The use of psychotropic medications in young children: the facts, the controversy, and the practice.

There has been recent concern by the public and physicians alike over reports that increasing numbers of young children are being prescribed psychotropic medications. The report by Zito and colleagues addressing this subject that appeared in the 23 February 2000 issue of JAMA sparked enormous controversy and was the impetus for a White House Conference just one month in its wake (20 March 2000). State and federal agencies have considered legislation to regulate the practice of prescribing psychotropic medications to preschool children. Special aspects of the use of psychotropic medication in preschool children are reviewed, with recommendations for evaluation and treatment decisions. The need for data and research in this area is highlighted.