THE WHITE HOUSE
WASHINGTON
May 2, 2000
Ms. Sharon Kilday
Oldham, Lancashire
Dear Ms. Kilday:
Thank you for expressing interest in the Clinton Administration's work to ensure that
children with emotional and behavioral problems get the diagnosis and treatment they need. I
was very concerned when I learned of the recent increase in the prescription of stimulants and
antidepressants to preschoolers, despite a lack of information about the safety and efficacy of
these drugs for young children. As you know, I recently held a meeting with health and
education experts to discuss what more we can do to ensure that children with emotional and
behavior conditions are appropriately diagnosed, treated, monitored, and managed by qualified
professionals.
One of the most important things we can do is give parents of children with emotional
and behavioral problems the information they need to help them make the right decisions about
their children's treatment for these conditions. That is why the National Institutes of Mental
Health (NlMH) developed an information guide for parents on treating young children with
emotional and behavioral problems. I am enclosing a copy and hope you find it helpful.
At this recent meeting, I was pleased to announce a series of steps the Administration will
take to address our lack of knowledge about the effects of these drugs on our children. NIMH
will conduct a landmark study examining attention deficit hyperactivity disorder (ADHD) and
Ritalin use among preschoolers. In addition, the Food and Drug Administration announced that
they will begin a process to determine what dosages are appropriate for very young children and
what they can do to improve drug labeling for very young children. Finally, the Office of the
Surgeon General will coordinate a national conference to be held this Fall on the treatment of
children with behavioral and mental disorders, which will bring together experts from the
Administration, parents, advocates, educators, researchers, healthcare professionals and
consumers. It will help us develop long term strategies that each of us can use to help young
people get the childhood and chance in life that they all deserve.
Thank you again for your concerns about this issue that is so critical to our nation's
children.
Sincerely yours,
Hillary Rodham Clinton