, 2008 12:14 PM

I hope justice is served, because it is the prescribing doctor who gave those medications to Rebecca, and to diagnose a 2 year old with bipolar or anything else and be placed on those drugs is negligent in duty, and was reckless endangerment of a little girl's life; which killed her. To keep the parents in jail due to being a threat to society is the most enraging and absurd thing I have ever heard of, we talk about civil liberties for psych patients; where the hell are the rights of these parents? regardless of people's opinion of who was in charge of Rebecca and who dosed out the medications etc., how they can be a danger to the public is beyond me.

I hope Rebecca's case enlightens the dangers of these medications being used in young children, because not one of the medications Rebecca was taking is approved for children, not one.

The PBS Frontline program "The Medicated Child" should be viewed [available online]as a reminder.

Just my opinion.

Posted by: Stephany at April 4, 2008 12:43 PM

Hmm. Rebecca's parents aren't the ones suing, it is her estate and if there is a settlement it will go to her surviving siblings, not her parents.

This isn't black and white, either the psychiatrist or the parents, all are at fault. The father was not supposed to even be in the home, he was under orders to stay out due to abuse charges against his children and the mother let him come and stay home. Also the brother says he told his parents to take his sister to the doctor before she died and they did not. Negligence for sure. These parents were involved with child protective services before any of this happened, now their daughter is dead and their other children are in foster care. I would add Child Protective Services as a 3rd party at fault but one never wins that one. They should have known how dangerous her situation was.

Posted by: Alison Hymes at April 4, 2008 06:23 PM

I got a piece from someone today who suggested the parents' motivation was to get her, and perhaps the other kids, on SSI disability. It has become, for low income families, a replacement for what used to be Welfare. I remember when the program initially started up hearing of parents in Philadelphia coaching their kids on how to act ADD to be deemed eligible for the payments. Terrible, but people who are poor do get desperate in some very tragic ways.

Posted by: Sorrowful at April 4, 2008 06:25 PM

It's amazing to me that people still talk about the Rileys as if they were not known child abusers. As child abusers there's nothing unusual about what the Rileys did to Rebecca; and comparing them to normal people is apple/orange-like. Parents who abuse their kids are into homicide.

Posted by: flawedplan at April 4, 2008 09:46 PM
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