I stand adamantly in agreement with Mr. Cochran's proposal. As an RN working in Psychiatry, I am aware that informed consent requirements are not foolproof, but they are at least a reasonable beginning in assuring patient safety and self-empowerment. At a minimum, any psychotropic medication given to a child must must be discussed thoroughly with their parents or guardians, reasonable risks and benefits explained, and informed consent obtained in writing. Even more urgent is the need for informed consent for off-label use of drugs such as Cytotec in Obstetrics. Here the risks are so severe and the horror stories so compelling that most reasonable patients would probably refuse the drug if they were objectively informed. Thank you, Bill Hoyer, RN