The State Police investigator's report in this case said psychiatrist Dr Kayoko Kifuji, at the Tufts-New England Medical Center, prescribed 3 medications for Rebecca: 750 milligrams a day of Depakote; 200 milligrams a day of Seroquel; and .35 milligrams a day of clonidine.

Rebecca was given Seroquel, for bipolar disorder, a drug only approved to treat adults with schizophrenia or bipolar, Clonidine, for attention deficit disorder, a drug approved only to treat adults with high blood pressure, and Depakote, an anti-convulsant drug approved to treat epilepsy in adults.

She was kept on this 3-drug cocktail since she was 2 and a-half-years-old, until she was found dead on the floor of her parent's home on December 13, 2006. At the time of her death, there were also over-the-counter cold medications in her system including Children's Tylenol Cough and Runny Nose, which contain acetaminophen, dextromethorphan and chlorpheniramine.

According to a report by investigators, Rebecca's teachers and a school nurse repeatedly complained about the child's extreme lethargy and how she seemed better when the drugs wore off, and the nurse also pointed out that Rebecca did not exhibit the kind of behavior that might justify prescribing these types of drugs.

A therapist who treated the children also told investigators she was concerned about the medications prescribed to Rebecca because she never noticed symptoms of attention deficit or bipolar disorder.

A state trooper's affidavit said a Walgreen's pharmacy filled a number of clonidine prescriptions for the Riley's when they should have had an ample supply and that several times, Dr Kifuji approved extra pills because Carolyn Riley said she had run out or lost her supply.

Carolyn Riley told investigators that Dr Kifuji had authorized the extra doses to help Rebecca get to sleep, the affidavit said. The trooper also reported that Dr Kifuji received calls from a therapist and a nurse at Elden Johnson Early Childhood Center, where Rebecca was a student, saying they were concerned about her medication.

The affidavit shows that no testing was conducted on Rebecca in making the diagnosis of attention deficit or bipolar disorder and that Dr Kifuji said she diagnosed Rebecca based on the parents' statements and "brief visits" in her office as frequently as twice a month and as seldom as once every two months.

In July 2006, a social worker treating Rebecca filed a complaint with the agency reporting that Carolyn Riley was "neglecting her children" and "appeared heavily drugged and unable to respond" on one of her visits to the family home.

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