She was prescribed a combination of Clonidine (for ADHD/sleep), Depakote (a mood stabilizer), and Seroquel (an antipsychotic).

Before her death, school staff and social workers described Rebecca as a "floppy doll" who was often too lethargic to walk up stairs or hold a crayon.

The case highlighted major failures in the Massachusetts Department of Social Services (DSS), which had received multiple unaddressed reports of abuse and overmedication in the Riley home. Legacy in Psychiatry Rebecca Riley's death remains a cautionary tale regarding: