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World Needs “Revolution” in Mental Health Care, U.N. Health Rights Expert Reports

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Human Rights group says overhaul of psycho-pharmaceutical industry should begin with investigation into the drugging of 6 to 12 year olds

By CCHR International
Mental Health Industry Watchdog
June 13, 2017

A United Nations Health Rights expert, Dr. Dainius Pūras, has issued a report calling for mental health care to move away from a biomedical (drug) model. The mental health industry watchdog Citizens Commission on Human Rights says the drug model has led to 8.4 million children — 1 million aged five or younger — being prescribed psychiatric drugs in the U.S. alone.

The United Nations Special Rapporteur on the right to health, Dr. Dainius Pūras, has called for a revolution in mental health care around the world to “end decades of neglect, abuse and violence,” he said after presenting his latest report to the U.N. Human Rights Council in Geneva.[1] “There is now unequivocal evidence of the failures of a system that relies too heavily on the biomedical model of mental health services, including the front-line and excessive use of psychotropic medicines, and yet these models persist,” Dr. Pūras, head of the Centre for Child Psychiatry Social Pediatrics at Vilnius University, Lithuania, said.

Between 2007 and 2011, Dr. Pūras also served as a member of the U.N. Committee on the Rights of the Child (UNCRC), which held hearings on the increasing rate of children being labeled with Attention Deficit Hyperactivity Disorder (ADHD) and drugged with psychostimulants.[2]

Mental health watchdog Citizens Commission on Human Rights (CCHR) presented submissions to the UNCRC warning about the massive prescribing of psychotropic drugs to children in fourteen countries.[3] In response to the report submitted to one country, the U.N. body strongly recommended the establishment of a system for the “monitoring of the excessive use of psychostimulants to children.” The UNCRC was critical of the “medicating” of children “without expressly examining root causes or providing parents and children with alternative support and therapy.”[4] CCHR says a mental health “revolution” should start with an investigation into the more than one million 0-5 year olds prescribed psychiatric drugs, including 188,899 given stimulants in the U.S. An additional 4.1 million 6- 12-year-olds are also on psychiatric drugs, according to information obtained from IMS Health.

In his recent report, Mr. Pūras warns that power and decision-making in mental health are concentrated in the hands of “biomedical gatekeepers,” particularly those representing biological psychiatry.[5] CCHR’s submissions to the UNCRC had raised concerns about this biomedical emphasis.

The U.S. has one of the highest rates in the world of children prescribed psychostimulants, with 4.4 million children and adolescents on the drugs.

The United States has one of the highest rates in the world of children prescribed psychostimulants, with 4.4 million children and adolescents on the drugs.[6] In May, QuintilesIMS Institute released the 2016 U.S. ADHD drugs sales and prescription information. ADHD drugs were the 13th highest class in prescriptions at 91 million, up 4.6 percent from 87 million in 2015 and nearly 20 percent from 76 million prescriptions in 2012. Sales of ADHD drugs were $11.2 billion in 2016.[7]

CCHR says the reliance upon the biomedical model is putting children at risk. A study published online in March 2017 in the Journal of Child Psychology and Psychiatry found that ADHD drugs such as methylphenidate and amphetamine-dextroamphetamine are not only ineffective in long-term treatment of “ADHD symptoms” but also can suppress growth if taken into adulthood.[8] Other adverse effects reported to the Food and Drug Administration (FDA) are recorded on CCHR’s psychiatric drugs side effects database.

A “Revolutionary” Approach to “ADHD”

According to the watchdog group, the U.S. should look to approaches overseas, in particular Western Australia and Dr. Martin Whitely, former Member of Parliament (MP) and teacher who challenged the monitoring of psychostimulants given children in his state. In 2012, Allen Francis, a U.S. Duke University professor of psychiatry emeritus, writing in The Huffington Post said that Martin Whitely “offers a proven public health cure for this false ‘epidemic’ of diagnosis and treatment [of ADHD], one that has already worked wonders in his native state of Western Australia.” The MP’s work caused a massive downturn in child prescribing rates after calling for greater accountability of psychostimulant prescriptions to children. “The resulting more rigorous and independently administered accountability resulted in a dramatic and sustained (60-70 percent) fall in child ADD prescribing numbers,” Dr. Whitely stated.[9]

Dr. Whitely helped in the release of a groundbreaking study on the long-term outcomes associated with stimulants in the treatment of ADHD. Known as the Raine study, researchers tracked children from birth to age 14 in Western Australian (WA). Published in February 2010, it provided the world’s first independent data on the long-term effects (eight years) of psychostimulants prescribed to treat “ADHD.” It found that amongst children who had been diagnosed with ADHD, those “medicated” with stimulants had significantly worse outcomes than those “never medicated.” Specifically those drugged were 10.5 times more likely to be failing school than those never drugged. Researchers also found that stimulants may predispose children to the risk of heart attacks and stroke.[10]

Like many experts, Whitely points to the subjective means of diagnosing ADHD that underlies the epidemic of child drugging, saying that “ordinary behaviors like losing things, fidgeting, being forgetful, distracted or impulsive are turned into symptoms for concocted ‘disorders’ like ADHD. They are not symptoms, they are behaviors; perfectly normal behaviors, especially for children. In some cases they may require some attention, love and/or discipline, but they don’t require amphetamines.”[11]

This subjectivity has also raised criticism within psychiatry itself. In 2013, Professor Frances, who was former head of the American Psychiatric Association’s Diagnostic and Statistical Manual for Mental Disorders (DSM) IV Task Force, said the manual and new drugs that were aggressively marketed were responsible for rates of ADHD that tripled in the United States over 15 years.[12] He called it a “false epidemic” of ADHD.[13] The most recent APA manual says: “No biological marker is diagnostic for ADHD.”[14]

After leaving politics, Dr. Whitely completed his Ph.D. thesis in 2014 at the John Curtin Institute of Public Policy in Western Australia on the subject of ADHD policy and practice in Australia.[15] He has also written the book “Speed Up and Sit Still: The Controversies of ADHD Diagnosis and Treatment.”

In 2016, a series regarding the “future of mental health” published in Psychology Today, included an interview with Dr. Whitely, who stated: “Psychiatric diagnoses rarely involve identifying a cause and virtually never involve finding a cure.”[16] A key to “changing the dominant ‘label and drug’ paradigm,” he recommended, “is confronting the disease mongers and debunking their pseudoscience. Another key is to demand from our politicians that our regulators are independent and guided by robust science.”[17]

The article further quoted Dr. Whitely: “Drugging distracted kids with amphetamines and similarly dangerous drugs is disgraceful. Twenty years from now adults will look back and wonder what their parent’s generation was thinking.”[18]

In January 2017, a study published the findings of a research team led by Dr. Whitely which analyzed data from 311,384 West Australian students aged 6 to 10 and 11 to 15. Of these, 5,937 received psychostimulants or other ADHD drugs. Among kids aged 6-10, those born in June, the last month of the recommended school intake, were twice as likely to have been given ADHD drugs as those born in July, the first month of the recommended intake. A similar difference was found in the 11-15 age group. “Similar findings in North America indicated that developmental immaturity is mislabeled as a mental disorder and unnecessarily treated with stimulant medication,” the researchers reported in Medical Journal of Australia.[19] In 2016, Dr. Whitely said, “Nothing demonstrates what a nonsense diagnosis ADHD is better than the now well-established late birthdates effects. Four (soon to be five) large-scale international studies have established that children who are born in the later months of their school year cohort are far more likely to be labeled ADHD and drugged than their older classmates.”[20]

Dr. Whitely is aware of the need for more public awareness, pointing to “the most influential exposé of psychiatric excess in the 1970s was One Flew over the Cuckoo’s Nest. We need similar exposés that both entertain and educate,” he said.[21] With that, he and a talented young Australian film maker Ben Kosterich and others produced the “mockumentary,” ADHD is BS (Behavioral Science). The mockumentary uses entertainment to educate that there is no biological marker to diagnose ADHD and the criteria are so broad as to enable any child to be diagnosed with the “disorder.”[22]

CCHR says that U.S. legislators could learn from Dr. Whitely’s experience. “For most politicians, mental health is a mysterious field. Many believe we need to do something about mental health; however, very few have any concept of what needs to be done. As a consequence, they rely heavily on ‘experts’ for advice. This is standard practice as politicians can’t be experts in everything they are required to make decisions about,” Dr. Whitely said.[23]

CCHR says a national inquiry is needed into the high numbers of American children, especially those younger than 12, being prescribed psychotropic drugs. CCHR was instrumental in obtaining the 2004 Federal Child Medication Safety amendment, which gives parents the right to refuse psychiatric drugs for their children as a provision for attending school. They want to see the law expanded beyond the education system and for governments to act on a UNCRC recommendation to “put a stop to the practice of labeling of children as ‘having a psychiatric problem,’ in cases that are not validated by medical evidence.”[24] This would be a start to reverse what Dr. Pūras describes as “a failure to integrate evidence and the voices of those most affected into policy, and a failure to respect, protect and fulfill the right to health.”[25]

References:

[1] “World needs ‘revolution’ in mental health care – UN rights expert,”http://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=21689&LangID=E#sthash.MMIxDbIx.dpuf; http://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=21689&LangID=E.

[2] http://www.ohchr.org/EN/Issues/Health/Pages/SRBio.aspx

[3] The countries were Australia, Belgium, Canada, Finland, Germany, The Netherlands, Japan, Norway, Russia, Sweden, Denmark, Iceland, Spain, and Switzerland.

[4] “Consideration of reports submitted by States parties under article 44 of the Convention,” UNCRC, 17 Sept. – 5 Oct. 2012, P. 15, http://rightsofchildren.ca/wp-content/uploads/Canada_CRC-Concluding-Observations_61.2012.pdf.

[5] “World needs ‘revolution’ in mental health care – UN rights expert,”http://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=21689&LangID=E#sthash.MMIxDbIx.dpuf; http://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=21689&LangID=E.

[6] https://www.cchrint.org/psychiatric-drugs/children-on-psychiatric-drugs/

[7] “Medicines Use and Spending in the U.S.: A Review of 2016 and Outlook to 2021” Quintiles IMS Institute, May 2017, p. 37.

[8] https://www.cchrint.org/2017/04/05/study-shows-long-term-use-of-adhd-drugs-ineffective-as-treatment-but-do-cause-growth-suppression/; Swanson JM, et al., “Young adult outcomes in the follow-up of the multimodal treatment study of attention-deficit/hyperactivity disorder: symptom persistence, source discrepancy, and height suppression,” J Child Psychol Psychiatry, 10 Mar 2017, https://www.ncbi.nlm.nih.gov/pubmed/28295312.

[9] Allen Frances, “Taming the ADD Epidemic,” Huffington Post, 31 Oct. 2012, http://www.huffingtonpost.com/allen-frances/add-epidemic-_b_1293556.html.

[10] ttp://www.health.wa.gov.au/publications/documents/MICADHD_Raine_ADHD_Study_report_022010.pdf; http://speedupsitstill.com/2011/02/20/raine-study-review-one-year-on/.

[11] Eric R. Maisel Ph.D., “Martin Whitely on ADHD: On the future of mental health,” Psychology Today, 22 Mar. 2016, https://www.psychologytoday.com/blog/rethinking-mental-health/201603/martin-whitely-adhd.

[12] “Does your child really have a behaviour disorder? A shocking book by a leading therapist reveals how millions of us – including children – are wrongly labeled with psychiatric problems,” Daily Mail, 6 May 2013, http://www.dailymail.co.uk/health/article-2320493/Does-child-really-behaviour-disorder-A-shocking-book-leading-therapist-reveals-millions–including-children–wrongly-labelled-psychiatric-problems.html#ixzz2SciDb8UA.

[13] Winston Chung, “Be prudent in diagnosing, medicating ADHD,” San Francisco Chronicle, 14 May 2013, www.sfgate.com/health/article/Be-prudent-in-diagnosing-medicating-ADHD-4477451.php.

[14] Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5), (American Psychiatric Association, Arlington, VA 2013), p. 61.

[15] http://speedupsitstill.com/wp-content/uploads/2015/11/Martin-Whitely-PhD-Thesis-Copy-ADHD-and-Regulatory-Capture-in-Australia-PDF1.pdf.

[16] Op. cit., Eric R. Maisel, Ph.D., https://www.psychologytoday.com/blog/rethinking-mental-health/201603/martin-whitely-adhd.

[17] Ibid.

[18] Ibid.

[19] http://www.mentalhealthexcellence.org/adhd-children-may-be-immature/.

[20] Op. cit., Eric R. Maisel, Ph.D.

[21] Ibid.

[22] http://www.adhdisbs.com/adhd-facts/

[23] Op. cit., Eric R. Maisel, Ph.D.

[24] United Nations Convention on the Rights of the Child, Concluding observations on the combined third and fourth periodic reports of Germany, CRC/C/DEU/CO/3-4, 25 Feb 2014, http://tbinternet.ohchr.org/_layouts/treatybodyexternal/Download.aspx?symbolno=CRC/C/DEU/CO/3-4&Lang=En.

[25] “World needs ‘revolution’ in mental health care – UN rights expert,”http://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=21689&LangID=E#sthash.MMIxDbIx.dpuf; http://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=21689&LangID=E.


Greater Protections Needed for the Elderly Against Psychotropic Drugs and Electroshock

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CCHR reviews U.S. antipsychotic reduction program for nursing home residents

By CCHR International
Mental Health Industry Watchdog
June 21, 2017

Following a United Nations Health report this month that recommends mental health care moving away from the biomedical model, CCHR reviews the U.S. plan to reduce the 1 in 5 elderly in nursing homes being drugged with antipsychotics while tens of thousands are also electroshocked. The group is calling for more protections for the elderly.

The Journal of the American Medical Association (JAMA) published a study on June 15, 2017 reporting on the progress of the U.S. plan launched by the Center for Medicare and Medicaid Services (CMS) in 2012 to reduce antipsychotic drug use in nursing home residents.[1] There has been a 33 percent relative reduction (from 23.9 to 16.0 percent) in the prevalence of antipsychotic use among long-term nursing home residents over the past five years.[2] However, the mental health industry watchdog, Citizens Commission on Human Rights International (CCHR), said that with an estimated 270,000 nursing home residents still potentially given antipsychotics, usually to suppress behavior issues that can go with Alzheimer’s disease and dementia, greater initiative and protections are needed.[3] CCHR is also concerned by figures released by Medicare, the primary source of insurance coverage for individuals over the age of 65 that show more than 125,500 ECT treatments were delivered in one year.[4]

Federal law prohibits the use of antipsychotics and other psychoactive drugs for the convenience of staff, often called “chemical restraint.”[5] AGovernment Accountability Office (GAO) report released in March 2015 found a high number of antipsychotic prescriptions was still a major concern since the Food and Drug Administration (FDA) had warned that antipsychotics can increase the risk of death for certain people with dementia. “While a large proportion of prescriptions for antipsychotic drugs in this population are used to treat behavioral symptoms, these drugs are not approved for this use, and antipsychotic drugs have health risks,” according to the GAO.[6] The officials noted that while the Department of Health and Human Services (HHS) had taken steps to address the use of these drugs in nursing homes, more outreach was needed educate people about the hazards of prescribing them.[7]

“The misuse of antipsychotic drugs as chemical restraints is one of the most common and long-standing, but preventable, practices causing serious harm to nursing home residents today,” – Toby Edelman, Attorney, Center for Medicare Advocacy in Washington, D.C.

“The misuse of antipsychotic drugs as chemical restraints is one of the most common and long-standing, but preventable, practices causing serious harm to nursing home residents today,” noted Toby Edelman, an attorney at the Center for Medicare Advocacy in Washington, D.C.[8]

In 2011, the Inspector General of HHS released a report titled “Medicare Atypical Antipsychotic Drug Claims for Elderly Nursing Home Residents.” It focused on “atypical” (newer) drugs administered to residents 65 and older who spent more than 100 days in a nursing home and billed costs to Medicare over a six-month period. It found that 83 percent of the claims were for “off-label” conditions — or those not medically approved; 88 percent were related to dementia — a use specifically warned against in an FDA black box warning.[9] The CMS program to reduce antipsychotic use was then launched in March 2012.

Bringing this to national attention in January 2017 was the AARP Texas report called “Intolerable Care: A snapshot of the Texas nursing home crisis,” which said CMS ranks Texas at 41 among the nation’s worst offenders in administering antipsychotics.[10] AARP called for greater federal and state sanctions against nursing home facilities that violate regulations and resident protections.

The Center for Medicare Advocacy, a nonprofit law organization, analyzed the continued overuse of antipsychotics in nursing homes. It found that in 2016, more than 270,000 nursing home residents were still being liberally drugged. The Center decried it as elder abuse and “a national scandal.”[11]

Medicare Part D, a prescription drug program, paid roughly $363 million in 2012 for antipsychotic drugs prescribed for older adult Medicare Part D enrollees with dementia, according to the GAO report.[12] Quetiapine fumarate, risperidone and olanzapine were the most commonly prescribed antipsychotics for older adults with dementia comprising approximately $246 million in plan payments. Quetiapine fumarate accounted for 146,868 elderly or 48.7 percent of the antipsychotic prescriptions, costing $158 million. Risperidone was given to 100,108 people, representing 33.2 percent and $24 million[13]

Adverse effects

  • In 2005, the FDA recognized the risks associated with atypical antipsychotics and required them to have a boxed warning, citing a higher risk of death related to use among those with dementia and in 2008, extended the warning to older antipsychotics.[14]
  • The powerful drugs, acting alone and in interaction with other drugs, have a long list of common side effects — including tremors, anxiety, confusion, insomnia, immobility, delirium, kidney and heart failure, and violent behavior. Another common effect, over-sedation, often greatly increases the risks of falls and fractures. And in some people, those diagnosed with Alzheimer’s and other types of dementia, psychoactive drugs can even cause death. [15]
  • Atypical antipsychotics are so dangerous in the elderly with dementia, at least 15,000 die in nursing homes from them each year, charged FDA drug reviewer David Graham in congressional testimony in November 2004.[16]
  • There have been 44 warnings issued by regulatory agencies in eight countries (U.S., Canada, Australia, New Zealand, UK, Ireland, Denmark and South Africa) about the use of antipsychotics causing heart problems, weight gain, diabetes, mania, and death or increased risk of death.  Of these, 11 specifically warn about the use of antipsychotic drugs in the elderly with dementia or dementia-related psychosis because of their increased risk of stroke and/or death.[17]
  • Benzodiazepines (sedative hypnotics) are also prescribed to the elderly and have been linked to increasing the risk of dementia. A study published by the journal BMJ reported that a team of researchers from France and Canada had linked benzodiazepine use to an increased risk of being diagnosed with Alzheimer’s disease. In the study, the greater a person’s cumulative dose of benzodiazepines, the higher his or her risk of Alzheimer’s. “Benzodiazepines are risky to use in older people because they can cause confusion and slow down mental processes,” said Dr. Anne Fabiny, chief of geriatrics at Harvard-affiliated Cambridge Health Alliance. Taking the drugs for three to six months raised the risk of developing Alzheimer’s by 32 percent, and taking it for more than six months boosted the risk by 84 percent.[18] “Unwarranted long term use of these drugs should be considered as a public health concern,” researchers concluded.[19]

Electroshock Harms Elderly

“ECT is especially devastating to the vulnerable brain and body of the elderly….As would be predicted based on the fragility of the older brain, ECT causes more severe brain dysfunction in the elderly.” – Ethical Human Psychology and Psychiatry

In addition to high psychotropic drug prescriptions given the elderly, the use of electroshock therapy, also known as ECT, that sends up to 460 volts of electricity to the brain, is still used on the elderly. Medicare reported over 21,260 people given electroshock in 2014. More than 125,500 ECT treatments were delivered.[20] Between 2012 and 2014, the program paid $29.6 million to physicians (not including anesthesiologists that render the patient unconscious before treatment) for administering and monitoring ECT.

ECT usage is likely much higher given that one Florida facility alone treats approximately 125 patients a year with electroshock, including those in their 90s, at a cost of  $1,000-$2,500 a treatment—or potentially up to $2.5 million a year, if each was given eight treatments.[21]  There are over 400 psychiatric facilities in the U.S. that administer ECT and the electroshock industry is estimated up to $2 billion a year in the U.S. The treatment is considered by many to be dangerous with CCHR posting an online petition against its use.

In 2011, Ethical Human Psychology and Psychiatry reported “ECT is especially devastating to the vulnerable brain and body of the elderly….As would be predicted based on the fragility of the older brain, ECT causes more severe brain dysfunction in the elderly.”[22]

The FDA reports that potentially significant adverse events associated with ECT include “cardiac ischemia [insufficient blood supply and oxygen to the heart], cardiac arrhythmias [abnormal heart rhythm], prolonged apnea [breathing stops and starts] and even death.”[23]

AARP Texas points out that “The state has a duty to ensure that our most vulnerable citizens, including the elderly and individuals with disabilities, are treated in a manner that protects their health and safety and preserves their quality of life.” Nursing homes, it says, are regulated by the state and federal governments for these purposes. The federal government can level sanctions against those homes that violate such regulations. The AARP report says those sanctions “need to be significant enough to serve as a deterrent to future violations.”[24]

This is important given that this month, the United Nations Special Rapporteur on the right to health, Dr. Dainius Pūras, called for a revolution in mental health care around the world to “end decades of neglect, abuse and violence.”[25]​

Cecilia Cavuto with the Department of Aging and Disability Services also provides good advice, CCHR says, “By eliminating antipsychotics we’re improving the health of the residents and by providing providers with alternate tools and therapies we’re providing better care as well,” Ms. Cavuto said.[26]  For the protection of the elderly, those alternatives must also exclude the use of electroshock, which CCHR continues to call to be banned. It also encourages people to become better informed about treatment adverse effects and report any violations and abuses in nursing homes or behavioral facilities. Psychiatric abuse can be reported to CCHR here.​

As a nonprofit mental health watchdog, CCHR relies on memberships and donations to carry out its mission to eradicate psychiatric violations of human rights and clean up the field of mental health. Become part of the world’s largest human rights movement that has helped enact more than 180 laws protecting citizens from abusive mental health practices.

 

 

References:

[1] http://www.todaysgeriatricmedicine.com/enewsletter/enews_0116_01.shtml

[2] Jerry H. Gurwitz, MD; Alice Bonner, PhD, RN; Donald M. Berwick, MD, MPP, “Reducing Excessive Use of Antipsychotic Agents in Nursing Homes,” JAMA, June 15, 2017. doi:10.1001/jama.2017.7032; http://jamanetwork.com/journals/jama/fullarticle/2633274

[3] http://www.npr.org/sections/health-shots/2014/12/08/368524824/old-and-overmedicated-the-real-drug-problem-in-nursing-homes; 42 C.F.R. PART 483—REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES Title 42 – Public Health [iii] “Nursing Home Residents with Alzheimer’s: Drugged to Death?” Senior Care Advice, 4 Nov. 2016, https://seniorcareadvice.com/nursing-home-residents-with-alzheimers-drugged-to-death.htm

[4] Medicare Provider Utilization and Payment Data: Physician and Other Supplier, Centers for Medicare and Medicaid Services, CY 2012 through CY 2014, https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-provider-charge-data/physician-and-other-supplier.html.

[5] http://www.npr.org/sections/health-shots/2014/12/08/368524824/old-and-overmedicated-the-real-drug-problem-in-nursing-homes; 42 C.F.R. PART 483—REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES Title 42 – Public Health [v]

[6] P. 4, http://www.gao.gov/products/GAO-15-211; http://www.gao.gov/assets/670/668221.pdf.

[7] Alexandra Sifferlin “Antipsychotics Frequently Prescribed to Adults with Dementia Despite Risks,” TIME, 2 Mar. 2017, http://time.com/3728312/antipsychotics-dementia/.

[8] “Antipsychotics in Nursing Homes: These dangerous medications are prescribed at an alarming rate without the patient’s consent,” AARP, Aug. 2004, http://www.aarp.org/health/drugs-supplements/info-2014/antipsychotics-overprescribed.html.

[9] https://seniorcareadvice.com/nursing-home-residents-with-alzheimers-drugged-to-death.htm.

[10] “Reform intolerable care in Texas nursing homes,” Express-News, 3 April, 2017, http://www.mysanantonio.com/opinion/commentary/article/Reform-intolerable-care-in-Texas-nursing-homes-11047332.php; http://states.aarp.org/wp-content/uploads/2017/01/INTOLERABLE-CARE.pdf.

[11] “Nursing Home Residents With Alzheimer’s: Drugged to Death?,” Senior Care Advice, 4 Nov. 2016, https://seniorcareadvice.com/nursing-home-residents-with-alzheimers-drugged-to-death.htm.

[12] http://www.gao.gov/products/GAO-15-211, P. 10; http://www.gao.gov/assets/670/668221.pdf.

[13] P. 20, http://www.gao.gov/products/GAO-15-211; http://www.gao.gov/assets/670/668221.pdf.

[14] P. 8, http://www.gao.gov/products/GAO-15-211; http://www.gao.gov/assets/670/668221.pdf.

[15] “Nursing Home Residents With Alzheimer’s: Drugged to Death?,” Senior Care Advice, 4 Nov. 2016, https://seniorcareadvice.com/nursing-home-residents-with-alzheimers-drugged-to-death.htm.

[16] Martha Rosenberg, “The Most Popular Drug in America Is an Antipsychotic and No One Really Knows How It Works,” Alternet, 13 Nov 2014, http://www.alternet.org/most-popular-drug-america-antipsychotic-and-no-one-really-knows-how-it-works; http://www.lifeextension.com/magazine/2012/10/the-fda-exposed-an-interview-with-dr-david-graham/page-01    David Graham’s testimony was before Congress in November 2004.

[17] https://www.cchrint.org/psychdrugdangers/.

[18] “Benzodiazepine use may raise risk of Alzheimer’s disease,” Harvard Health Publications, Harvard Medical School, 10 Sept. 2014, http://www.health.harvard.edu/blog/benzodiazepine-use-may-raise-risk-alzheimers-disease-201409107397.

[19] Phil Hickey, “More on Benzos and Cognitive Damage,” Behaviorism and Mental Health, Oct. 28, 2014, http://www.behaviorismandmentalhealth.com/2014/10/28/more-on-benzos-and-cognitive-damage/.

[20] Medicare Provider Utilization and Payment Data: Physician and Other Supplier, Centers for Medicare and Medicaid Services, CY 2012 through CY 2014, https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-provider-charge-data/physician-and-other-supplier.html.

[21] https://www.usatoday.com/story/news/nation/2013/08/18/electro-shock-therapy-sees-a-resurgence/2668073/.

[22] “The FDA Should Test the Safety of ECT Machines,” Ethical Human Psychology and Psychiatry, Volume 12, Number 2, 2010; http://www.ingentaconnect.com/content/springer/ehpp/2010/00000012/00000002/
art00007?crawler=true.

[23] “FDA Executive Summary Prepared for the January 27-28, 2011 meeting of the Neurological Devices Panel Meeting to Discuss the Classification of Electroconvulsive Therapy Devices (ECT),” p.6.

[24] http://states.aarp.org/wp-content/uploads/2017/01/INTOLERABLE-CARE.pdf.

[25] “World needs ‘revolution’ in mental health care – UN rights expert,”http://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=21689&LangID=E#sthash.MMIxDbIx.dpuf; http://www.ohchr.org/EN/
NewsEvents/Pages/DisplayNews.aspx?NewsID=21689&LangID=E.

[26] http://www.tylerpaper.com/TP-News+Health/222140/25-of-texas-nursing-home-residents-getting-antipsychotic-drugs.

Lawsuit Against Canadian Psychiatrists’ Torture of Patients With Drugs & Chains

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Judge approves case proceeding saying psych methods were “torture and degradation of human dignity.”

By Kelly O’Meara
Published by Citizens Commission on Human Rights
The Mental Health Industry Watchdog
June 29, 2017

Former residents of an Ontario, Canada, psychiatric facility have been given the green light to proceed with a class action civil suit against two psychiatrists who, for years, carried out torturous treatment programs. Given the nature of the torturous “treatment” residents were subjected to, one can only wonder why the named psychiatrists are not being held criminally responsible for the acknowledged abuses.

Two psychiatrists, Dr. Elliott Thompson Barker and Dr. Gary Maier, of the Oak Ridge division of the Penetang Psychiatric Hospital in Penetanguishene, Ont., are accused of carrying out “treatment” programs on patients that presiding Justice Paul Perell described as “an inexcusable breach of fiduciary duty for a physician to torture a patient.”

The class action lawsuit includes 31 plaintiffs who were a part of the programs run at Oak Ridge between 1966 and 1983.[1]

The three abusive programs under scrutiny, developed by Dr. Barker and implemented by Drs. Barker and Maier at Oak Ridge include:

  • Defense Disruptive Therapy (DDT) involved forcibly giving patients hallucinogenic and delirium-producing drugs in order to break down the patients’ defense mechanisms and force them to confront their abnormal behavior.
  • The Motivation, Attitude, Participation Program (MAPP) involved forcing patients to complete 14 days of perfect behavior, including adhering to rules about “unauthorized talking or movement.” One component of this program involved forcing patients to sit on a bare floor with hands cuffed; only allowing them to move four times within four hours in a confined space of three square feet. (Failure to comply could result in forced sedation or being placed in solitary confinement.)
  • Capsule Program involved chaining up to seven people together in a room, stripping them naked, and keeping them in that state for days at a time. Adding to the misery, the room was continuously lit and featured holes in the walls through which occupants were fed only liquid foods through straws.  Patients were kept under constant surveillance and often given hallucinogenic drugs against their will.[2]

Patients at Oak Ridge were subjected to forced administration of drugs, physical restraint and sleep deprivation.

Patients at Oak Ridge were subjected to forced administration of drugs (sodium amytal, a drug best known as a sort of “truth serum”, the stimulant methedrine, LSD and scopolamine, a drug with similar properties to sodium amytal), physical restraint and sleep deprivation.[3]

Justice Perell explained that “the three programs designed by Dr. Barker and implemented by the doctors and other employees of Oak Ridge—even if designed and implemented in good faith and even if the programs could be proven to be in some way therapeutic—were torture and a degradation of human dignity.”[4]

Justice Perell is allowing the case to move forward, providing plaintiffs the opportunity to show harm caused by virtue of having been subjected to Dr. Barker and Maier’s programs. However, while Perell’s determination that the programs amounted to torture, the case remains strictly a civil suit, despite torture being prohibited under the Criminal Code of Canada, albeit only relating to government officials committing the offense.[5] Clearly in light of this current civil action, the law should be extended to psychiatrists administering torturous treatments.

History, however, is replete with examples of torturous, even deadly, abuses carried out by psychiatrists under the guise of “treatment” that too often go un-prosecuted. In the case of Oak Ridge, Drs. Barker and Maier carried out torturous programs under the guise of rehabilitation of those accused of criminal acts. Historically, though, with no science to support even one psychiatric diagnosis, human rights abuses have repeatedly occurred in order to meet a specific objective on a specific group.

For example, psychiatrists played a central and prominent role in the abuses that occurred in Nazi Germany between 1939 and 1945 with the killing of 200,000 mentally unfit which, ultimately, morphed into the “final solution,” the mass extinction of much of Europe’s Jewish population.[6] The proof of psychiatry’s role in the holocaust is so pervasive that in 2010 (70 years after the killing spree) Dr. Frank Schneider, President of the German Association for Psychiatry and Psychotherapy (DGPPN), addressed a convention of psychiatrists about psychiatry’s role in the Third Reich.

In what amounted to an apology for psychiatry’s role in the Holocaust, Schneider admitted that “Under National Socialism, psychiatrists showed contempt towards the patients in their care; they lied to them, and deceived them and their families.” Schneider further said, “Patients were used as test subjects for unjustifiable research—research that left them traumatized or even dead,” and “for too long” the DGPPN “have been hiding, denying a crucial part of our past. For that we are truly ashamed.” “I must,” said Schneider, “offer our sincerest apologies—albeit shamefully late—to all the victims and their families who suffered such injustice and pain at the hands of the German associations and their psychiatrists.”[7]

The abuse by psychiatrists did not end there. In the early 1970’s the former Soviet Union was exposed for its psychiatric human rights abuses of political dissenters, as is the case in China’s recent abuses against the Falun Gong.[8]

Even patients in the United States are not immune from abuse and human rights violations at the hands of the psychiatric establishment, as evidenced by recently reported abuses among several psychiatric facilities, including those facilities owned by United Health Services (UHS), where patient suicides, restraint deaths, falsified records, and sexual assault of patients are just some of the alleged abuses occurring at the facilities.

Among some of the more egregious accusations of abuse involve the UHS Rock River Academy in Cook County, Illinois, where one girl alleged staff “intentionally administered psychotropic drugs which they used to keep her in a semi-conscious state so that she could be more easily manipulated and sexually abused.” A lawsuit on behalf of five plaintiffs was filed in September 2015 with the Cook County Court.[9]

While acknowledgement of the abuse and financial compensation may provide some comfort to the victims, short of consistent criminal prosecution of those responsible for the abusive psychiatric practices, history is condemned to repeat itself. The tortuous psychiatric practices at yet another psychiatric facility, Oak Ridge, provide ample proof.

References:

[1] Michelle McQuigge, “Treatment at mental health facility was ‘torture,’ Ontario judge finds,” Times Colonist, June 8, 2017, http://www.timescolonist.com/treatment-at-mental-health-facility-was-torture-ontario-judge-finds-1.20485491.

[2] Michelle McQuigge, “Ontario Psychiatric Hospital Tortured Patients: Judge,” Huffington Post, 8 Jun 2017, http://www.huffingtonpost.ca/2017/06/08/treatment-at-mental-health-facility-was-torture-ontario-judge-finds_n_17004838.html.

[3] Bazar, J. L. “The Oak Ridge program,” Remembering Oak Ridge Digital Archive and Exhibit, 2015, https://historyexhibit.waypointcentre.ca/exhibits/show/treatment/or-program; Michelle McQuigge, “Ontario Psychiatric Hospital Tortured Patients: Judge,” Huffington Post, 8 Jun 2017, http://www.huffingtonpost.ca/2017/06/08/treatment-at-mental-health-facility-was-torture-ontario-judge-finds_n_17004838.html.

[4] Michelle McQuigge, “Ontario Psychiatric Hospital Tortured Patients: Judge,” Huffington Post, 8 Jun 2017, http://www.huffingtonpost.ca/2017/06/08/treatment-at-mental-health-facility-was-torture-ontario-judge-finds_n_17004838.html.

[5] http://laws-lois.justice.gc.ca/eng/acts/C-46/section-269.1.html

[6] Von Cranach, Michael, Schneider, Frank, “In Memoriam,” Springer Verlag, 2010.

[7] Frank Schneider, “COMMEMORATIVE SPEECH: Psychiatry Under National Socialism: Remembrance and Responsibility,” Eur Arch Psychiatry Clin Neurosci, Sep 2011, http://paperity.org/p/30039190/psychiatry-under-national-socialism-remembrance-and-responsibility.

[8] Richard J. Bonnie, LLB, “Political Abuse of Psychiatry in the Soviet Union and in China: Complexities and Controversies,” J Am Acad Psychiatry Law, 2002, http://jaapl.org/content/jaapl/30/1/136.full.pdf; Heng He, “Healing Betrayed: The Perversion of Psychiatry in China,” The Epoch Times, 14 Jul 2015, http://www.theepochtimes.com/n3/1462067-healing-betrayed-the-perversion-of-psychiatry-in-china/.

[9] Lorraine Bailey, “Severe Abuse Alleged at Illinois Home for Girls,” Courthouse News Service, 10 Sep 2015, http://www.courthousenews.com/severe-abuse-alleged-at-illinois-home-for-girls/.

Human Rights Group Wants Parents Better Informed About Psychotropic Drugs Prescribed to Children

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Psychiatric drugs create suicide and violence: system needs an overhaul to protect children

By CCHR International
Mental Health Industry Watchdog
July 11, 2017

Greater than eight million American children and adolescents are prescribed psychoactive drugs, with more than two million on antidepressants, that are documented to be linked to violent and suicidal behavior[1], warns Citizens Commission on Human Rights International, a US-based mental health watchdog group. CCHR is raising awareness among parents and policy-makers about the need to overhaul America’s mental health system to protect children.

According to information from IMS Health’s Vector One: National and Total Patient Tracker Database, in a single year, more than one million 0-5 year olds are prescribed psychiatric drugs, of which 274,804 are aged one or younger. Some 46,000 two- to three-year-olds are on antidepressants.[2] Add to that the dozens of children aged five or younger being given electroshock treatment — the passage of up to 460 volts of electricity through their developing brains — and CCHR says the pediatric mental health system across America is a national disaster, needing an overhaul.

CCHR announced it will shortly launch an online resource for parents and others concerned about the direction in which the drugging of children is taking, especially when it can lead to youngsters harming themselves. The site will provide not only facts about drug risks but also information about alternative approaches to pediatric behavioral issues, as recommended by doctors and educators. CCHR’s numerous online videos have addressed this issue starting with not labeling and stigmatizing childhood behavior.

In relating the potential dangers of a drug approach, CCHR points to the highly publicized suicide committed by a 14-year-old live on Facebook on January 22 this year.[3] A Miami Herald investigation found that the teen had her antidepressant dose doubled only 45 days prior to her hanging herself. A psychologist who treated the girl when she was 12 had warned against “filling the 12-year-old with pills, because the medication she was taking ‘sometimes can cause the side-effect of depression,’” according to the Miami Herald.[4]

Psychotropics Cause Teen Suicide?

In 2004, the FDA issued its strongest warning against prescribing antidepressants to children because the drugs are linked to suicidal thoughts and behavior.[5] Last year, researchers from the Nordic Cochrane Centre and the University of Copenhagen published a study in the British Medical Journal, confirming that antidepressant use doubles the risk of suicide in under 18s. They looked specifically at the reports of deaths, suicides, suicidal thinking or suicide attempts, aggression, and a type of extreme restlessness called akathisia. A review of clinical study reports compiled by drug companies also suggested that risks may have been under-reported.[6]

Yet, a study published in The Lancet in March 2016 found antidepressant use increased from 1.3 to 1.6 percent in U.S. children and teens from 2005 to 2012.[7] The overall suicide rate for all age groups rose by 24 percent from 1999 to 2014, according to the U.S. National Center for Health Statistics. This included a tripling in the rate of girls aged 10 to 14 who killed themselves.[8]

In May this year Carl Tishler, an adjunct associate professor of psychology and psychiatry at Ohio State University, said that with “an estimated 12 to 15 million children on psychotropic medications,” any time that their doses begin or get increased or decreased, “it may cause a change in emotional state which may reduce impulse control.” This could contribute to suicidal urges.[9]

Around 4.4 million 0-17-year-olds are also prescribed psychostimulants to treat Attention Deficit Hyperactivity Disorder (ADHD) for which there is no medical test to confirm the diagnosis. Yet, the U.S. Centers for Disease Control and Prevention (C.D.C.) reports that or 6.4 million children and adolescents are labeled with ADHD.[10] Dr. Keith Conners, a psychologist and professor emeritus at Duke told The New York Times, “The numbers make it look like an epidemic. Well, it’s not. It’s preposterous.” Rather, “This is a concoction to justify the giving out of medication at unprecedented and unjustifiable levels.” Dr. Connors, too, called this a “national disaster.”[11]

CCHR Creates Calm for Parents to Make Decisions

U.S. spending on psychotropic drugs has averaged around $35 billion each year over the past five years.

CCHR says that in the U.S. spending on psychotropic drugs has averaged around $35 billion each year over the past five years and that alternative, non-drug and safe alternatives are needed to better help children and adolescents.[12] Parents need information to become better informed and be able to make choices not driven by mandates and pressure to submit their child to mental health screening and biomedical treatments that are not treating biological — but often behavioral — conditions.

There’s also the June 2016, Wall Street Journal article that reported British researchers have also found that nearly all antidepressants are ineffective and in some cases unsafe in children and adolescents with moderate to severe depression.[13]

While the new website for parents and policy-makers is being developed, CCHR’s “Know Your Rights” page for parents on its website www.cchrint.org says there are numerous medical and non-harmful alternatives to psychiatric drugs, including standard medical care that does not require a subjective psychiatric label or mind-altering drugs.

CCHR is a mental health industry watchdog organization that works for patient protections and encourages the public to take action against mental health abuse. People can report psychiatric abuse to CCHR. In the course of its 48 years it has helped obtain more than 180 laws enacted. This includes:

  • In 2004, the federal Prohibition on Mandatory Medication amendment was passed that prohibits schoolchildren being forced to take psychotropic drugs as a requisite for their education.
  • In 2015, New Mexico enacted legislation that also ensures that a parent’s decision not to administer psychotropic drugs cannot be grounds for Child Protective Services (CPS) to remove the child from parental custody. The law also ensures psychological screening of a child in schools cannot be done without written parental consent.
  • Florida and Colorado both have passed laws providing enhanced rights to parents, including the right to refuse psychiatric testing/screening and/or provide written consent prior to any screening.[14]

As a nonprofit, CCHR relies on memberships and donations to carry out its mission and actions to curb psychotropic drug use in children. 

 


References:

[1] IMS, Vector One: National (VONA) and Total Patient Tracker (TPT) Database, Year 2013, Extracted April 2014, https://www.cchrint.org/psychiatric-drugs/children-on-psychiatric-drugs/.

[2] https://www.cchrint.org/2014/05/21/10000-toddlers-on-adhd-drugs-tip-of-the-iceberg/.

[3] http://www.miamiherald.com/news/local/community/miami-dade/article140244853.html.

[4] Ibid.

[5] “FDA Orders Antidepressant Warning Labels,” Los Angeles Times, 15 Oct. 2004, http://www.latimes.com/la-101504drugs_lat-story.html.

[6] “Antidepressants linked to suicide and aggression in teens,” NHS, 28 Jan. 2016, http://www.nhs.uk/news/2016/01January/Pages/Antidepressants-linked-to-suicide-and-aggression-in-teens.aspx.

[7] “Most antidepressants ineffective in teens, study finds,” CBS, 9 June 2016, http://www.cbsnews.com/news/most-antidepressants-ineffective-in-teens-study/.

[8] “U.S. Suicide Rate Surges to a 30-Year High” New York Times, 22 Apr. 2016, https://www.nytimes.com/2016/04/22/health/us-suicide-rate-surges-to-a-30-year-high.html.

[9] Susan Scutti, “’Alarming’ rise in children hospitalized with suicidal thoughts or actions,” CNN, 5 May 2017, http://www.cnn.com/2017/05/05/health/children-teens-suicide-study/index.html.

[10] Alan Swartz, Sarah Cohen, “A.D.H.D. Seen in 11% of U.S. Children as Diagnoses Rise,” The New York Times, 31 Mar. 2013, http://www.nytimes.com/2013/04/01/health/more-diagnoses-of-hyperactivity-causing-concern.html?pagewanted=all&_r=0.

[11] “The Selling of Attention Deficit Disorder,” The New York Times, 14 Dec. 2013, http://www.nytimes.com/2013/12/15/health/the-selling-of-attention-deficit-disorder.html?_r=0.

[12] Page 41. https://morningconsult.com/wp-content/uploads/2016/04/IMS-Institute-US-Drug-Spending-2015.pdf.

[13] Sumathi Reddy, “Most Antidepressants Aren’t Effective for Children, New Study Finds: Among 14 antidepressants, only fluoxetine—Prozac—is more effective than a placebo,” The Wall Street Journal, 27 June 2016, https://www.wsj.com/articles/most-antidepressants-arent-effective-for-children-new-study-finds-1467047077.

[14] https://www.cchrint.org/2015/04/13/new-mexico-lawmakers-join-a-growing-list-of-states-protecting-children.

A 48-Year Mission to Bring Criminal Psychiatrists Under the Law

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Inequity in Criminal Law Drives CCHR to Push for Greater Accountability for Rape, Drug Abuse and Fraud in Mental Health System  

By CCHR International
The Mental Health Industry Watchdog
July 26, 2017

Until the passage of state laws in the United States making it a criminal offense for psychiatrists and psychologists to have sexual relationships with or even rape their patients, mental health professionals could operate with impunity—above the law. With studies showing that six to ten percent of psychiatrists, for example, acknowledge sexual involvement with their patients, that’s a potential 4,700 offenders in the U.S. alone. The Citizens Commission on Human Rights (CCHR) pressed for these laws in alignment with its founding Mental Health Declaration of Human Rights that has formed the basis of its work since 1969. The Declaration states that people have “the right to take criminal action, with the full assistance of law enforcement agents, against any psychiatrist, psychologist or hospital staff for any abuse, false imprisonment, assault from treatment, sexual abuse or rape, or any violation of mental health or other law.”

There are now 26 U.S. states that have criminalized various aspects of psychiatrist, psychologist and psychotherapist sexual contact with patients.[1] Of a sample of 120 mental health practitioners convicted for sexual crimes in the U.S., including possession of child pornography and assault of patients, more than two-thirds of the offenders were in states that have enacted such statutes. CCHR documented at least 17 cases in California, with Michigan the next highest with 12, New York at 10, Wisconsin with eight and Texas with six. Shockingly, some of the sexual assaults in the sample were against children as young as nine years old and one was even against a 4 year old. Still, that’s not surprising given a national study of therapist-client sex involving minors that revealed therapists had abused girls as young as three and boys as young as seven.[2]

Psychiatrists and psychologists rarely refer to their acts of rape as rape. Instead, they redefine this as “crossing the boundaries” when members sexually assault their patients, often with the help of drugs. In a U.S. survey of psychiatrist-patient sex, 73 percent of psychiatrists who admitted they had sexual contact with their patients claimed it was committed in the name of “love” or “pleasure;” 19 percent said it was, for example, to “enhance the patient’s self-esteem,” provide a “restitutive [compensatory] emotional experience for the patient,” while other excuses included “judgment lapse,” “therapist enhancement” and “personal needs.”[3]

Dr. Charles “Chuck” Fischer was indicted on multiple charges of sexual assault and indecency with a child in 2012.

Dr. Charles “Chuck” Fischer was indicted on multiple charges of sexual assault and indecency with a child in 2012. For his trial Fischer paid roughly $65,000 to two psychologists whose testimony claimed a possibility that the allegations against the psychiatrist were false—the result of the accusers being mentally ill.[4]

However, prosecutors said the victims who were being treated by Fischer at the Austin State Hospital, Texas, had been taken into the psychiatrist’s office for therapy where they were molested instead. While on bail for these charges in 2013, Fischer was further arrested for public lewdness with another man.[5] On November 16, 2016, the psychiatrist was found guilty of multiple abuse charges, including four counts of sexual assault.  One of his accusers said he was aged seven or eight at the time of the assault.[6]

Psychiatrists invent the most astounding excuses for their own crimes that wouldn’t see a day in court if used by a lay rapist. There’s even a “mental illness” to describe why it’s the patient’s not the psychiatrist’s fault.  A member of the American Psychiatric Association (APA), psychiatrist Richard Simons once described what he calls “Masochistic Personality Disorder” (MPD) sufferers as “patients who unconsciously provoke therapists either to give up on them, or sadistically abuse them….”  Whatever the “unconscious motives may be in an individual case the final behavioral outcome is the achievement of…’victory through defeat,’ and often the defeat is failed psychiatric treatment,” Simons claimed.[7]

Similarly, Australian psychiatrist Oscar Schmalzbach argued that some women who are domestically abused bring it on themselves because they “behave in such a way likely to incite violence in their partners.” He called this the Delilah Syndrome after the biblical figures Delilah and Samson.[8] A consultant psychiatrist to the New South Wales Attorney General’s department, Schmalzbach turned-up at an Australian-Asian Pacific Forensic Science Congress in August 1982 with a paper titled, “Evil in Women – ‘Delilah Syndrome’ – A New Psychiatric Syndrome.” The symptoms included pathological lying; manipulating the environment by creating tension in a domestic situation; and replacing one Samson with another.

Schmalzbach claimed: “Any amount of resentment created by some women denying the existence of the ‘Delilah Syndrome’ contributes not to improvement but to deterioration of the serious sociological and psychiatric condition … One cannot disregard the evil aspect in some women (Delilahs). Those symptoms, if diagnosed properly, would helpfully prevent the injustice created by seeing only one side of the coin—a ‘bad man’ and closing the eye on a ‘bad women’.”[9]

Imagine a criminal court judge hearing a defense argument that, “It wasn’t really rape, more like crossing the boundaries” or it was the “victim’s fault because she suffers from Delilah Syndrome.” Worse still, imagine the rape victim was your sister, brother, daughter or son, who trustingly sought help from the psychiatrist. You would rightly want the rapist prosecuted to the full extent of the law. Unfortunately, too often when it comes to a psychiatrist or psychologist the offense is reported to professional registration board instead of to the police.  Medical Board may treat it as a mere ethical hiccup. At best, the perpetrator could lose his license to practice—while never going to jail as other rapists do—or receive a temporary license suspension. Such is the inequity in the law. Meanwhile the victim may be institutionalized, become suicidal—betrayed by those who claim to help.

A 2013 article about physician sexual assault, reported that about 25 percent of doctors in the U.S. face malpractice charges every year, including lawsuits over sexual misconduct. Psychiatrists, who comprise only six percent of all doctors, account for 28 percent of all physicians disciplined for sex-related offenses.[10] Lawsuits regarding inappropriate relationships have resulted in judgments or settlements in favor of the patient ranging from $300,000 to nearly $1 million, according to one law firm.[11] In one case, the psychiatrist had been sexually involved with his patient while treating her for 26 years. The psychiatrist’s “defense” was that the woman had fabricated the sexual relationship. The case settled for $950,000.[12]

The inequity in the way therapists are held accountable for patient sexual abuse has CCHR calling for more uniform laws and greater penalties to curb such rampant sexual assault.

CCHR has worked with prosecutors for years bringing those psychiatrists and psychologists to account for sexual crimes. As one Senior District Attorney, Dennis D. Bauer, from Orange County, California, wrote CCHR:  “…I have been a prosecutor for 12 years and have specialized in Sexual Assaults and Child Abuse prosecutions for the past four years. I was incredulous to find out that a private organization was following up on leads where we had drawn blanks or were unable to cover. I found all [of CCHR’s] personnel very positive, eager, intelligent and exceptionally well informed on issues that are obscure to the majority of the population.”

Psychiatrists Create Fraud

If psychiatrists’ excuses for their sexual crimes appear ingenious in their inventiveness, their fraud schemes are even more creative.

The range of fraud committed by psychiatrists and psychologists includes billing:

  • Insurers for therapy that was given to people who were dead.
  • “False claims”—billing for services never rendered or delivered.
  • The insurance company for patients listening to music.
  • For counseling clients when they were actually in jail or hospitalized.
  • For patient “wake-up” calls as therapy visits.
  • For having sex with patients.
  • For having patients watch movies.

The insurance company Blue Cross & Blue Shield United of Wisconsin once reported that there are as many types of health insurance fraud as “the criminal mind can invent.”[13] In 1992, Texas State Senator Mike Moncrief described such fraud: “…[W]e have uncovered some of the most elaborate, creative, deceptive, immoral, and illegal schemes being used to fill empty hospital beds…. This is not just unreasonable.  It is outrageous.  And it is fraudulent.”[14] He was referring to a private-for-profit psychiatric hospital chain, Psychiatric Institutes of America owned by National Medical Enterprises (NME). NME offered up to $2,000 in referral or “bounty hunter fees” for referring patients to its psychiatric facilities.[15] On August 26, 1993, the FBI and other federal U.S. agencies that had been investigating health care facilities raided NME, resulting in the company paying out $575 million in settlements.[16]

CCHR was in the forefront of the campaign exposing massive psychiatric fraud committed at NME facilities, providing evidence to the FBI and other Federal and state agencies.  Laws were subsequently passed outlawing psychiatric hospital bounty-hunting. CCHR representatives also met with NME executives following the Federal raids as well as with U.S. Department of Justice (DOJ) officials to discuss the curbing of psychiatrists’ fraud.  In January 1994, NME announced to investors that it was dumping its psychiatric division, with its chairman stating this “signals our resolve to exit the psychiatric business.”

Since then, and including NME’s fines, CCHR has documented over $3.7 billion in criminal and civil fraud settlements and fines in the private for-profit psychiatric hospital sector.

Healthcare fraud generally costs the U.S. an estimated $100 billion a year.[17] In November 2015, Psychiatric Times reported an estimation of between 10 and 20 percent of state mental health funds alone—$4 to $8 billion—are being lost to fraud, waste, and excess profits to for-profit managed care companies. For Medicaid and Medicare fraud carried out by mental health providers, one study identified almost $1 billion in false claims reported in 2014.  The article cited the case of a psychiatrist at a mental health center in Miami who was convicted for being part of a $55 million Medicare fraud; he was sentenced to 12 years in prison.[18]

Richard Kusserow, a former 11-year U.S. Department of Health and Human Services Inspector General, pointed out in 2014 that “Many health care fraud investigators believe mental health caregivers, such as psychiatrists and psychologists, have the worst fraud record of all medical disciplines.”[19]

A study published in the BJPsych Bulletin in 2014 also discussed how “no other health specialty attracts” such a “hugely negative portrayal” as psychiatrists, including media reporting that psychiatrists are out to harm, manipulate or “defraud us of our money?”[20] But the evidence supports this.

  • Houston psychiatrist Riaz Mazcuri was convicted by a federal jury of one count of conspiracy to commit healthcare fraud and five counts of fraud relating to his involvement with a $158 million Medicare fraud scheme that run out of Riverside General Hospital.

    In May 2017, Houston psychiatrist Riaz Mazcuri was convicted by a federal jury of one count of conspiracy to commit healthcare fraud and five counts of fraud relating to his involvement with a $158 million Medicare fraud scheme that run out of Riverside General Hospital. Bribes and kickbacks were paid to nursing homes and group homes in exchange for sending people to Riverside. Mazcuri filed more than $4.5 million in fraudulent service claims on behalf of himself and another $55 million through Riverside hospital.[21]

  • In May 2015, psychologist Sharon A. Rinaldi, 60, pleaded guilty to defrauding Medicare as part of a nationwide fraud strike force takedown. Rinaldi was charged with submitting false claims to Medicare, according to a statement from the U.S. attorney’s office. This included billing for providing services to patients that were dead, for treating patients on days when she was on trips to Las Vegas and San Diego and inflating the number of hours that she had provided services, sometimes exceeding more than 24 hours in a single day, prosecutors said. In total, she submitted false claims totaling more than $1.1 million and was reimbursed at least $447,155 by Medicare in funds to which she was not entitled.[22] In 2016, she turned herself in to the Alderson Federal Prison Camp in West Virginia to begin serving a 15-month sentence stemming from her conviction.[23]

Today, the FBI, Health and Human Services-Office of Inspector General and the U.S. attorney’s office devote vast resources to investigate, catch and prosecute those committing health care fraud.[24]

U.S. Government Creates Protection against Fraud

  • In 1977, the United States Congress recognized that fraud was occurring in the Medicaid program and that special investigative/prosecution units were required. As a result, legislation was passed providing for the establishment of state Medicaid Fraud Control units.
  • In 1978, the Office of Attorney General created a Medicaid Fraud Control Unit, and it was certified by the Federal government the same year. In 1986, it became the Health Care Fraud Division of the Attorney General’s office.[25]
  • According to the DOJ, “the Health Insurance Portability and Accountability Act of 1996 (HIPAA) established a national Health Care Fraud and Abuse Control Program (HCFAC) under the joint direction of the Attorney General and the Secretary of the Department of Health and Human Services (HHS), designed to coordinate Federal, state and local law enforcement activities with respect to health care fraud and abuse.”[26]
  • In 2009 the Health Care Fraud Prevention & Enforcement Action Team (HEAT), an initiative that combined increased tools and resources, was formed. HEAT is comprised of top level law enforcement agents, prosecutors, attorneys, auditors, evaluators, and other staff from DOJ, HHS, and their operating divisions, and is dedicated to joint efforts across government to both prevent fraud and enforce current anti-fraud laws around the country.[27]

Since 2014, CCHR’s investigations are into several large chains of behavioral facilities include those owned by Acadia Healthcare, Tenet Healthcare and Universal Health Services (UHS), the latter under U.S. Federal DOJ investigation for potential billing fraud in 26 of its facilities.[28]

In June 2017, former U.S. Congressman Ronnie Shows writing in The Daily Caller suggested that to address wasteful healthcare spending, the government could eliminate fraud and abuse. According to one government analysis, he said, Medicare fraud costs the American taxpayer over $50 billion dollars a year. And last year the Department of Health and Human Services stated that improper payments under Medicaid accounted for over 10 percent of total Medicaid spending —$139 billion dollars. “Sadly, when it comes to healthcare fraud, mental health and drug treatment programs are some of the worst actors,” Shows wrote. One company with a problematic record, he said, was Psychiatric Solutions Inc. (PSI). A shareholder lawsuit filed against PSI in 2009 alleged abuse, neglect and even death of patients. In 2010, UHS purchased PSI, accepting its legal liabilities. UHS settled the lawsuit for $65 million in 2015. “Now, UHS has more than 200 psychiatric facilities across the country and more than a third of the company’s $7.5 billion annual revenue comes from Medicare and Medicaid,” Shows added. Notably, after PSI was acquired by UHS in 2010, most of its executive team moved to Acadia Healthcare, the article continues. Of the seven individuals Acadia lists as the senior management team, all but one previously worked at or with PSI.  Shows commented, “I am singling out PSI, UHS and Acadia, because they’ve received media attention, but there are many more bad actors.”[29]

Psychiatric Drugs Destroy Lives

Psychiatrists involved in trafficking of or prescribing controlled substances and prescription psychotropic drugs leading to patient overdoses or deaths are also being held criminally accountable. In reviewing a sample of 42 psychiatrists and psychologists in the past year and a half that were convicted for crimes, CCHR found nearly 20 percent (7) were for drug-related offenses. Essentially, psychiatrists destroy lives with their reliance upon prescribing mind-altering drugs, with serious adverse effects.

French psychiatrist, Daniele Canarelli, found guilty of manslaughter and sentenced to a one year suspended prison sentence after her patient, Joël Gaillard, killed a man with an axe.

Those psychiatrists being held accountable for what their patients do while under the influence of these drugs, is telling.  For example, there was a 2012 conviction of French psychiatrist, Daniele Canarelli, found guilty of manslaughter and sentenced to a one year suspended prison sentence after her patient, Joël Gaillard, killed a man with an axe.[30] Charges outlined in the court judgment said the four years of the psychiatrist’s treatment of Gaillard were marked “beyond any doubt” with “a succession of failures” and her attitude “resembled blindness.” She “did not question her methodology or change her approach, thus creating or helping to create the situation that led to the realization of the crime.”[31]

In 1981, the Pennsylvania Superior Court upheld the sentence of Dr. James F. Youngkin, who was convicted of involuntary manslaughter in the death of a teenage girl to whom he had prescribed the drug Tuinal—a barbiturate, the strongest of psychotropic drugs. He was sentenced to one to three years in jail and fined $5,000.  In rejecting his appeal the court ruled that “a defendant’s acts need not be the direct cause of death for criminal responsibility to be imposed.” The victim, Barbara Fedder, 17, had collapsed at a party in July 1976 and died the following day. Cause of death was ruled asphyxiation because the drug depressed her gag reflex so when she vomited, the contents went into her lungs. Trial evidence showed Dr. Youngkin issued Fedder seven prescriptions for double strength Tuinal in a two-month period. The court determined ‘‘a prescription practice that was decidedly reckless and dangerous and led, ultimately, to Ms. Fedder’s demise.’’[32]

Georgia psychiatrist, Narendra Nagareddy, 57, known as “Dr. Death,” was arrested in January 2016 after 36 of his patients died, 12 of whom passed away due to overdose on his prescription drugs.

Georgia psychiatrist, Narendra Nagareddy, 57, known as “Dr. Death,” was arrested in January 2016 after 36 of his patients died, 12 of whom passed away due to overdose on his prescription drugs.[33]  Clayton County Police Chief Mike Register told media that the psychiatrist had been “overprescribing opiates and benzodiazepines” and there had been “a multitude of overdoses and overdose deaths.”[34] The case involves three victims aged between 29 and 49. One, Audrey Austin, 29, filled several prescriptions from Nagareddy on February 20, 2014, for alprazolam, a generic version of the sedative hypnotic, Xanax, and methadone tablets. The next day, she filled a prescription issued from Nagareddy for amphetamine and died later that day from a prescription overdose, according to a warrant.[35] The psychiatrist is currently under house arrest, pending his trial, tracked via an ankle monitor.[36]

The point being, psychiatrists are trained in medical procedures and are fully aware of the effects of these drugs and potentially lethal consequences that others may not be aware of.

Psychiatric Ghost Writing Generates Suicide?

Where psychiatrists and researchers put their names to medical studies they have not written but, instead, have been written by Public Relations/Marketing pros and those studies withhold information about serious risks that could harm consumers, those researchers should be subject to charges of professional misconduct and fraud.[37] Any damage to the consumer that may occur as a result of the misrepresentation should be subject to criminal and civil recourse.

paxilConsider what is known as “Study 329,” regarding GlaxoSmithKline’s (GSK) antidepressant Paxil (paroxetine) published in 2001 in the Journal of the American Academy of Child and Adolescent Psychiatry. 329 was cited in a lawsuit brought by the New York Attorney General in 2004 charging GSK with ‘‘repeated and persistent fraud’’ for promoting positive findings and not publicizing unfavorable data—that the drug could increase the risk of suicide in children prescribed the drug. The suicide risk ratio for adolescents exposed to Paxil in Study 329 was six times greater than those on placebo.[38]

But what of the research psychiatrists that put their name to the ghost-written study? While GSK paid $2.5 million to settle the suit, none of the influential child psychiatrists listed as authors and funded by GSK were held accountable.[39] An August 2012 article in the Chronicle of Higher Education revealed that the academics who agreed to let their names be used had repeatedly ignored calls to retract the disgraced article.[40] However, as the study did not use federal funds, federal prosecutors did not have the authority to sanction the researchers.[41]

Eighteen of the Paxil study’s 22 authors were university scholars, including its lead author, Martin B. Keller and Dr. Karen Wagner who both have extensive ties to the drug industry.[42]  Wagner is also a columnist for Psychiatric Times and President-Elect to the American Academy of Child and Adolescent Psychiatry.[43]  She asserted, “The results of this study demonstrate the safety of paroxetine in the treatment of adolescent depression. Side effects were modest with paroxetine.” But internal GSK emails showed the data from pediatric Paxil trials were negative.[44]

Leemon McHenry, a bioethicist and a lecturer in philosophy at California State University, Northridge, co-wrote the article “Clinical Trials and Drug Promotion: Selective Reporting of Study 329.”[45] In an interview with CCHR documentary directors, he said, “Dr. Keller in this case is the first author on the paper and he’s the principal investigator in the trial. So, as an academic and as a clinical scientist, he has primary responsibility for the way in which the data is reported in the paper. However, in Keller’s deposition, he admits that he did not look at the raw data.” Despite Study 329 having been “determined to be fraudulent” he added, the Keller study “is frequently cited as the main source of evidence for the effectiveness and safety of Paxil for children and adolescents.”

“Many, many children and adolescents were put on this drug and became suicidal and some of them did in fact commit suicide on the drug,” McHenry continued. How many more continue to do so in the belief that the drug is “safe” and adverse effects are merely “modest”?

Attorney Stephen Sheller has won numerous cases involving the danger of the antipsychotic drug, Risperdal (risperidone). In discussing misleading articles, he said he once had to threaten to sue a doctor who knew the data in his article was misleading and false and doctors were relying on it. “He’s been given an opportunity to correct it. If he doesn’t and I find a doctor who prescribed the drug to one of my clients, based on reliance on that article, he will be sued.  That’s what you got to do.”

The Guardian in the UK reported that legal experts have called for severe sanctions against scientists who ‘guest author’ papers written by drug companies.  As the article stated, “In the worst cases, doctors receive payments or other incentives to endorse articles without being familiar with the studies or data the reports describe. Often, the articles are biased and do not carry the names of the real authors.”[46]

Writing in the journal PLoS Medicine, Simon Stern and Trudo Lemmens, both law professors at the University of Toronto, said: “We argue that a guest author’s claim for credit of an article written by someone else constitutes legal fraud, and may give rise to claims that could be pursued in a class action based on the Racketeer Influenced and Corrupt Organizations Act (RICO)” in the U.S.[47] Lemmens added: “It’s a prostitution of their academic standing. And it undermines the integrity of the entire academic publication system.”[48]

Victims Sue Psychiatric Practices

According to Professional Risk Management Services, Inc., which has managed more lawsuits, claims and potential claims against psychiatrists than any other professional liability insurance program in the U.S., the two top liability risks for psychiatrists are “patients with suicidal behavior and psychopharmacology.” While patient suicides may trigger the most lawsuits, cases with the largest verdicts or settlements involve permanent physical and neurological damage requiring lifelong care.  For example, damage from renal failure from lithium toxicity.[49]

Psychiatric malpractice lawsuits frequently include allegations of negligence related to the prescription of psychotropic drugs.[50] Many psychiatric drugs are well documented to cause suicidal and violent behavior. Inappropriate prescriptions for patients are another source of legal difficulty for psychiatrists.[51] One study found inappropriate prescribing for patients represented 11 percent of legal complaints against physicians.[52]

An International Journal of Law & Psychiatry study found that 43 percent of legal complaints against psychiatrists involved patient suicide or attempted suicide.[53]

Psychiatric Schools, Colleges, Associations

It would behoove attorneys to look at who else should be held accountable for the extensive level of abuse and fraud that passes for psychiatric therapy today. Take, for example, the chemical imbalance theory promoted as a source of depression, or the spurious claim that there is a genetic link to Attention Deficit Hyperactivity Disorder (ADHD). More than a decade after CCHR was exposing that the chemical imbalance theory was a lie, Dr. Ronald Pies, editor-in-chief emeritus of the Psychiatric Times, laid the theory to rest in the July 11, 2011 issue of the Times with this: “In truth, the ‘chemical imbalance’ notion was always a kind of urban legend — never a theory seriously propounded by well-informed psychiatrists.”[54]

Were that true, why, then, didn’t the American Psychiatric Association pound it home to its members not to defraud their patients with assertions that the chemical imbalance mantra had merit? Who were these “well-trained” psychiatrists that knew all along but apparently remained silent that the theory—leading to millions of Americans taking potentially damaging and suicide-inducing antidepressants—was a fraud? This is complicity in one of the greatest hoaxes ever committed on the American people.

And if medical schools and colleges have taught such fraud as fact, might not they equally share in the burden of responsibility? Shouldn’t lawsuits challenge their training that leads to such irresponsible practices and dangerous “standards of care”?

CCHR is calling on anyone whose family member or friend has been the victim of dangerous psychiatric drug prescription practices or electroshock and other brain-intervention psychiatric therapies; sexual assault, billing fraud, negligence or any other crime or abuse committed in the mental health system to contact CCHR. Submit your report of psychiatric abuse here.

States that have Criminalized Sexual Relationships between Psychotherapists and Patients

Alaska, Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Iowa, Kansas, Maine, Maryland, Michigan, Minnesota, Mississippi, New Hampshire, New Mexico, New York, North Dakota, Ohio, South Dakota, Texas, Utah, Washington, and Wisconsin.[55] The New York state criminal code also says therapists, counselors, psychologists and psychiatrists are guilty of statutory rape if they have sex with patients during the course of a treatment session.[56]

References:

[1] http://www.nbcnewyork.com/news/local/Sex-Abuse-Loophole-Closed-Assembly-Lawmakers–159867655.html.

[2] Kenneth Pope, “Sex Between Therapists and Clients,” Encyclopedia of Women and Gender: Sex Similarities and Differences and the Impact of Society on Gender, (Academic Press, Oct. 2001).

[3] Nanette Gartrell, M.D., Judith Herman, M.D., et al., “Psychiatrist-Patient Sexual Contact: Results of a National Survey, I: Prevalence”, American Journal of Psychiatry, Vol. 143 No. 9, Sept. 1986, p. 1128.

[4] Ryan Autullo, “Ex-state doctor Charles Fischer guilty of sexual assault of a child,” American Statesman, 16 Nov 2016, http://www.statesman.com/news/crime–law/state-doctor-charles-fischer-guilty-sexual-assault-child/83TUpgccXxLainMkNXAuQI/;  Claire Rick and Brittany Glas, “Ex-child psychiatrist accused of molesting patients goes to trial,” KXAN, 25 Oct 2016, http://kxan.com/2016/10/25/trial-begins-for-austin-doctor-accused-of-molesting-patients/.

[5] Claire Rick and Brittany Glas, “Ex-child psychiatrist accused of molesting patients goes to trial,” KXAN, 25 Oct 2016, http://kxan.com/2016/10/25/trial-begins-for-austin-doctor-accused-of-molesting-patients/.

[6] Ryan Autullo, “Ex-state doctor Charles Fischer guilty of sexual assault of a child,” American Statesman, 16 Nov 2016, http://www.statesman.com/news/crime–law/state-doctor-charles-fischer-guilty-sexual-assault-child/83TUpgccXxLainMkNXAuQI/.

[7] Herb Kutchins & Stuart A. Kirk, Making Us Crazy: The Psychiatric Bible and the Creation of Mental Disorders,” (The Free Press, New York, 1997), pp. 129-130.

[8] http://www.tandfonline.com/doi/abs/10.1080/00450619609411353.

[9] http://justinian.com.au/archive/unearthing-the-delilah-syndrome.html.

[10] “Sexual abuse by doctors: More common than we think,” Voxxi.com, 25 Mar. 2013, http://voxxi.com/2013/03/25/sexual-abuse-by-doctors-common/; Christine E. Dehlendorf, BSc, Sidney M. Wolfe, MD, “Physicians Disciplined for Sex-Related Offenses,” JAMA, 1998, Vol 279, No. 23.

[11] http://www.wmlawyers.com/Firm-Highlights/Significant-Cases/300-000-Psychiatrist-Violates-Boundaries-of-Therapy-with-Female-Multiple-Personality-Disordered-Patient.shtml.

[12] http://www.wmlawyers.com/Firm-Highlights/Significant-Cases/950-000-Fledgling-Actress-Has-26-Year-Inappropriate-Sexual-Relationship-with-Psychiatrist.shtml.

[13] “What is Fraud, Types of Health Insurance Fraud,” BlueCross & BlueShield United of Wisconsin, Internet URL:  http://www.healthnetconnect.net/fraud/types.html.

[14] David Montgomery, “Moncrief Testifies on Need to Combat Psychiatric Abuse,” Fort Worth Star-Telegram, 29 Apr. 1992.

[15] Sonia L. Nazario, “Abiding Suspicion, Allegations of Fraud, Malpractice Still Haunt Operator of Hospitals,” Wall Street Journal, 8 Jan 1993.

[16] Joe Sharkey, Bedlam: Greed, Profiteering, and Fraud in a Mental Health System Gone Crazy, (St. Martin’s Press, New York, 1994), p. 274.

[17] https://www.justice.gov/criminal-fraud/health-care-fraud-unit.

[18] http://www.psychiatrictimes.com/cultural-psychiatry/fraud-waste-and-excess-profits.

[19] Richard P. Kusserow, “Mental Health Ranks High on Fraud Scale,” Walters Kluwer, 23 Sept. 2014.

[20] Jacqueline Hopson, “The demonisation of psychiatrists in fiction (and why real psychiatrists might want to do something about it),” Brit. Journ. Psychiatry (BMJ) Bulletin, 10.1192/pb.bp.113.045633 Published 1 August 2014; http://pb.rcpsych.org/content/38/4/175.full The Psychiatric Bulletin, July 9, 2014, doi: 10.1192/pb.bp.113.045633.

[21] http://rare.us/local/houston/houston-medical-practitioner-busted-for-fraud/.

[22] Jordan Owen, “Northwest suburban psychologist pleads guilty to Medicare fraud,” Chicago Times, 27 May 2015, http://chicago.suntimes.com/news/northwest-suburban-psychologist-pleads-guilty-to-medicare-fraud/.

[23] http://www.dailyherald.com/article/20161111/news/161119824/.

[24] https://archives.fbi.gov/archives/miami/press-releases/2012/thirty-three-south-florida-residents-charged-as-part-of-nationwide-coordinated-takedown-by-medicare-fraud-strike-force-operations.

[25] http://www.michigan.gov/ag/0,4534,7-164-18156_18152-47188–,00.html.

[26] https://www.justice.gov/criminal-fraud/health-care-fraud-unit.

[27] https://www.justice.gov/criminal-fraud/health-care-fraud-unit.

[28] https://www.cchrint.org/2015/06/29/psychiatrists-over-represented-in-commission-of-fraud/; https://www.cchrint.org/2015/09/25/another-uhs-psych-facility-another-patient-death/; https://www.cchrint.org/2017/03/01/mental-health-watchdog-supports-state-authorities-refusing-to-allow-uhs-psych-chain-to-open-facilities/; https://www.cchrint.org/2016/12/21/uhs-lost-1-9-billion-after-fraud-and-abuse-allegations/; https://www.cchrint.org/2016/12/13/lawmakers-support-investigation-into-uhs/; https://www.cchrint.org/2016/12/09/largest-us-psychiatric-hospital-chain-uhs-loses-1-5-billion/; https://www.cchrint.org/2015/09/16/rock-river-psychiatric-center-closed/; https://www.cchrint.org/2017/06/05/uhs-under-investigation/; https://www.cchrint.org/2017/01/25/staff-hospital-chain-applauded-encouraged-to-speak-out/; https://www.cchrint.org/2016/08/17/cchr-calls-for-legislative-intervention-against-for-profit-psych-facility-planned-for-pennsylvania/; https://www.cchrint.org/2016/07/05/psychiatric-hospital-chain-sued/; https://www.cchrint.org/2016/01/18/psych-hospital-chain-closes-florida-facility/; https://www.cchrint.org/2015/11/18/allegations-against-psych-hospital-chain-continue/; https://www.cchrint.org/2016/04/04/concerns-increase-about-abuses-at-uhs-behavioral-centers/.

[29] Ronnie Shows, “Dear GOP: Eliminate Waste And Fraud To Help Pay For Healthcare Bill,” The Daily Caller, 29 June 2017, http://dailycaller.com/2017/06/29/dear-gop-eliminate-waste-and-fraud-to-help-pay-for-healthcare-bill/.

[30] “French psychiatrist sentenced to prison after patient commits murder,” Fox News, 19 Dec. 2012, http://www.foxnews.com/world/2012/12/19/french-psychiatrist-sentenced-to-prison-after-patient-commits-murder.html.

[31] “Carol Jonas, MD, JD and Nidal Nabhan Abou, M., “Psychiatric liability: A French psychiatrist sentenced after a murder committed by her patient,” Psychiatric Times, 10 Apr. 2013, http://www.psychiatrictimes.com/forensic-psychiatry/psychiatric-liability-french-psychiatrist-sentenced-after-murder-committed-her-patient.

[32] “Superior Court upholds sentence of Columbia County doctor,” United Press International, 5 Jan. 1981; http://law.justia.com/cases/pennsylvania/superior-court/1981/285-pa-super-417-0.html.

[33] Victoria Kim, “Georgia Doctor Accused of  Running Pill Mill After Being Linked To 36 Deaths,” The Fix, 4 Feb., 2016, https://www.thefix.com/georgia-doctor-accused-running-pill-mill-after-being-linked-36-deaths; “Psychiatrist dubbed ‘Dr. Death’ accused of murder in pain pill overdoses,” FOX News, 20 May 2016, http://www.foxnews.com/us/2016/05/20/psychiatrist-dubbed-dr-death-accused-murder-in-fatal-overdoses.html.

[34] Laurie Hanna, “Georgia doctor arrested after 36 patients die, at least 12 from overdose on prescribed meds,” New York Daily News, 16 Jan. 2016, http://www.nydailynews.com/news/national/georgia-doctor-arrested-36-patients-die-article-1.2498832.

[35] “Former Jonesboro psychiatrist pleads not guilty to murder charges,” Henry Herald, 5 Aug. 2016, http://www.henryherald.com/news/former-jonesboro-psychiatrist-pleads-not-guilty-to-murder-charges/article_fc0e66d8-bba1-578a-b436-363a773b34f0.html.

[36] http://www.wsbtv.com/news/local/clayton-county/dr-death-asks-to-modify-bond-conditions-to-attend-mothers-funeral/473632105; Ibid., “Former Jonesboro psychiatrist pleads not guilty to murder charges.”

[37] Ian Sample, “Scientists credited on ghostwritten articles ‘should be charged with fraud,’” The Guardian, 2 Aug 2011, http://www.theguardian.com/science/2011/aug/02/scientists-ghostwritten-articles-fraud.

[38] http://ahrp.org/texas-psychiatrist-karen-wagner-under-scrutiny/; http://www.law.columbia.edu/sites/default/files/microsites/career-services/Driven%20to%20Settle.pdf.

[39] http://ahrp.org/texas-psychiatrist-karen-wagner-under-scrutiny/.

[40] Michael Price, “Ghost-Written Article at Heart of Pharma Fraud Case,” Science, 7 Aug. 2012, http://blogs.sciencemag.org/sciencecareers/2012/08/ghostwritten-ar.html.

[41] Ibid., Michael Price.

[42] “Tainted to the Core: Why conflicts of interest are hazardous to your health,” In These Times, 7 June 2005, http://inthesetimes.com/article/2138/tainted_to_the_core.

[43] http://www.psychiatrictimes.com/authors/karen-dineen-wagner-md-phd; http://www.aacap.org/AACAP/About_AACAP/Our_Leadership.aspx.

[44] http://ahrp.org/texas-psychiatrist-karen-wagner-under-scrutiny/.

[45] http://www.csun.edu/~lmchenry/publications.html.

[46] Op. cit., Ian Sample, “Scientists credited on ghostwritten articles ‘should be charged with fraud’.”

[47] “Legal Remedies for Medical Ghostwriting: Imposing Fraud Liability on Guest Authors of Ghostwritten Articles,” PLoS Medicine, August 2, 2011, https://doi.org/10.1371/journal.pmed.1001070.

[48] Op. cit., Ian Sample, “Scientists credited on ghostwritten articles ‘should be charged with fraud’.”

[49] “Two Top Liability Risks for Psychiatrists: Patients with Suicidal Behavior and Psychopharmacology,” PRMS, http://www.prms.com/news/2010-top-risks.html.

[50] http://www.psychiatrictimes.com/articles/preventing-and-reducing-professional-liability-risk-related-psychopharmacology

[51] James H. Reich, MD, Jose Maldonado, MD, “Empirical findings on legal difficulties among practicing psychiatrists,” Annals of Clinical Psychiatry, 2011, 23(4), 297-307; https://www.aacp.com/pdf%2F1111%2F1111ACP_Reich.pdf

[52] Ibid., James H. Reich, MD.

[53] Ibid., James H. Reich, MD.

[54] Ronald W. Pies, MD, “Psychiatry’s New Brain-Mind and the Legend of the ‘Chemical Imbalance,’” Psychiatric Times, 11 Jul 2011, http://www.psychiatrictimes.com/blogs/psychiatry-new-brain-mind-and-legend-chemical-imbalance; http://www.psychiatrictimes.com/authors/ronald-w-pies-md.

[55] http://www.advocateweb.org/law-ethics-2/sexual-exploitation-laws/.

[56] http://www.nbcnewyork.com/news/local/Sex-Abuse-Loophole-Closed-Assembly-Lawmakers–159867655.html.

Watchdog Group Alerts Parents and Teachers About Gifted Children Being Mislabeled “ADHD” and Given Stimulant Drugs

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By CCHR International
August 9, 2017

With children returning to school parents and teachers are being alerted to the high number of gifted children that could be falsely diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and drugged with psychostimulants that may harm their mental performance and creativity. As part of its “Fight for Kids” campaign, the mental health watchdog, Citizens Commission on Human Rights International (CCHR) provides research and articles to teachers and parents to increase awareness of such pediatric misdiagnosis.

Approximately 11 percent of all U.S. children aged 4-17 years are diagnosed with ADHD, according to the Centers for Disease Control and Prevention (CDC).[1] In high school children alone, the diagnosis has been made in 15 percent.[2] About 70 percent of children diagnosed with ADHD are prescribed drugs, according to Richard Scheffler, professor of health economics and public policy at the University of California-Berkeley and co-author of the book The ADHD Explosion.[3] CCHR says the symptoms of this “disorder” are so subjective that gifted children are being put at risk of being labeled with ADHD and forced onto powerful stimulants that the Drug Enforcement Administration warns are more potent than cocaine.

In an article that has been widely quoted in literature, the symptoms of ADHD were listed and according to James T. Webb, Ph.D., and Diane Latimer, “almost all of these behaviors might be found in bright, talented, creative, gifted children,” They list behaviors that they state are common to gifted children that can be mistaken for ADHD.

Behaviors Associated with Giftedness:

  • Poor attention, boredom, daydreaming in specific situations
  • Low tolerance for persistence on tasks that seem irrelevant
  • Judgment lags behind development of intellect
  • Intensity may lead to power struggles with authorities
  • High activity level; may need less sleep
  • Questions rules, customs, and traditions

Behavior Associated with ADHD (1990):

  • Poorly sustained attention in almost all situations
  • Diminished persistence on tasks not having immediate consequences
  • Impulsivity, poor delay of gratification
  • Impaired adherence to commands to regulate or inhibit behavior in social contexts
  • More active, restless than normal children

Were luminaries such as Thomas Edison, Albert Einstein and Winston Churchill around today, psychiatrists would most likely label and drug them for ADHD, CCHR says.  Einstein’s genius was supposedly marred by his losing his keys and being forgetful, according to one ADHD proponent. Churchill was more likely to focus on those studies that he was interested in.

Teachers considered Thomas Edison a poor student and “addled.”

Teachers considered Edison a poor student and “addled.” “One day I overheard the teacher tell the inspector that I was ‘addled’ and it would not be worthwhile keeping me in school any longer,” Edison said. Hurt by this, he told his mother. “She came out as my strong defender. ..She brought me back to the school and angrily told the teacher that he didn’t know what he was talking about, that I had more brains than he himself…. In fact, she was the most enthusiastic champion a boy ever had, and I determined right then that I would be worthy of her and show her that her confidence was not misplaced.”[4]

Every society has its great minds which should not be lost to psychotropic drugs that alter their perception and thinking, says CCHR.

Erik von Hahn, M.D., FAAP, writing in the American Academy of Pediatrics News, said gifted children generally “may show behaviors that mimic ADHD. For example, they may appear hyper active because they ask many questions and are so excited about learning. Or, they may fail to participate in age-expected activities because of their over-focus on an area of interest. Finally, boredom can lead to inattention as well as feelings of depression.” Further, “In such cases, the child does not have ADHD or another disability, and the appropriate intervention is to provide needed stimulation. Otherwise, the child is at risk for academic and social failure despite superior potential.”[5]

According to data provided by the Gifted Resource Center of New England, many gifted and talented children (and adults) are being misdiagnosed by psychologists, psychiatrists, pediatricians, and other health care professionals. The most common misdiagnoses are ADHD, Oppositional Defiant Disorder, Obsessive Compulsive Disorder, and Mood Disorders such as depression and bipolar disorder. Specific social and emotional characteristics of gifted children are wrongly assumed, by these professionals, to be signs of mental disorder.[6]

Marianne Kuzujanakis, MD, MPH, a pediatrician and a Director of SENG (Supporting Emotional Needs of the Gifted) also says that normal giftedness can easily be confused with a mental disorder. “Gifted kids may talk a lot, have high levels of energy, and be impulsive or inattentive or distractible in some settings—similar to symptoms of ADHD. It’s not unusual for gifted kids to struggle socially, have meltdowns over minor issues, or have unusual all-consuming interests—all pointing to an inappropriate diagnosis of autism. Often perfectionistic, the gifted are more likely to be introverted and may feel alone and alien in a world that doesn’t fully understand them.”[7]

Stephanie Tolan, who researches the phenomenon of giftedness, said that “almost every parent I talk to has had to deal with, either as a casual observation/suggestion or as a very serious threat, ‘your child can’t come to school anymore until you have him medicated.’”[8]

Dangerous Adverse Effects

And those drugs can be potentially dangerous not only to the gifted but to all children.  Researchers from the University of Delaware and Drexel University College of Medicine reviewed the latest research on the effects of psychostimulants like methylphenidate that they say can actually impact the brain’s plasticity, interfering with people’s ability to plan ahead, switch between tasks and be overall flexible in their behaviors. For a drug that’s supposed to offer better mental performance, the long term effects appear to do the opposite, they found.[9]

Dr. Richard Saul is a behavioral neurologist from Chicago who said addiction to stimulants is not rare; it is common. “The drugs’ addictive qualities are obvious. We only need to observe the many patients who are forced to periodically increase their dosage if they want to concentrate. This is because the body stops producing the appropriate levels of neurotransmitters that ADHD meds replace—a trademark of addictive substances,” he wrote in TIME.  He also says, “There are many side effects to ADHD medication that most people are not aware of: increased anxiety, irritable or depressed mood, severe weight loss due to appetite suppression, and even potential for suicide.”[10]

False Labeling Epidemics in the Rush to Drug Children

The rates of ADHD have tripled since DSM-IV was published in 1994, creating “false epidemics” of ADHD.

Prof. Allen Frances, the former Chairman of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) Task Force, a professor emeritus of psychiatry, Duke University, said that the rates of ADHD have tripled since DSM-IV was published in 1994, creating “false epidemics” of ADHD.[11] Add to that the 3-5 percent of kids who are particularly gifted are at special risk for being tagged with an inappropriate diagnosis of mental disorder, he said. “One of the disasters of the diagnostic inflation is that expectable and desirable individual difference is so often mislabeled as a mental disorder.”[12]

Contributing to this has been new drug treatments that were aggressively marketed, Frances said.[13] Sales of stimulants in 2012 were near $9 billion, more than five times the $1.7 billion a decade before, according to the data company IMS Health. In 2015, sales reached $12.9 billion.

Other Underlying Issues

In his controversial book ADHD Does Not Exist, Dr. Saul puts forward the case that not one single individual anywhere is afflicted by ADHD, for which the APA even admits there’s no medical test to substantiate it. Saul determined that “There is no such thing as ADHD.” Characterized by an inability to pay attention and sit still, a trait teachers worldwide have observed in many millions of pupils, ADHD is also associated with certain manic and impulsive behavior patterns. Excessive chattering, fidgeting, dislike of waiting, and disorganization are also common.[14]

This level of exuberance is naturally present in many children, yet Dr. Saul finds that ADHD is now frequently used as an “excuse” for those that are difficult to control. It is Dr. Saul’s belief that many underlying problems are being overlooked and left untreated as a result of the lemming-like rush to assume ADHD. He cites poor eyesight, lack of sleep and the strong possibility of learning difficulties.

AbleChild.org, a national group dedicated to parents, caregivers, and children’s rights lists 50 conditions that mimic so-called ADHD from educational problems to allergies, low blood sugar and hearing problems, to carbon monoxide poisoning and dietary issues.[15]

Many gifted children are never identified. Gifted identification is mandated in only 32 states, and funded in fewer. Most teachers receive only minimal instruction on the identification and management of gifted children.[16] CCHR wants to see the gifted identification extended to all 50 states, adding that it’s important for parents and teachers to work together to ensure that children are not placed on mind-altering drugs that can crush their enthusiasm, creativity and learning abilities.

As a non-profit, CCHR relies on memberships and donations to carry out its mission and actions to curb psychotropic drug use in children, including foster care youths. Click here to support the cause.  It has already been responsible for helping get over 180 laws enacted, including the 2004 Federal Child Medication Safety Amendment that prohibits schools from forcing children to take psychotropic drugs as a requisite for their education.

References:

[1] https://www.cdc.gov/ncbddd/adhd/data.html.

[2] Alan Schwartz, “The Selling of Attention Deficit Disorder,” The New York Times, 14 Dec. 2013, http://www.nytimes.com/2013/12/15/health/the-selling-of-attention-deficit-disorder.html?pagewanted=all .

[3] “Sales of ADHD Meds Are Skyrocketing. Here’s Why,” Mother Jones, 24 Feb., 2015, http://www.motherjones.com/environment/2015/02/hyperactive-growth-adhd-medication-sales/.

[4] “The Wizard of Electricity,” T.P.’s Weekly, Nov. 29, 1907, page 695, https://books.google.com/books?id=7phFAQAAMAAJ&lpg=PA695&dq=I%20was%20so%20hurt%20by%20this%20last%20straw%20that
%20I%20burst%20out%20crying%20and%20went%20home%20and%20told%20my%20mother
%20about%20it.%20Then%20I%20foimd%20out%20what%20a%20good%20thing%20a%20good
%20mother%20is.&pg=PA695#v=onepage&q&f=true.

[5] Erik von Hahn, M.D., FAAP, “When diagnosing ADHD, consider possibility of giftedness in some children,” American Academy of Pediatrics News, July 2012, http://sengifted.org/when-diagnosing-adhd/.

[6] Deirdre V. Lovecky, Ph.D., “Misperceptions About Giftedness Diagnosis of ADHD and Other Disorders,” The Gifted Resource Center of New England, http://www.grcne.com/misperceptions-about-giftedness.html, citing Webb, J. T., Amend, E. R., Webb, N. E., Goerss, J., Beljan, P. & Olenchak, F. R., “The misdiagnosis and dual diagnosis of gifted children,” www.sengifted.org.

[7] Alan Frances, M.D., “Giftedness Should Not Be Confused with Mental Disorder: We need to celebrate and tolerate individual difference,” Psychology Today, 14 Mar. 2013, https://www.psychologytoday.com/blog/saving-normal/201303/giftedness-should-not-be-confused-mental-disorder.

[8] http://talentdevelop.com/interviews/STolan.html; “ Stephanie Tolan, “Helping Your Highly Gifted Child,” 1990; http://www.stephanietolan.com/helping.htm; Dr. Sydney Walker III,  M.D., The Hyperactivity Hoax: How to Stop Drugging Your Child and Find Real Medical Help, (St. Martin’s Press, Nov. 1998).

[9] “Bad News For Ivy Leaguers: ADHD Drugs Hurt Your Memory,” TIME Health, 13 May 2014, http://time.com/97448/bad-news-for-ivy-leaguers-adhd-drugs-hurt-your-memory/.

[10] Dr. Richard Saul, “Doctor: ADHD Does Not Exist,” TIME, 14 Mar. 2014, http://time.com/25370/doctor-adhd-does-not-exist/.

[11] Allen Frances, “The International Reaction to DSM-5,” Huffington Post,  25 Apr. 2013, http://www.huffingtonpost.com/allen-frances/reaction-to-dsm-5_b_3146659.html.

[12] Op. cit. Alan Frances, M.D., “Giftedness Should Not Be Confused With Mental Disorder….”

[13] “Does your child really have a behaviour disorder? A shocking book by a leading therapist reveals how millions of us – including children – are wrongly labeled with psychiatric problems,” Daily Mail, 6 May 2013, http://www.dailymail.co.uk/health/article-2320493/Does-child-really-behaviour-disorder-A-shocking-book-leading-therapist-reveals-millions–including-children–wrongly-labelled-psychiatric-problems.html#ixzz2SciDb8UA .

[14] Kate Henderson, “ADHD Mass Misdiagnosis and Children Drugged for No Reason,” Liberty Voice,  15 Mar. 2014, http://guardianlv.com/2014/03/adhd-mass-misdiagnosis-and-children-drugged-for-no-reason/.

[15] http://ablechild.org/resources/information-for-help/help-for-parents/50-conditions-that-mimic-adhd/.

[16] http://www.huffingtonpost.com/marianne-kuzujanakis/gifted-children_b_2948258.html.

National NAACP Resolutions Call for Banning Electroshock on Children & Protections Against Psychotropic Drugging of Youth

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Mental Health Watchdog Applauds NAACP Resolutions Protecting Children’s Rights Against Mental Health Abuse

By CCHR International
The Mental Health Industry Watchdog
August 16, 2017

Resolution on the Psychotropic Drugging of Children

One of the NAACP Resolutions passed unanimously in July 2017 on the “Psychotropic Drugging of Children” says that “Persons of color are overrepresented in high poverty areas and an analysis of national Medicaid claims for foster youth found 49 percent were on antipsychotics and 48 percent were on antidepressants, despite a ‘black box’ warning—the Food and Drug Administration’s (FDA) most serious drug labeling—that antidepressants may increase the risk of suicidal thinking and behavior in children, adolescents, and young adults.”

The Resolution describes the indiscriminate use of psychotropic drugs on children as potential child endangerment and abuse, citing documented drug side effects that include stroke, diabetes, pancreatitis, cardiac issues, suicidal thoughts, and even death. The NAACP says it will work with advocates to “oppose the misdiagnosis and over-prescription of psychotropic drugs for children” and calls for Child, Family and Foster Care agencies and Juvenile detention and probation systems to implement safeguards against the potential physical abuse and injury these drugs may cause.

Rev. Frederick Shaw Jr., the National Director of Public Affairs for the CCHR International, who is a former Los Angeles Sheriff’s Deputy and currently a Vice President of the Inglewood/South Bay chapter, helped author the resolutions that were passed at the 108th Annual NAACP Convention held recently in Baltimore.  He said there is an over-representation today of African American children being placed in foster care and in special education where they are prescribed potent mind-altering drugs.

NAACP Resolution Calls for Ban on Electroshocking Children

A second NAACP Resolution calls for a banning of electroshock treatment on children, youths and young adults up to the age of 21. Electroshock, also known as Electroconvulsive Therapy or ECT, involves up to 450 volts of electricity sent through the brain causing a massive convulsion to theoretically relieve, but not cure depression. The Food and Drug Administration (FDA) reports adverse effects from ECT that include cardiovascular (heart) complications; cognition and memory impairment; death; dental/oral trauma; device malfunction; manic symptoms; pain/discomfort; physical trauma; pulmonary (lung) complications; potential worsening of psychiatric symptoms and brain damage.[1]

The FDA is currently reviewing whether the ECT device, which manufacturers have never been required to provide clinical studies to prove is safe or effective, should be reduced in its risk classification. If successful, this would broaden its use, including children whose developing brains are more likely to be more damaged by the shock. The NAACP Resolution says it “vehemently opposes any attempt by the FDA to reduce the risk classification of the ECT device.”

The Resolution points to four U.S. states—California, Colorado, Texas and Tennessee—having banned the pediatric use of electroshock and a United Nations report on Torture that recommends “an absolute ban on all forced” electroshock.  African Americans are more at risk of this potentially brain-damaging procedure as “psychiatrists now diagnose African American men in mental hospitals as having a serious mental disorder at a rate of up to 1,500 percent higher than white men,” according to the Resolution.[2]

CCHR was first to obtain state legislation banning the use of electroshock treatment (ECT) on children and adolescents in 1976 in California and also wants to see a nationwide ban on the practice of administering ECT for mental health or behavioral problems.

The FDA’s proposal to reduce the ECT risk classification has been opposed by thousands of individuals and a Citizens Petition was filed with the FDA Commissioner last year indicating this. An amendment to that Petition was provided to the FDA, dated July 29, 2017, which reinforced the treatment’s risks, stating:

  • “That ECT drastically shortens the lifespan of recipients has been well known for decades. For example, in a large retrospective study of 3,288 patients receiving ECT in Monroe County, NY, recipients were found to have a substantially increased death rate from all causes.”
  • The ECT device manufacturers have indicated that brain damage is a potential risk associated with ECT.

Over a two-year period, the Florida Dept. of Juvenile Justice bought 326,081 tablets of antipsychotic drugs for use in state-operated jails and homes for children. That’s enough to hand out 446 pills a day, seven days a week, for two years in a row, to kids in jails and programs that can hold no more than 2,300 boys and girls on a given day.

Rev. Shaw said that minority children are over-represented in foster care and juvenile detention systems where they are at risk of being prescribed psychotropic drugs, especially antipsychotics. As of 2013, Black juveniles were nearly four times as likely to be committed to juvenile detention facilities as white juveniles. American Indian juveniles were nearly four times as likely, and Hispanic juveniles were 61 percent more likely.[3]

These children and teens need greater protections, he said. For example, over a two-year period, the Florida Department of Juvenile Justice bought 326,081 tablets of antipsychotic drugs for use in state-operated jails and homes for children. That’s enough to hand out 446 pills a day, seven days a week, for two years in a row, to kids in jails and programs that can hold no more than 2,300 boys and girls on a given day.[4]

Research indicates that antipsychotics may shrink the brain and there is little data on how they affect brain development during the teen years when the brain grows more than at any other time but infancy. Indeed, youth are more vulnerable than any other group to the drugs’ worst side effects, according to a TIME article in 2011.[5]

Federal policies have also “allowed for the introduction of disproportionate behavioral-stimulant use with Black males as a mode of social control,” reported researchers of the study, “Controlling the Black School-Age Male: Psychotropic Medications and the Circumvention of Public Law….”[6]

Rev. Shaw said that historically, African Americans’ response to discrimination and oppression has been labeled as a mental disorder. Professors Herb Kutchins and Stuart Kirk also report: “Defenders of slavery, proponents of racial segregation…have consistently attempted to justify oppression by inventing new mental illnesses and by reporting higher rates of abnormality among African Americans or other minorities.”[7]

In the 1960s, psychiatrists claimed civil rights protests caused violent “schizophrenic” symptoms in African Americans, which they labeled as “protest psychosis.” Jonathan M. Metzl, Professor of Sociology and Psychiatry, writing in his book The Protest Psychosis, said that Black men were said to have developed “hostile and aggressive feelings” and “delusional anti-whiteness” after listening to civil rights leaders.[8] Advertisements appeared in psychiatric journals using African symbols to convince people that African Americans had so-called violent traits requiring antipsychotics.

Today, African American students are more than twice as likely to be labeled cognitively “deficient” than white American students. Although they comprise only 17% of the student population African Americans represent 33% of those enrolled in programs for the “mentally challenged.”[9] “Special education” classes are just a new form of segregation, says Rev. Shaw. “This is literally a fight for kids’ lives,” he added.

Rev. Shaw wants to see nationwide support for the NAACP Resolutions and said that while it is clear that children and youths can face serious problems in life, “we have to work to provide humane and workable social services for them. We need effective medical—not mind-numbing psychiatric—help; good nutrition; a healthy, safe environment and activities that promote confidence. Effective education will also do far more for a troubled person than drugging, shocks, and other damaging psychiatric practices,” he says.

As a non-profit, public benefit organization, CCHR has been responsible for helping obtain over 180 laws enacted, including the 2004 Federal Child Medication Safety Amendment that prohibits schools from forcing children to take psychotropic drugs as a requisite for their education. Click here to support the “Fight for Kids” campaign.

References:

[1] Jonathon Emord, Esq., Constitutional Attorney, Citizens Petition filed with the FDA Commissioner, August 24, 2016, page 9,http://emord.com/blawg/wp-content/uploads/2016/08/1-ECT-Citizen-Petition.pdf

[2] Dr. Gary Null, Ph.D., “The Pathologizing of the African American by Psychiatry,” 15 April. 2010, http://gna.squarespace.com/home/2010/4/15/the-pathologizing-of-the-african-american-by-psychiatry.html

[3] http://www.sentencingproject.org/publications/racial-disparities-in-youth-commitments-and-arrests/

[4] “Drugging the Vulnerable: Atypical Antipsychotics in Children and the Elderly,” TIME, 26 May 2011, http://healthland.time.com/2011/05/26/why-children-and-the-elderly-are-so-drugged-up-on-antipsychotics/

[5] “Drugging the Vulnerable: Atypical Antipsychotics in Children and the Elderly,” TIME, 26 May 2011, http://healthland.time.com/2011/05/26/why-children-and-the-elderly-are-so-drugged-up-on-antipsychotics/

[6] Terrence D. Fitzgerald, “Controlling the Black School-Age Male: Psychotropic Drugs and the Circumvention of Public Law…,” Urban Education, (SAGE Publications), v44 n2, 2009, p. 225-247, http://uex.sagepub.com/cgi/content/abstract/44/2/225

[7] Herb Kutchins & Stuart A. Kirk, Making Us Crazy – DSM: The Psychiatric Bible and the Creation of Mental Disorders, (The Free Press, New York, 1997), p. 200.

[8] Jonathan M. Metzl, The Protest Psychosis, How Schizophrenia became a Black Disease, (Beacon Press, Boston, 2009), pp. xii, xiv, p. 101

[9] “Racism in schools is pushing more Black families to homeschool their children,” The Washington Post, 10 Apr. 2015, https://www.washingtonpost.com/posteverything/wp/2015/04/10/racism-in-schools-is-pushing-more-black-families-to-homeschool-their-children/

New Federal Statistics Show Teen Overdose Deaths From ADHD & Anti-Anxiety Drugs On The Rise

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By CCHR International
The Mental Health Industry Watchdog
August 22, 2017

The U.S. Centers for Disease Control and Prevention (CDC) published statistics this month about the increasing drug overdose deaths of teens aged 15 to 19, including ADHD drugs  (psychostimulants) and Anti-anxiety drugs (benzodiazepines). Although death rates for drug overdoses were highest for opioids, death rates involving psychostimulants with abuse potential quadrupled from 0.1 in 1999 to 0.4 in 2015. The rate of drug overdose deaths involving benzodiazepines increased six-fold from 0.1 in 2000 to 0.6 in 2015. In response to the CDC report, the mental health watchdog CCHR International is alerting parents about the risks of prescription psychostimulants and benzodiazepines which have rates of overdoses that were 33 percent and 100 percent higher than cocaine in 2015.

The psychostimulant, methylphenidate, is a Schedule II drug which means the U.S. Drug Enforcement Administration (DEA) classifies it as having a high potential for abuse. It is prescribed largely to treat  those diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) in children and adolescents, a disorder with an insurance billing code that has come under increasing criticism for labeling normal childhood behavior as a mental illness. The DEA warns that methylphenidate produces many of the same effects as cocaine. Psychotic episodes and severe psychological addiction have all been associated with methylphenidate abuse.[2]

The agency also correlates that the increased use of the drug to treat ADHD parallels an increase in its abuse among adolescents and young adults who crush these tablets and snort the powder to get high. The CDC reported that the percent of children given an ADHD diagnosis increased from 7.8 percent in 2003 to 11 percent in 2011-12.[3] More recent estimates are as high as 15 percent, with children routinely prescribed stimulants.[4]

In 2014, CCHR obtained statistics from IMS Health’s Vector One National Database that showed more than 1.78 million adolescents aged 13 to 17 were taking psychostimulants and 650,273 were taking anti-anxiety prescription drugs[5], many of which are from the benzodiazepine class.

In 2015, the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) also reported that:

  • Of the 17.2 million users of prescription stimulants, 1.8 million were youths aged 12 to 17 (7.3 percent of youths), 4.9 million were young adults aged 18 to 25 (14.1 percent of young adults). Additionally, 3.5 million people aged 12 or older used methylphenidate products in the past year. This number represented 1.3 percent of the population aged 12 or older.
  • Of the 39.3 million past year users of tranquilizers (mostly benzodiazepines), 1.1 million were youths aged 12 to 17 (4.3 percent of youths) and 4.2 million were young adults aged 18 to 25 (12.1 percent of young adults).
  • Of the 18.6 million users of prescription sedatives, 600,000 were youths aged 12 to 17 (2.4 percent of youths), 1.3 million were young adults aged 18 to 25 (3.8 percent of young adults).[6]

Factoring in younger-aged children and teens, in 1990, 600,000 American children were on stimulants. By 2013, this had reached 3.5 million, an increase of 483 percent.[7]

In 1990, 600,000 American children were on stimulants. By 2013, this had reached 3.5 million, an increase of 483 percent.

CCHR says that helping to generate this epidemic of child and adolescent drugging have been aggressive marketing of stimulants, the sales of which more than doubled to $10.5 billion in 2012 from $4 billion in 2007, according to IMS Health. Between 2012 and 2015, sales jumped again to $11.2 billion — a 180% increase since 2007.[8] Sales are expected to reach $17.5 billion in the year 2020.[9] CCHR wants to see parents better informed of the facts, soon launching its Fight for Kids campaign.

Other psychotropic drugs parents should be aware of are benzodiazepines (a type of sedative hypnotic). Prescriptions for these have more than tripled and fatal overdoses have more than quadrupled in the past 20 years, researchers also found in 2016. “Overdoses rose at a faster rate than prescriptions, suggesting that people were using benzodiazepines in a riskier way over time,” said lead author Dr. Marcus Bachhuber, assistant professor of medicine at Albert Einstein College of Medicine in New York.[10]

Dependence on benzodiazepines can also develop after only a few weeks of taking them. Most addicts consider it harder to withdraw from benzodiazepines than from heroin or narcotic painkillers.[11]

The increasing prescription of the psychoactive prescription drugs may be contributing to unintentional overdoses or inducing suicidal behavior, CCHR says. The CDC report says that of all drug overdose deaths among adolescents aged 15-19 in 2015, 13.5% were suicide. There were almost 22% of drug overdose deaths among female adolescents that were suicides compared to 8.7% males.[12]

Suicidal thoughts are among a battery of known side effects of methylphenidate type stimulants.[13] There are at least two drug regulatory agency warnings linking methylphenidate to suicide risk or attempts.[14]

Psychostimulants can be bought and sold among students who have no idea what they were messing with, said Alan Schwartz, a New York Times reporter and author of ADHD Nation: Children, Doctors, Big Pharma and the Making of an American Epidemic.[15] He found that kids “were either faking ADHD to their doctors or buying the pills from someone who had been diagnosed.”[16]

In 2013, Partnership for Drug-Free Kids released the findings of a survey that found nine percent of teens (about 1.9 million) reported having misused or abused two the most prominent ADHD stimulants. More than a quarter of teens (27 percent) mistakenly believed that misusing and abusing prescription drugs was safer than using street drugs.[17]

Schwartz said he “asked the ADHD and child-psychiatry establishment” about ADHD and stimulant prescription concerns “and they denied it was happening….They denied that teenagers were buying and selling pills….They basically denied that anything about their world was malfunctioning at all. In the end, they doth protest too much. I wrote about 10 front-page stories for The New York Times on the subject from 2012-2014.”[18]

Making things worse, he added, were pharmaceutical companies who produced advertisements “ultimately to parents themselves that misrepresented what their product was, what it treated, and what it did. Disgustingly so. ADHD drugs do not give a child ‘grades that match his intelligence,'” which is what one stimulant drug ad told parents in People magazine. “Another ad had a mother telling her kid that, thanks to the ADHD drugs, ‘I’m proud of you.’ It’s sick. But there are really no repercussions for companies that do this,” Schwartz reported. “Every ADHD drug has received a formal reprimand from the FDA for false and misleading advertising. Every one,” Schwartz said.[19]

Subjective Diagnosis Creates Drug Epidemic

“What is called ADHD in general is merely one part of the constellation of temperaments that make up the human condition.” — Dr. Robert Berezin, psychiatrist and author

CCHR says that the criteria for diagnosing ADHD are so subjective and arbitrary that any child could be diagnosed with the label. This is one reason kids can easily “fake” the symptoms to doctors. In its Fight for Kids campaign, CCHR plans to increase educational information for parents and teachers about how the symptoms of ADHD are almost identical to those attributed to gifted children.[20]

Dr. Robert Berezin, who taught psychiatry at Harvard Medical School for 30 years said, “What is called ADHD in general is merely one part of the constellation of temperaments that make up the human condition.” He added:

  • “Somewhere along the line we have lost the understanding that kids come in all shapes and sizes. Some kids are active, some are quiet; some kids are dreamers, others are daring; some kids are dramatic, others are observers; some impulsive, others reserved; some leaders, others followers; some athletic, others thinkers. Where did we ever get the notion that kids should all be one way?[21]
  • In his last interview before his death, Leon Eisenberg, the “scientific father of ADHD” and a leader in child psychiatry for more than 40 years, admitted that “ADHD is a prime example of a fictitious disease.”[22]
  • Dr. Keith Conners conducted the first formal trials on the use of methylphenidate in noisy and difficult to control children, subsidized by the drug’s manufacturer. Findings from these trials spurred research into the then so-called Minimal Brain Dysfunction or Hyperkinetic Reaction of Childhood (later replaced with ADHD). Conners became a champion of the diagnosis and drugs prescribed to treat it. Yet today he calls ADHD misdiagnoses “a national disaster of dangerous proportions.”[23]

Psychiatric Drug Side Effects Online Database Can Help Prevent Children and Adolescents Being Put at Risk

In addition to overdoses from psychotropic prescription drugs and adverse side effects, CCHR encourages parents to research the drugs before agreeing to have their child administered them. They produced an online, easily searchable psychiatric drug side effects database to help.

  • Since 2013, there have been more than 19,000 reports of complications from ADHD drugs, most of which are stimulants made to the U.S. Food and Drug Administration (FDA), according to a Milwaukee Journal Sentinel/MedPage Today analysis.
  • In emergency departments around the country, the number of cases involving two common ADHD drugs nearly quadrupled over seven years. In 2004, the drugs played a role in 10,800 cases of emergency department visits. By 2011, the figure for those two drugs jumped to 42,000.[24]

CCHR says that parents are up against a “quick fix” culture, with heavy psychiatric marketing that children’s natural exuberance, creativity, independence and even teenage angst is abnormal requiring a mind-altering drug. The fact that these drugs become illicit street drugs and can lead to high rates of overdose and hospital emergency visits is evidence of their serious risks. Dr. Berezin commented that, “One thing is for sure: There is no brain condition that generates some disease called ADHD, and none has ever been demonstrated. And no child should be given amphetamines.”[25] That should be extended to all psychotropic drugs, CCHR says.

As a nonprofit, public benefit organization, CCHR has been responsible for helping obtain over 180 laws enacted, including the 2004 Federal Child Medication Safety Amendment that prohibits schools from forcing children to take psychotropic drugs as a requisite for their education. Click here to support the “Fight for Kids” campaign.

References:

[1] Sally C. Curtin, M.A., Betzaida Tejada-Vera, M.S., and Margaret Warner, Ph.D., “Drug Overdose Deaths Among Adolescents Aged 15–19 in the United States: 1999–2015,” Centers for Disease Control and Prevention, NCHS Data Brief No. 282, Aug. 2017; https://www.cdc.gov/nchs/products/databriefs/db282.htm; https://www.cdc.gov/nchs/data/databriefs/db282.pdf

[2] “Drugs of Abuse,” U.S. Department of Justice, Drug Enforcement Administration, p. 35, https://www.naabt.org/documents/Drugs%20of%20abuse%20DEA.pdf

[3] https://www.cdc.gov/ncbddd/adhd/data.html

[4] Sylvia Booth Hubbard, “ADHD ‘Epidemic’ Called False Crisis That Has Led to Overprescribing of Drugs,” Newsmax, 19 Oct. 2016, http://www.newsmax.com/Health/Headline/ADHD-epidemic-crisis-overprescribing/2016/10/19/id/754299

[5] IMS, Vector One: National (VONA) and Total Patient Tracker (TPT) Database, Year 2013, Extracted April 2014; https://www.cchrint.org/psychiatric-drugs/children-on-psychiatric-drugs

[6] Arthur Hughes, et al., “Prescription Drug Use and Misuse in the United States: Results from the 2015 National Survey on Drug Use and Health,” SAMHSA NSDUH Data Review, Sept. 2016, https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR2-2015/NSDUH-FFR2-2015.htm.

[7] “Generation Adderall,” The New York Times, 12 Oct. 2016, https://www.nytimes.com/2016/10/16/magazine/generation-adderall-addiction.html?mcubz=0

[8] “Medicines Use and Spending in the U.S., A Review of 2016 and Outlook to 2021,” QuintilesIMS Institute, May 2017, http://www.imshealth.com/en/thought-leadership/quintilesims-institute/reports/medicines-use-and-spending-in-the-us-review-of-2016-outlook-to-2021; “Top Therapeutic Classes by U.S. Spending,” IMS National Sales Perspectives™, 23 Feb 2012, http://www.imshealth.com/files/web/Corporate/News/Top-Line%20Market%20Data/Top_Therapy_Classes_by_Sales.pdf.

[9] Luke Whelan, “Sales of ADHD Meds Are Skyrocketing. Here’s Why,” Mother Jones, 24 Feb. 2015, http://www.motherjones.com/environment/2015/02/hyperactive-growth-adhd-medication-sales

[10] “Benzodiazepine prescriptions, overdose deaths on the rise in U.S.,” Reuters, 26 Feb. 2016, http://www.reuters.com/article/us-health-rxdrugs-benzodiazepine-overdos-idUSKCN0VZ2TU

[11] Jonathan Brett and Bridin Murnion, “Management of benzodiazepine misuse and dependence,” Australian Prescriber, 1 Oct. 2015, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4657308; http://www.drugaddictiontreatment.com/types-of-addiction/prescription-drug-addiction/ambien-addiction

[12] Sally C. Curtin, M.A., Betzaida Tejada-Vera, M.S., and Margaret Warner, Ph.D., “Drug Overdose Deaths Among Adolescents Aged 15–19 in the United States: 1999–2015,” Centers for Disease Control and Prevention, NCHS Data Brief No. 282, Aug. 2017; https://www.cdc.gov/nchs/products/databriefs/db282.htm; https://www.cdc.gov/nchs/data/databriefs/db282.pdf

[13] http://www.dailymail.co.uk/health/article-2141044/ADHD-Ritalin-prescriptions-soaring-experts-warn-effects.html

[14] https://www.cchrint.org/psychiatric-drugs/stimulantsideeffects/ritalinsideeffects

[15] Gareth Cook, “Big Pharma’s Manufactured Epidemic: The Misdiagnosis of ADHD,” Scientific American, 11 Oct. 2016, https://www.scientificamerican.com/article/big-pharma-s-manufactured-epidemic-the-misdiagnosis-of-adhd

[16] Sylvia Booth Hubbard, “ADHD ‘Epidemic’ Called False Crisis That Has Led to Overprescribing of Drugs,” Newsmax, 19 Oct. 2016, http://www.newsmax.com/Health/Headline/ADHD-epidemic-crisis-overprescribing/2016/10/19/id/754299

[17] https://drugfree.org/newsroom/news-item/national-study-teen-misuse-and-abuse-of-prescription-drugs-up-33-percent-since-2008-stimulants-contributing-to-sustained-rx-epidemic

[18] Gareth Cook, “Big Pharma’s Manufactured Epidemic: The Misdiagnosis of ADHD,” Scientific American, 11 Oct. 2016, https://www.scientificamerican.com/article/big-pharma-s-manufactured-epidemic-the-misdiagnosis-of-adhd

[19] Gareth Cook, “Big Pharma’s Manufactured Epidemic: The Misdiagnosis of ADHD,” Scientific American, 11 Oct. 2016, https://www.scientificamerican.com/article/big-pharma-s-manufactured-epidemic-the-misdiagnosis-of-adhd

[20] Behaviors Associated with Giftedness: Poor attention, boredom, daydreaming in specific situations; low tolerance for persistence on tasks that seem irrelevant; judgment lags behind development of intellect; intensity may lead to power struggles with authorities; high activity level; may need less sleep; questions rules, customs, and traditions; http://www.prnewswire.com/news-releases/watchdog-group-alerts-parents-and-teachers-about-gifted-children-being-mislabeled-adhd-and-given-stimulant-drugs-300501824.html

[21] Robert Berezin M.D., “No, There is No Such Thing as ADHD: Different temperaments make some kids more active,” Psychology Today, 17 Mar. 2015, https://www.psychologytoday.com/blog/the-theater-the-brain/201503/no-there-is-no-such-thing-adhd

[22] http://www.wnd.com/2013/05/father-of-adhd-calls-himself-a-liar/#SAe7LssguLIzLtry.99

[23] Gareth Cook, “Big Pharma’s Manufactured Epidemic: The Misdiagnosis of ADHD,” Scientific American, 11 Oct. 2016, https://www.scientificamerican.com/article/big-pharma-s-manufactured-epidemic-the-misdiagnosis-of-adhd

[24] “New heroin? ADHD drug abuse similar to opioids,” APP (Part of USA Today network), 12 Sept. 2016, http://www.app.com/story/news/2016/09/12/new-heroin-abuse-adhd-drugs-similar-opioids/90272344

[24] Robert Berezin M.D., “No, There is No Such Thing as ADHD: Different temperaments make some kids more active,” Psychology Today, 17 Mar. 2015, https://www.psychologytoday.com/blog/the-theater-the-brain/201503/no-there-is-no-such-thing-adhd


Business as Usual at America’s Largest Psychiatric Hospital Chain: Patient Sexual Assault, Abuse & Violence…

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By CCHR International
The Mental Health Industry Watchdog
October 3, 2017

Universal Health Services (UHS), which owns the largest for-profit psychiatric hospital chain in the United States, has had Oklahoma added to the nine other states where the company’s behavioral facilities are under federal investigation for potential billing fraud. In April, the Department of Justice (DOJ) added Shadow Mountain Behavioral Health in Tulsa, Oklahoma to the 26 other UHS facilities under investigation, when it subpoenaed records and opened a criminal investigation. The Oklahoma Department of Human Services also opened investigations into treatment of patients there.[1] Since 2013, the Federal Office of Inspector General and DOJ have been investigating more than two-dozen UHS behavioral facilities and the company’s headquarters in Pennsylvania.[2]

It’s been a tough last few months for the embattled UHS. Since June this year, UHS has faced a Medicaid contract being terminated, a psychiatric facility ordered shut down, admissions to another facility stopped, fines of more than $207,000 and eight lawsuits, largely alleging sexual assault or rape of patients, including a 16-year-old boy, while under the care of UHS facilities or its subsidiaries.

In August, Shadow Mountain also lost its court bid to halt the termination of Medicaid contracts known in the state as “SoonerCare.” In a letter dated June 1, 2017, the Oklahoma Health Care Authority (OHCA) advised officials of the facility that it intended to terminate three of its SoonerCare Medicaid contracts on July 31.  A judge denied Shadow Mountain’s request to block OHCA’s decision. The move to cut off funding for Medicaid-eligible patients followed what OHCA describes in court records as “repeated instances involving deficiencies” at the hospital.[3]

Shadow Mountain, in its request for an injunction to the courts, blamed media reports for some of its problems with regulators and accreditors.

In December 2016, UHS lost over $1.5 billion in value in the stock market following an acclaimed BuzzFeed News investigative report of allegations of patient abuse and fraud.[4]

It’s not uncommon for UHS’s behavioral division to blame media and others for its failures rather than fess up to allegations against it. A letter by an executive from UHS’ Behavioral Health Division to a city mayor in 2016 excused the multi-Federal investigations into its behavioral facilities and headquarters as an “unfortunate but common reality facing the healthcare provider industry.” It dismissed complaints the Citizens Commission on Human Rights (CCHR) had filed with health and law enforcement agencies about allegations of abuse, sexual assault and restraint damage, claiming it was a “misguided attempt to interfere with the expansion of vital and beneficial psychiatric care and treatment….”

UHS further claimed this all “appears to be part of a consolidated effort with union bosses at the SEIU (Service Employees International Union) in New York and Washington, D.C. in their effort to unsuccessfully disparage UHS as part of the SEIU’s corporate campaign.” CCHR has no affiliation with SEIU.

In February this year, the Oregon Health Authority rejected UHS’s application to build a 100-bed psychiatric hospital in Wilsonville. Critics had raised questions about the quality of care at some UHS institutions and the federal criminal investigation into possible billing fraud.[5] This time UHS blamed the fact that “the powerful entities that have lined up against it are trying to protect their turf to the detriment of patients,” according to the Portland Business Journal.[6]

The Joint Commission does not require accredited hospitals to report certain adverse events deemed “sentinel events,” which they define as “unexpected occurrences involving death or serious physical or psychological injury, or risk thereof.”

A compelling and insightful exposé of UHS by The Dallas Morning News in March 2016 was met by UHS saying it had reviewed the data that was used by the reporter and “The data does not support his conclusions” (it doesn’t appear the company ever addressed this directly with the reporter or the newspaper). Rather, in its defense, UHS claimed that in 2015, its behavioral facilities underwent 75 Joint Commission surveys with a 100% success rate for re-accreditation and is regularly given “Top Performers” awards.

However, the Commission’s surveys are paid for by the very health care corporations or facilities it is accrediting—a questionable conflict of interest.[7] An Office of the Inspector General report found that staff from 15 of 26 States “acknowledged that hospitals do not always submit reports when adverse events occur.” Further, “staff from nearly all of these States were reluctant to estimate the extent to which adverse events go unreported, typically expressing that they could not know how many events actually occur.” Additionally, the Joint Commission does not require accredited hospitals to report certain adverse events deemed “sentinel events,” which they define as “unexpected occurrences involving death or serious physical or psychological injury, or risk thereof.”[8]

In May 2017, the Joint Commission downgraded Shadow Mountain’s status after its investigators found “an immediate threat to life” there. In April, Oklahoma’s Governor Mary Fallin and Senator Jim Inhofe had asked the Oklahoma Department of Human Services to investigate the facility following an eight-month investigation by BuzzFeed News, which found possible systemic abuses of patients.[9]

UHS dismissed the earlier award-winning BuzzFeed News exposé from December 2016, stating: “The reporter seriously diminishes the complexity of behavioral health assessments and treatment necessary to properly care for the individual patient based upon their specific needs.”[10]

However, a recap of some recent examples of that “proper care” includes a reported former 23-year-old patient suing Shadow Mountain over a staff member slamming a door shut on her fingers, two of which needed to be amputated.[11]

Sexual Assault, Other Lawsuits & Abuse

A complaint that CCHR filed with a federal Senator in February 2017 detailed a sample of 21 incidents of patients, including children, being sexually assaulted in UHS behavioral facilities. Two UHS hospital staff were convicted and jailed for a combined 35 years over the sexual abuse of residents and two facilities closed down in the wake of sexual abuse incidents and other allegations. A sample of nearly 30 incidents of abuse included six patient deaths, four convictions of staff relating to patient assault, patient injuries incurred during restraint procedures, including a nasal fracture and one behavioral facility shut down in Illinois following allegations of restraint use being eight times the medium for the rest of the similar facilities in the state.

  • September 15, 2017: Associated Press reported a lawsuit had been filed against UHS’ Anchor Hospital in College Park near Atlanta, Georgia.  The facility is accused of negligence after a 16-year-old sexual assault victim said she was raped in a bathroom by another patient. Lawyer Chris Stewart said he filed suit on behalf of the girl’s mother, who accused Anchor Hospital of failing to provide adequate security and supervision. “This is just inexcusable because they have cameras. They’re supposed to have round-the-clock nurses and medical staff monitoring the patients,” Stewart said. “Once we started digging into it, we just saw how bad their history is over there.”[12]
  • Since 2015, CCHR International has filed hundreds of complaints to Georgia health and law enforcement authorities about patient safety issues at UHS behavioral facilities. Three of UHS’s 12 psychiatric facilities in Georgia are already part of the Federal investigationCoastal Harbor Health System in Savannah; St. Simons by the Sea in St. Simons; and Turning Point Care Center in Moultrie.[13] CCHR’s complaint listed abuses, including a nurse that was arrested for the 2013 sexual assault of a patient at Anchor Hospital. [14]
  • June 29, 2017: A woman filed a sexual assault lawsuit against UHS of Hartgrove, Inc. in Illinois for allegedly failing to take sufficient measures to the prevent sexual assault of her by a hospital staff member. According to the complaint, the plaintiff alleges she sustained serious physical injuries from a sexual assault that occurred while she was in the defendant’s facility.[15]
  • August 7, 2017: The Boston Herald reported that a patient from Jamaica Plain hospital, part of UHS’s subsidiary Arbour Health System in Massachusetts, was arraigned for beating his roommate to death at the facility in 2015, when both were being treated there. The facility’s license with the state Department of Mental Health was due to expire August 17. Over the past decade, Arbour has been cited repeatedly by state regulators over poor care and inadequate staffing at its hospitals and clinics, according to The Boston Globe. Jamaica Plain was one of four to face monitoring by the state last year after violations during inspections.[16]
  • August 19, 2017: Media reported that the family of a 16-year-old boy has sued UHS’s Riveredge Hospital in Forest Park, Illinois, charging that the facility was negligent in the supervision of patients when the boy was “violently sexually assaulted” by another patient on March 11, 2015. The alleged assault took place while the teen was in a secured room with the other patient. The family claims the hospital never disclosed the other patient’s history of violent behavior and failed to care for the teen after it became aware of the assault.[17]
  • August 25, 2017: The Massachusetts Department of Mental Health (DMH) closed Westwood Lodge psychiatric hospital, another Arbour Health System facility due to “issues concerning patient safety and quality of care.”[18] The closure was amid a sexual assault investigation.Westwood’s psychiatric unit for children was earlier ordered shut down following a surprise inspection. The hospital is one of five operated by UHS in the state under investigation by federal officials for alleged billing fraud.[19]
  • September, 2017: Massachusetts also halted all admissions to another embattled UHS facility, Lowell Treatment Center. This was after finding “serious issues involving patient safety” during a surprise inspection carried out August 31.[20] In August, the Center faced $207,690 in proposed penalties from the U.S. Department of Labor’s Occupational Safety and Health Administration (OSHA) for violations found while conducting a follow-up inspection.[21] In 2016, Lowell had failed a hazard check of the facility that predisposed the workplace to violence. At the time, the owners of the center paid $9,000 in worker safety fines.[22]
  • September, 2017: Five lawsuits were also announced as having been filed against Shadow Mountain and media reported that the facility may be “facing nearly half a dozen lawsuits from former patients and employees.”  Lawsuits filed by former patients and the guardians of juvenile patients allege negligence and abuse by staff at the facility, such as the following:

o   A civil lawsuit filed in the District Court of Muskogee County alleges that the hospital provided negligent training and supervision to its employees.

o   The mother of an 11-year-old girl filed a lawsuit on June 28, 2017, in Tulsa County, alleging negligence, assault and battery and intentional infliction of emotional distress. The child was frequently seen with large bruises and welts during her stay, the lawsuit alleges.

In the previously mentioned case involving a 12-year-old who had two fingers amputated, UHS is moving to have the suit dismissed, claiming UHS is only a “holding company” that had no contact with the state of Oklahoma and does not “own or operate hospitals” in the state. In response, the attorney for the plaintiff, Jacob Biby said that argument was “disingenuous at best,” and submitted several exhibits purporting to show UHS’s connections with the state and Shadow Mountain.[23]

CCHR concurs with the attorney, having seen this tactic before. The UHS corporate structure is convoluted. The Dallas Morning News said that “the company operates hospitals under a variety of names that can make it difficult for patients and watchdogs to evaluate its overall care.”[24] As an example, in 2015, UHS acquired Foundations Recovery Network (FRN) for a purchase price of approximately $350 million.[25] Subsequently, UHS posted job listings for Seven Waters Treatment Center in Mount Dora, Florida, describing it as a subsidiary of Foundations Recovery Network—a subsidiary of UHS.[26] Foundations Recovery Network doesn’t mention UHS on its homepage or in its history.

UHS says approximately 440 psychiatrists are employed by its subsidiaries either directly or through contracts with affiliated group practices structured as 501A corporations (non-profit). CCHR says that investigations into UHS should not be limited to the corporation but also treating psychiatrists. CCHR documented a sample of 19 psychiatrists and an “addictionologist” that are currently, or were in recent years, working at or affiliated with UHS behavioral centers in 11 states.  These had previous licensing board reprimands or license suspensions, including for abuse of controlled substances, sexual relations with a patient, failing to keep adequate medical records and resisting arrest and striking a police officer.

“Improper care” rampant in the psychiatric system, and exemplified by UHS’s behavioral division, needs federal and state investigation and resolution. In 2013, the U.S. spent an estimated $201 billion on “mental disorders,” which made it the costliest medical condition in the country, according to a study published in the journal Health Affairs in September 2017. The analysis found mental health care surpassed both heart conditions and trauma and injury by almost $60 billion, which includes the general and institutionalized populations. The costs of pharmacological interventions were factored into the total and are a booming industry.[27] How much of it that is defrauded in the for-profit behavioral health sector is not entirely known.

On June 29, 2017, former Congressman Ronnie Snows, wrote about “eliminating wasteful spending.” He stated, “According to one government analysis, Medicare fraud costs the American taxpayer over $50 billion dollars a year…. Sadly, when it comes to healthcare fraud, mental health and drug treatment programs are some of the worst actors.” Among those cited was Psychiatric Solutions, Inc., which “was eventually purchased by Universal Health Services in 2010…. Now, UHS has more than 200 psychiatric facilities across the country and more than a third of the company’s $7.5 billion annual revenue comes from Medicare and Medicaid.”[28]

It’s time UHS followed in the steps of National Medical Enterprises (NME)—a predecessor large for-profit psychiatric hospital chain that was busted for fraud and abuse in the 1990s. Faced with government investigations, lawsuits, and egregious allegations from patients, their families and staffs—NME dumped its behavioral division, stating that this had signaled its “resolve to exit the psychiatric business.” Likewise, UHS would do better to stick with acute medical, not psychiatric treatment.

References:

[1]“At least five lawsuits target Tulsa psychiatric facility after allegations draw national attention,” The Frontier, 11 Sept. 2017, https://www.readfrontier.org/stories/former-employee-patients-sue-tulsa-psychiatric-facility-allegations-draw-national-attention/

[2] “2016 Annual Report,” Universal Health Services, Inc., 2016, http://ir.uhsinc.com/phoenix.zhtml?c=105817&p=irol-reportsannual.

[3] “Shadow Mountain loses court bid to halt SoonerCare contract termination,” Tulsa World, 2 Aug. 2017, http://www.tulsaworld.com/homepagelatest/shadow-mountain-loses-court-bid-to-halt-soonercare-contract-termination/article_ff73bfbb-1135-58e4-a729-4bca7e5e0e2c.html

[4] https://www.buzzfeed.com/matthewzeitlin/uhs-loses-1-5-billion-in-value?utm_term=.sbBERO4XN#.vxwgNGBvR

[5] “State turns thumbs-down on Wilsonville psychiatric hospital,” The Oregonian, 24 Feb. 2017, http://www.oregonlive.com/business/index.ssf/2017/02/state_turns_thumbs_down_on_wil.html

[6] Elizabeth Hayes, “Mental breakdown: Battle rages on over Wilsonville psychiatric hospital,” Portland Business Journal, 20 Jul 2017, https://www.bizjournals.com/portland/news/2017/07/20/oregon-mental-breakdown-battle-rages-on-over.html.

[7] https://www.jointcommission.org/facts_about_federal_deemed_status_and_state_recognition/

[8] “Adverse Events in Hospitals: State Reporting Systems,”GAO, 2008, p. ii, https://oig.hhs.gov/oei/reports/oei-06-07-00471.pdf

[9] Op cit. “Shadow Mountain loses court bid to halt SoonerCare contract termination; “Report: Shadow Mountain presented a ‘threat to life’ during recent inspection, slips in accreditation status: Shadow Mountain was deemed a ‘threat to life’ during recent inspection,” Tulsa World, 30 May 2017, http://www.tulsaworld.com/news/health/report-shadow-mountain-presented-a-threat-to-life-during-recent/article_72f3a7a0-c43e-539d-ad58-417767f1d3a2.html

[10] http://ir.uhsinc.com/phoenix.zhtml?c=105817&p=irol-newsArticle&ID=2228446

[11] Op cit. “At least five lawsuits target Tulsa psychiatric facility after allegations draw national attention,” The Frontier.

[12] “Lawsuit: Psychiatric hospital negligence led to teen’s rape,” ABC News, Associated Press, 15 Sept. 2017, http://abcnews.go.com/Health/wireStory/lawsuit-claims-psychiatric-hospital-negligent-teens-rape-49873253

[13] UHS Inc, SEC Filing, For 8K, 31 Mar. 2015, Item 7:01, Regulation FD Disclosure, http://www.sec.gov/Archives/edgar/data/352915/000119312515113094/d898400d8k.htm ; “UHS posts strong quarter even as it faces federal probe,” Phily.com,30 Apr. 2015, http://articles.philly.com/2015-04-30/business/61657494_1_steve-filton-uhs-strong-quarter

[14] “Nurse accused of being drunk while sexually assaulting patient,” WSB-TV, 30 Apr. 2013, http://www.wsbtv.com/news/news/local/nurse-accused-being-drunk-while-sexually-assaultin/nXcnk/

[15]UHS of Hartgrove Inc. allegedly failed to prevent sexual assault,” County Cook Record, 28 July 2017, http://cookcountyrecord.com/stories/511143636-uhs-of-hartgrove-inc-allegedly-failed-to-prevent-sexual-assault

[16]Murder charge in 2015 hospital slay: Man allegedly beat roommate to death,” Boston Herald, 7 Aug. 2017, http://www.bostonherald.com/news/local_coverage/2017/08/murder_charge_in_2015_hospital_slay

[17]“Boy, 16, sexually assaulted by patient at Forest Park hospital: lawsuit,” WGN19 News, 19 Aug. 2016, http://wgntv.com/2016/08/19/boy-16-sexually-assaulted-by-patient-at-forest-park-hospital-lawsuit/

[18] Alex Newman, “Sexual Assault Investigation At Now-Shuttered Westwood Psychiatric Hospital: Westwood police are investigating an alleged sexual assault at Westwood Lodge, which state officials permanently closed Friday,”  The Westwood Patch, 30 Aug. 2017, https://patch.com/massachusetts/westwood/sexual-assault-investigation-now-shuttered-westwood-psychiatric-hospital

[19] http://www.masslive.com/news/index.ssf/2017/08/massachusetts_psychiatric_hosp.html

[20] “State halts admissions at Lowell psychiatric hospital,” The Boston Globe, 12 Sept. 2017, https://www.bostonglobe.com/metro/2017/09/12/state-halts-admissions-lowell-psychiatric-hospital/uI35TIvQkDTN0INlvdIpaK/story.html

[21] https://www.bna.com/medical-facility-faces-n73014463123/

[22] http://sunnewsreport.com/serious-workplace-hazards-psychiatric-hospital/; https://www.bna.com/medical-facility-faces-n73014463123/

[23] “At least five lawsuits target Tulsa psychiatric facility after allegations draw national attention,” The Frontier, 11 Sept. 2017, https://www.readfrontier.org/stories/former-employee-patients-sue-tulsa-psychiatric-facility-allegations-draw-national-attention/

[24] “Danger in the psych ward: Safety issues plague a chain of mental-health hospitals in Texas and across the United States,” The Dallas Morning News, 18 Mar. 2016, http://interactives.dallasnews.com/2016/danger-in-the-psych-ward/

[25] http://www.prnewswire.com/news-releases/universal-health-services-inc-announces-acquisition-of-foundations-recovery-network-300145529.html

[26] https://www.practicelink.com/JobBoard/FacilityDetail.aspx?facilityId=54696

[27] “More spent on mental health than other illnesses in U.S.,” The Daily Helmsman, 19 Sept. 2017, http://www.dailyhelmsman.com/news/more-spent-on-mental-health-than-other-illnesses-in-u/article_1478e394-9d79-11e7-abde-6b0f706bf1f5.html

[28] Ronnie Shows, “Dear GOP: Eliminate Waste And Fraud To Help Pay For Healthcare Bill,” The Daily Caller, 29 June 2017, http://dailycaller.com/2017/06/29/dear-gop-eliminate-waste-and-fraud-to-help-pay-for-healthcare-bill/

Another Mass Shooting, Another Psychiatric Drug—27 Drug Warnings and 1,531 Cases of Drug-Induced Homicidal Ideation Back Need for Federal Investigation

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Twenty-seven drug regulatory agency warnings cite psychiatric drug side effects of mania, psychosis, violence and homicidal ideation; 1,531 cases of psychiatric drug induced homicide/homicidal ideation have been reported to the US FDA; 65 high profile cases of mass shootings/murder have been committed by individuals under the influence of these drugs, yet there has never been a federal investigation into the link between seemingly senseless acts of violence and the use of mind-altering psychotropic drugs.

By CCHR International
October 9, 2017

On October 3rd, from a Las Vegas Mandalay Bay hotel room, 64-year-old Stephen Paddock opened fire upon a crowd of people, killing 59 and wounding more than 500 in the worst mass shooting in U.S. history. Almost immediately the press began speculating as to a possible motive in the shooting; rumored ties to terrorist organizations came and went, dispelled by law enforcement as groundless. No criminal records or ties to radical organizations were uncovered by the press. Yet amidst the speculation immediately following the shooting, none of the journalists attending the live broadcast press conference posed the question: Was there any indication the shooter was under the influence of a mind-altering prescribed drug?

Considering that mainstream media rarely pursues this line of questioning, that law enforcement isn’t required to reveal it, and that the psychiatric-pharmaceutical industry certainly doesn’t want to address it, the task often falls to individual journalists to dig up relevant facts.

Such was the case with Stephen Paddock.

Paul Harasim from the Las Vegas Review-Journal obtained records from the Nevada Prescription Monitoring Program showing Paddock was prescribed 50 10-milligram diazepam (Valium) tablets on June 21st, as well as 50 10-milligram tablets in 2016.

The drug Paddock was prescribed, diazepam, is a benzodiazepine documented by several studies to cause violence, aggression, homicidal ideation and suicide risk or attempts.

Court records obtained by CNN indicate Paddock had been prescribed mind-altering drugs as far back as 2013

Now CNN has found that Paddock was prescribed the drug as far back as 2013.

In a 97-page 2013 court document exclusively obtained and released by CNN, Paddock himself admitted to being prescribed Valium when he was deposed as part of a civil suit he filed against the Cosmopolitan Hotel, after slipping on a walkway in 2011. According to  CNN, the 2013 document reveals Paddock stating he was prescribed Valium for “anxiousness” and when asked whether he had a good relationship with the doctor who prescribed him the pills, he responded, “He’s like on retainer, I call it, I guess. It means I pay a fee yearly … I have good access to him.” CNN also notes that “Rage, aggressiveness and irritability are among the possible side effects of taking diazepam — better known as Valium, according to a manufacturer of the drug. It is not known when Paddock last took the drug.”

The fact is psychiatric drugs are documented by 27 international drug regulatory agency warnings and 16 published medical studies to cause side effects including mania, hostility, violence and even homicidal ideation.  And while not everyone taking the drug will experience these particular side effects, what the warnings prove is that a percentage of the population will.

Furthermore according to the FDA’s MedWatch reporting system for drug side effects, over a 10-year period, the FDA received 1,531 cases of homicidal ideation/homicide attributed to psychiatric drugs, 40% of which were reported by medical professionals. The FDA admits that only 1-10% of drug side effects are ever reported to MedWatch, so taking a medium range of 5%, the number could easily be 30,620 cases of homicidal ideation/homicide attributed to psychiatric drugs.

Regarding the concept that psychiatric drugs could not have been a contributing factor in a case where the perpetrator was involved in extensive planning or preparations, we look to the definition of “homicidal ideation,” a similar concept to the  “suicidal ideation” black box warning on antidepressant drugs:

Homicidal ideation:  “Thoughts about homicide. They may range from globally aggressive thoughts to a specific lethal plan with available means to carry it out.”

Emergency Psychiatry journal

There have been 65 high profile acts of senseless violence, including mass school shootings, mass stabbings, and even the intentional crashing of a commercial airplane, committed by individuals taking or withdrawing from psychiatric drugs, resulting in 357 dead and 336 wounded. Drug proponents argue that there are thousands of shootings and acts of violence that have not been correlated to psychiatric drugs, and that is exactly the point. They have neither been confirmed nor refuted to have been connected to psychiatric drugs, as law enforcement is not required to investigate or report on prescribed drugs linked to violence, and media rarely pose the question.

New York legislation introduced in 2000 sought to require law enforcement to report psychotropic drug use in cases of violent crime

The New York State Senate recognized the lack of reporting correlating mind-altering psychiatric drugs to both suicide and violence as far back as 2000, when the senate introduced a bill which would “require police to report to the Division of Criminal Justice Services (DCJS), certain crimes and suicides committed by persons using psychotropic drugs,” citing “a large body of scientific research establishing a connection between violence and suicide and the use of psychotropic drugs.”

Unfortunately that bill stalled out in the finance committee, yet if that bill had passed, a reporting system would be in place to determine the extent to which violence is committed by those under the influence of mind-altering prescribed drugs.

A cursory review of the 27 international drug regulatory warnings, the tens of thousands of cases of  medical personnel citing psychiatric drug side effects of  homicide, aggression, violence, mania and psychosis, and the 65 high profile acts of senseless violence committed by individuals either taking or withdrawing from these drugs, more than meets the criteria for a federal investigation.

With millions of Americans being prescribed psychiatric drugs, it’s apparent not everyone will experience violent reactions to the drugs, besides which, violence is only one of many documented side effects of psychiatric drugs.   But what the drug regulatory agency warnings confirm, is that a percentage of the population will. And no one knows who will be next.

Some examples of high-profile cases where the individual was under the influence of such drugs include:

  • Arcan Cetin

    Burlington, Washington – September 23, 2016: 20-year-old Arcan Cetin opened fire in a Macy’s department store at the Cascade Mall, killing 5 people. He was on three different psychiatric drugs—an antidepressant and ADHD drugs—as of 2015 and had been receiving drugs “like Prozac” in the months before the shooting. Side effects include homicidal ideation, agitation/hostility, mood changes and depression.

  • Andreas Lubitz

    Southern France – March 24, 2015: Pilot Andreas Lubitz deliberately crashed a Germanwings plane into the side of a mountain killing all 150 people on board. He was on an antidepressant and an anti-anxiety drug. Side effects of these drugs include homicidal ideation, hostility, aggression, mania and depression.

  • Elliot Rodger

    Santa Barbara, California – May 23, 2014: 22-year-old Elliot Rodger stabbed three roommates to death at his apartment then drove to a sorority house where he shot three women, killing two of them. Driving again, he exchanged fire with deputies, hit a bicyclist, fired on other people in multiple locations and then killed himself having killed 6 and wounded 13 others. He was taking an anti-anxiety drug. Side effects include homicidal ideation, hallucinations, unusual changes in mood or behavior and depression.

  • Ivan Lopez

    Fort Hood, TX – April 2, 2014: Specialist Ivan Lopez opened fire at Fort Hood military base, killing three people, wounding 16 others and then taking his own life. He had been prescribed an anti-anxiety drug, antidepressants and other medications to treat anxiety and depression. Side effects include homicidal ideation, abnormal thinking, hallucinations, behavioral changes and suicidal thoughts/actions.

    Aaron Alexis

  • Washington, DC – September 16, 2013: Aaron Alexis opened fire at the Washington Navy Yard, killing 12 and wounding eight before he was killed by police. Alexis was prescribed an antidepressant. Side effects include homicidal ideation, aggressiveness, irritability, mania and akathisia.
  • Aurora, CO – July 20, 2012: James Holmes

    James Holmes

    opened fire at a movie theater during “The Dark Knight Rises,” killing 12 people and wounding 70. He was on an antidepressant and an anti-anxiety drug. Side effects include homicidal ideation, hallucinations, agitation, anxiety and behavior problems. 

  • Scott Dekraai

    Seal Beach, California – October 12, 2011: Scott DeKraai, a harbor tugboat worker, entered the hair salon where his ex-wife worked, shot and killed her and seven others and injuring one. He was prescribed an antidepressant and a “mood stabilizer.” Side effects include homicidal ideation, aggressiveness, irritability, mania and paranoia.

  • Steven Kazmierczak

    DeKalb, Illinois – February 14, 2008: 27-year-old Steven Kazmierczak shot and killed five people and wounded 21 others before killing himself in a Northern Illinois University auditorium. His girlfriend said he had recently been taking an antidepressant and anti-anxiety drugs, but had stopped taking the antidepressant three weeks before the shooting. Toxicology results showed that he still had a trace amount of one of the anti-anxiety drugs in his system. Side effects include homicidal ideation, suicidal ideation, hallucinations and unusual changes in mood or behavior.

  • Robert Hawkins

    Omaha, Nebraska – December 5, 2007: 19-year-old Robert Hawkins shot and killed eight people and wounded five before committing suicide in an Omaha mall. Autopsy results confirmed he was under the influence of an anti-anxiety drug. Side effects include homicidal ideation, confusion, depression, mania and agitation.

  • Jeff Weise

    Red Lake, Minnesota – March 21, 2005: 16-year-old Jeff Weise shot and killed his grandfather and his grandfather’s girlfriend, then went to his school on the Red Lake Indian Reservation where he shot dead 5 students, a security guard, and a teacher, and wounded 7 before killing himself. He was on an antidepressant. Side effects include homicidal ideation, suicidal ideation, hostility and psychosis.

  • Eric Harris

    Columbine, Colorado – April 20, 1999: 18-year-old Eric Harris and his accomplice, Dylan Klebold, shot and killed 12 students and a teacher and wounded 26 others before killing themselves. Harris was on an antidepressant. Side effects include homicidal ideation, agitation, depression, suicidal thoughts or behaviors and mania. Klebold’s medical records remain sealed.

  • Kip Kinkel

    Springfield, Oregon – May 21, 1998: 15-year-old Kip Kinkel murdered his parents and then proceeded to school where he opened fire on students in the cafeteria, killing two and wounding 25. Kinkel had been taking an antidepressant. Side effects include homicidal ideation, suicidal ideation, hostility and psychosis.

While there is never one simple explanation for what drives a human being to commit such unspeakable acts of senseless violence, one common denominator has surfaced in a percentage of cases—prescribed psychiatric drugs which are documented to cause mania, psychosis, violence, suicide and in some cases,  homicidal ideation.  Those with a vested interest will continue to champion the use of such drugs, as the psychiatric-pharmaceutical drug industry rakes in $80 billion a year through psychiatric drug sales alone.

It is long past time that government healthcare agencies launch an investigation.  Moreover the New York bill which would have required law enforcement to report any use of mind-altering psychiatric drugs prescribed to those who committed violent criminal acts should be reintroduced.

None can argue against the fact that disclosure would serve the public interest. Except those with a vested interest in keeping the public in the dark.

To read all documented drug regulatory agency warnings, studies and reports to the US FDA’s Medwatch system, click here

Psychiatric Hospital Rife With Sexual Assault Allegations Finally Shuts Down While Another Faces Lawsuit over Teen Rape

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Watchdog Says Multi-Billion Dollar Psychiatric Chain Puts Profit Above Patients Lives

By CCHR International
The Mental Health Industry Watchdog
January 22, 2018

Timberlawn psychiatric hospital in Dallas, Texas, owned by Universal Health Services (UHS), announced it is closing its doors, following state officials threatening to shut it down in the wake of allegations of patient sexual assault, including the rape of a 13-year-old girl under its care. Timberlawn is one of hundreds of behavioral hospitals owned by UHS that boasts being the largest psychiatric hospital chain in the U.S. The facility, along with other UHS behavioral facilities in Texas and other states, has been plagued by allegations of sexual and physical assaults against patients.

On January 19, 2018, The Dallas Morning News, which has done extensive investigations into and stories about abuses at Timberlawn, detailed how in recent years the psychiatric facility has been under scrutiny over safety and other issues, including a patient who warned she was suicidal but hanged herself in the facility in 2014.[1] And a female patient alleged a male patient entered her room and raped her.[2]

The same day, The Houston Chronicle reported two teenagers had been sexually assaulted on the same night in 2015 at UHS’s Kingwood psychiatric hospital in Houston, according to a lawsuit filed in Harris County court on January 8, 2018.[3]

The lawsuit argues that hospital administrators acted negligently, “failing to provide a safe and secure environment” for the two patients. It seeks up to $1 million in damages.”[4]

Like accusations against Timberlawn, according to The Houston Chronicle, “allegations were not the only concerns raised in recent years about patient safety at the 116-bed psychiatric hospital in Kingwood and its parent company, the for-profit nationwide chain, Universal Health Services Inc.” Journalists’ “review of medical records, court filings, hospital accreditation reports and records from state and federal regulators, and interviews with parents” portray that the facility “failed to watch over patients, leaving the most vulnerable among them open to further victimization.”[5]

CCHR has filed hundreds of complaints against Timberlawn and other UHS psychiatric facilities in Texas since 2015.

Since mid-2015, Citizens Commission on Human Rights International (CCHR) has filed hundreds of complaints against Timberlawn, and other UHS psychiatric facilities in Texas. The latest complaint was filed in November 2017, in response to The Dallas Morning News story of a 13-year-old girl being raped by a patient while under the care of Timberlawn.[6]

CCHR’s complaint also cited Mayhill Hospital in Denton, Texas that was the subject of a WFAA-TV expose on November 7, 2017, alleging a teenage girl named Madison was illegally held in the facility after being admitted voluntarily. Her parents allege that she was detained for profit: “The reason they held Madison is because we have fantastic insurance benefits, and they can bill over $1,000 a day, and they can keep her for up to what, 30 days?” the mother told WFAA-TV.[7]

The complaint, filed with Health and Human Services, the Centers for Medicare and Medicaid Services (CMS) and other government agencies and legislators stated: “The sexual and other abuses occurring at UHS behavioral facilities cannot be dismissed. Nor are there any ‘acceptable levels’ of sexual abuse in any mental health facility—or as James Miller, Timberlawn’s chief executive put it: ‘we believe our rate of serious incidents associated with the patient population treated at Timberlawn is within industry norm.’”[8] [Emphasis added]

Timberlawn will be the sixth UHS psychiatric facility shut down in recent years:

  • Last year, Okaloosa Youth Development Center in Crestview, Florida was closed after state authorities terminated its contract over serious deficiencies that potentially could threaten the health and safety of the youth placed at the program.”[9]
  • In 2017, the Massachusetts Department of Mental Health (DMH) also closed Westwood Lodge psychiatric hospital due to “issues concerning patient safety and quality of care,” amid a sexual assault investigation.[10]
  • In January 2016, the National Deaf Academy in Mount Dora, Florida closed in the wake of government investigations into and lawsuits over patient abuses.[11]
  • In 2015, Rock River Academy in Illinois closed after allegations of rape and abuse of juvenile residents, including a lawsuit filed on behalf of five residents who alleged sexual abuse and rape by staff. Rockford Police Department had fielded more than 700 reports “concerning victimization of girls” including “rape, aggravated battery and sodomy at the Rock River Academy” during a four-year period.[12]
  • In 2012, Milton Girls Juvenile Residential Facility in Florida was closed following incidents of a security video showing a staff member slamming a girl against a wall and a staff member arrested for sexually abusing six girls at the facility.[13] The mental health technician was sentenced to 25 years prison.[14]

The Dallas Morning News reported that Miller told federal health officials that the hospital will close on February 1, or as soon after that as possible, said Bob Moos, a Dallas spokesman for the Centers for Medicare and Medicaid Services. Only 15 of the hospital’s 144 beds are currently filled.[15]

CCHR’s more than 4,500 complaints in recent years to state and federal authorities about UHS’s behavioral division have questioned how any state could approve UHS opening new psychiatric facility and why more behavioral facilities are not shut down, given the escalating allegations against them, lawsuits and Federal Department of Justice (DOJ) criminal and civil investigations.  The DOJ has at least 26 of UHS’s behavioral hospitals and the company headquarters under investigation for potential billing fraud.

CCHR supports the recommendations of the father of the 13-year-old daughter raped in Timberlawn who told The Dallas Morning News, stating: “The place needs to be shut down.”[16]

The attorney for the girls sexually assaulted by two patients at Kingwood Pines also stated, “I don’t want them operating,” said Joe Mathew, the attorney who filed the lawsuit on behalf of the two families. “These are kids.”[17]

CCHR says that authorities should be demanding the closure of UHS’s entire behavioral sector forcing it to limit its business to medical services instead.

Other Texas facilities named in CCHR’s complaints are:

Austin Lakes Hospital, Austin
Cypress Creek Hospital, Houston
El Paso Behavioral Health System, El Paso
Glen Oaks Hospital, Greenville
Hickory Trail Hospital, DeSoto
San Marcos Treatment Center, San Marcos
South Texas Behavioral Health, Edinburg
TMC Behavioral Health, part of Texoma Medical Center, Sherman
The Pavilion at Northwest Texas Health System, Amarillo
West Oaks Hospital, Houston

References:

[1] Sue Ambrose, Sarah Mervosh and Miles Moffeit, “DMN Investigates: Troubled Timberlawn psychiatric hospital is closing before the state can shut it down,” The Dallas Morning News, 13 Jan. 2018, https://www.dallasnews.com/news/investigations/2018/01/18/dmn-investigates-troubled-timberlawn-psychiatric-hospital-closing-before-state-can-shut.

[2] Sue Ambrose, Sarah Mervosh, “TIMBERLAWN’S LAST STAND? STATE MOVES TO CLOSE DALLAS PSYCHIATRIC HOSPITAL OVER SAFETY,” The Dallas Morning News, 13 January 2018,  https://www.dallasnews.com/news/investigations/2018/01/12/texas-moves-shut-timberlawn-psych-hospital-patient-safety.

[3] “Teens sexually assaulted at Kingwood psychiatric hospital in Houston, lawsuit claims,” The Houston Chronicle, 19 Jan. 2018, http://www.houstonchronicle.com/news/houston-texas/houston/article/Teens-assaulted-at-Houston-area-psychiatric-12508760.php.

[4] Ibid.

[5] Ibid.

[6] “Dallas’ Timberlawn psychiatric hospital has run out of second chances,”  Dallas Morning News, 24 Oct. 2017, https://www.dallasnews.com/opinion/editorials/2017/10/24/dallas-timberlawn-psychiatric-hospital-run-second-chances/.

[7] Mark Smith and Brett Shipp, “Voluntarily checking into psychiatric hospital, easy. Checking out? Not so much,” WFAA-TV, 7 Nov. 2017, http://www.wfaa.com/news/local/investigates/voluntarily-checking-into-psychiatric-hospital-easy-checking-out-not-so-much/489740526?utm_source=dlvr.it&utm_medium=twitter.

[8] Sarah Mervosh and Sue Ambrose “Raped, fondled, flashed: What female patients say happened to them at Timberlawn psych hospital,” Dallas Morning News, 25 Oct. 2017, https://www.dallasnews.com/news/investigations/2017/10/26/timberlawn-history-sexual-assault-reports-13-year-olds-case-surfaced.

[9] “DJJ terminated contract due to failure to correct “deficiencies,” Daily News, 24 June 2017, http://www.nwfdailynews.com/news/20170624/state-shuts-down-youth-detention-center-in-crestview; http://uhsbehindcloseddoors.org/wp-content/uploads/2015/07/FL-UHS-Northridge-Flyer-final-legal-approved.pdf.

[10] Alex Newman, “Sexual Assault Investigation At Now-Shuttered Westwood Psychiatric Hospital: Westwood police are investigating an alleged sexual assault at Westwood Lodge, which state officials permanently closed Friday,”  The Westwood Patch, 30 Aug. 2017, https://patch.com/massachusetts/westwood/sexual-assault-investigation-now-shuttered-westwood-psychiatric-hospital.

[11] https://www.nbcnews.com/news/us-news/national-deaf-academy-hit-abuse-allegations-closing-n497516.

[12] Lorraine Bailey, “Severe Abuse Alleged at Illinois Home for Girls, “Courthouse News.com, 10 Sept. 2015, http://www.courthousenews.com/2015/09/10/severe-abuse-alleged-at-illinois-home-for-girls.htm.

[13] http://health.wusf.usf.edu/post/teen-girls-molested-youth-prison#stream/0.

[14] http://www.pnj.com/story/news/2014/04/17/former-med-tech-gets-25-years-in-sex-case/7809815/

[15] Op. cit., Sue Ambrose, Sarah Mervosh and Miles Moffeit,  “DMN Investigates….”

[16] Sue Ambrose, “FATHER OF GIRL, 13, SAYS SHE WAS RAPED AT TIMBERLAWN BY TEEN MALE PATIENT,” Dallas Morning News, 18 Oct. 2017, https://www.dallasnews.com/news/crime/2017/10/13/father-girl-13-says-raped-timberlawn-teenmale-patient.

[17] Op. cit., “Teens sexually assaulted at Kingwood psychiatric hospital….”

HeartBreaker: Another Celebrity Lost to Benzo-Opioid Mix—Tom Petty’s Death Ruled Accidental Overdose

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CCHR says Benzos are a Common Thread in the Deaths of Tom Petty, Prince, Heath Ledger, Whitney Houston, Michael Jackson…and more

By CCHR International
The Mental Health Watchdog
January 25, 2018

The Los Angeles County Department of Medical Examiner-Coroner established that chart-topping singer and songwriter Tom Petty’s death on Oct. 2, 2017, was from an accidental drug overdose. He suffered drug toxicity from the mixture of benzodiazepines (“benzos” or sedative-hypnotics), an antidepressant and opioids that caused cardiac arrest and multisystem organ failure.[1] The Citizens Commission on Human Rights (CCHR), a mental health watchdog, has investigated artists’ deaths from taking psychotropic drugs—mixed with or without opioids—and says it’s not the first celebrity that the entertainment industry, fans, and family have lost due to lethal prescription drug combinations, including Prince, Heath Ledger, Whitney Houston and more.

Toxicology tests determined that Petty had been taking two benzodiazepines—temazepam (Restoril) and alprazolam (Xanax) —the antidepressant citalopram (Celexa) and painkillers, including oxycodone and fentanyl. His widow, Dana Petty, and daughter, Adria, said the rock and roll legend had been prescribed opioids for a fractured hip and other chronic ailments.[2]

Consider the following iconic artists:

  • Toxicology tests for another legendary singer, Prince (57), concluded that the entertainer died on April 21, 2016, from an accidental overdose of the opioid fentanyl.[3] Prince’s toxicology report also revealed the presence of alprazolam (Xanax) in his system, according to CNN.[4]
  • A toxicology test determined that the benzodiazepine Ativan (lorazepam) was in Chris Cornell’s system at the time of his death.

    Soundgarden singer Chris Cornell (52) died on May 17, 2017. Although suicide was ruled as the cause of death, Cornell’s wife questions the role of the benzodiazepine lorazepam (Ativan)  which is documented to cause suicidal ideation.[5]

  • The toxicology report for pop icon Whitney Houston (48), following her death on Feb. 11, 2012, indicated that she was “acutely intoxicated from cocaine” and a “plethora of prescription medication bottles” were found in the room, including alprazolam (Xanax), according to the final report.[6]
  • The Los Angeles County coroner ruled that iconic performer, Michael Jackson’s (50) death was a homicide from the administration of the anesthetic drug propofol and that this drug and the sedative lorazepam (Ativan) were the primary drugs in Jackson’s death on June 25, 2009.[7] Vials of another benzodiazepine, diazepam (Valium),  were also found in his mansion.[8]
  • Heath Ledger died of an accidental overdose as a result of taking a lethal combination of prescription drugs that included three benzodiazepines, diazepam, temazepam, and alprazolam

    On January 22, 2008, Heath Ledger (28) died of an accidental overdose as a result of taking a lethal combination of prescription drugs that included three benzodiazepines, diazepam (Valium), temazepam, and alprazolam (Xanax). He was also taking two painkillers.[9] Heath wasn’t taking the drugs for “psychiatric” reasons—like many, he used them to help him sleep and to handle a busy schedule.[10]

There’s a distinct difference between Cause of Death and Means of Death. The cause is the actual event. Means is the method by which death happened. For example, the cause of death for the “King of Rock n’ Roll,” Elvis Presley (42), in 1977 was a heart attack. Although the coroner listed the means as “chronic heart disease,” and other physical problems, the toxicology report revealed the death should be looked at in terms of the cumulative effects of prescription drugs. A prominent toxicologist also reviewed the findings and gave his opinion that “the strong probability [was] that these drugs were the major contribution to his demise.”[11] The toxicology report showed numerous psychotropic drugs, including diazepam (Valium) and barbiturates/sedative-hypnotics.[12]

In the two and a half years prior to his death, Elvis was prescribed an unbelievable 5,458 amphetamines, 9,567 sedatives, and 3,988 narcotics.[13] So dependent was he on these drugs that he was hospitalized at least five times for detoxification.[14]

Dr. David Sackboard certified in addiction medicine, says, “Tolerance and dependence can develop quickly. There have been reports of people who received high doses of benzodiazepines becoming physically dependent in as little as two days.”[15] Combined with opioids, it’s a catastrophe in the making. Dr. Sack warns that benzodiazepines are “the danger lurking in the shadow of opiates” and that both opioids and benzodiazepines slow down body systems, particularly the respiratory and cardiovascular systems. Combining the drugs increases the effects of each exponentially, meaning that the body isn’t just processing two doses, it is processing more like three or four. This multi-dose cocktail can cause breathing to stop.[16]

In the U.S., more people die from psychiatric drug overdose than heroin overdose. In 2014, 10,574 people died of heroin overdose while 15,778 died from an overdose of psychiatric drugs, nearly 50 percent more than the number of heroin overdose deaths. The biggest killers were sedatives (benzodiazepines such as alprazolam and temazepam, and Z-drugs such as zolpidem), antidepressants (such as citalopram), psychostimulants (methylphenidate, amphetamine), and antipsychotics.[17]

Fatal Rx Mix

In February 2016, researchers from the Albert Einstein College of Medicine in New York warned that benzodiazepine abuse is a growing problem in the U.S., with overdoses on the drugs increasing at a faster rate than other prescription drugs, including opioids. “Benzodiazepines have several known safety risks: in addition to overdose, they are conclusively linked to falls, fractures, motor vehicle accidents, and can lead to misuse and addiction,” Dr. Marcus Bachhuber, lead author of the study told Reuters.[18]

Long-acting benzodiazepine agents are associated with accumulation which may result in sedation, cognitive impairment, and psychomotor retardation.[19] All benzodiazepines are listed as Drug Enforcement Administration (DEA) schedule IV controlled substances because of the potential for abuse, addiction, and diversion.[20]

Rockstar legend Ozzy Osbourne had been fighting substance abuse for decades when a physician prescribed 13,000 doses of 32 different drugs that included tranquilizers, amphetamines, antidepressants, and antipsychotics during one year, which turned Osbourne into an incoherent, stumbling wreck. “I was wiped out on pills,” said Osbourne. “I couldn’t talk. I couldn’t walk. I could barely stand up. I was lumbering about like the Hunchback of Notre Dame.” The pills cost $58,000 and the doctor’s “services,” $650,000.[21]

In 1979, Sen. Ted Kennedy called a Senate Health subcommittee hearing on the dangers of benzodiazepines in which he said the drugs “produced a nightmare of dependence and addiction, both very difficult to treat and recover from.” In 2002, a group of doctors formed the Maine Benzodiazepine Study Group, which concluded: “There is no evidence supporting the long-term use of benzodiazepines for any mental health condition.”[22] But the warnings have gone unheeded and profit before patients seems to have taken precedence.

Prescriptions for benzodiazepines more than tripled and fatal overdoses more than quadrupled between 1996 and 2013.[23] Despite being mostly off-patent and selling at lower generic prices, benzodiazepines accounted for nearly $509 million in sales in 2013.[24] In 2015 alone, there were about 9,000 benzodiazepine related deaths reported.[25]

“The fact that any chronic benzodiazepine users exist at all,” Dr. Helen Gallagher of the University College Dublin medical school wrote in a 2013 review article in the journal Pharmacy, “highlights the fact that a convincing evidence base is being ignored by physicians, pharmacists and other healthcare providers who in essence facilitate their inappropriate use.”[26]

With so many celebrities and other people’s deaths due to potentially dangerous prescribing practices—and consumers believing that because the drugs are “prescribed,” they are safe and can be abused—greater efforts should be made to monitor the prescribing patterns of psychiatrists and doctors, CCHR says. As with opioids, the high billing of benzodiazepines and other psychiatric drugs should be a red flag for investigators to determine who is profiting from placing some of our greatest artists and so many others at risk of addiction and death.

References:

[1] “Heartbreaker: Tom Petty Died From An Accidental Overdose Of Opioids And Benzodiazepines,” Forbes, 19 Jan. 2018, https://www.forbes.com/sites/davidkroll/2018/01/19/heartbreaker-tom-petty-died-from-an-accidental-overdose-of-medical-opioids/#7b42f73271e4.

[2] Ibid.

[3] http://www.cnn.com/2016/06/02/health/prince-death-opioid-overdose/index.html.

[4] “Report: Pills in Prince’s home mislabeled, contained fentanyl,” CNN, 22 Aug. 2016, http://www.cnn.com/2016/08/22/health/prince-pills-fentanyl/index.html.

[5] “Chris Cornell’s Family: Prescription Drugs May Have Influenced Suicide,” Variety, 19 May 2017, http://variety.com/2017/music/news/chris-cornells-family-prescription-drugs-may-have-influenced-suicide-1202436611.

[6] “Whitney Houston’s Death: 9 Surprising Details in Coroner’s Report,” ABC News, 5 Apr. 2012, http://abcnews.go.com/Entertainment/whitney-houston-death-surprising-details-coroners-report/story?id=16076589; http://abcnews.go.com/Entertainment/whitney-houston-death-surprising-details-coroners-report/story?id=16076589.

[7] “Drugs that killed Jackson for clinical use only, experts say,” CNN, 28 Aug. 2009, http://www.cnn.com/2009/HEALTH/08/28/jackson.toxicology.drugs/index.html.

[8] http://www.news.com.au/entertainment/tv/tv-shows/michael-jackson-should-have-died-earlier-autopsy-report-reveals/news-story/557b0ea40c3fcf8c7d03df36ec268ac6

[9] “Heath Ledger’s dad brings talk on prescription medication misuse to Geelong,” Geelong Advertiser, 29 Mar. 2017, http://www.geelongadvertiser.com.au/news/geelong/heath-ledgers-dad-brings-talk-on-prescription-medication-misuse-to-geelong/news-story/404fb233be9af93b22164ba1ed9c2e2b

[10] Karen Mizoguchi, “Last, Ominous Conversation with Him: ‘He Was Warned’ About Prescription Drugs,” People, 28 July 2016, http://people.com/celebrity/heath-ledgers-father-opens-up-about-actors-death-from-prescription-drugs

[11] “Elvis Presley’s Death — What Really Killed the King?,” Huffington Post, 2 May 2017, https://www.huffingtonpost.com/garry-rodgers/elvis-presleys-death-what_1_b_9157820.html

[12] Charles C. Thompson II & James P. Cole, The Death of Elvis, (Delacorte Press, Bantam Doubleday Dell Publishing Group, Inc., NY, 1991), p. 217.

[13] John Parker, Elvis, The Secret Files, (Anaya Publishers Ltd., London, 1993), p. 236.

[14] Ibid.Elvis, The Secret Files, p.16.

[15] David Sack M.D., “Benzodiazepines: The Danger Lurking in the Shadow of Opiates: Fatal overdoses more than quadrupled for benzodiazepines prescriptions,” Psychology Today, 29 June 2017, https://www.psychologytoday.com/blog/where-science-meets-the-steps/201706/benzodiazepines-the-danger-lurking-in-the-shadow-opiates.

[16] Ibid., David Sack M.D.

[17] https://www.rehabs.com/pro-talk-articles/psychiatric-medications-kill-more-americans-than-heroin.

[18] Madeline Kennedy, “Benzodiazepine prescriptions, overdose deaths on the rise in U.S.,” Reuters, 26 Feb. 2016, http://www.reuters.com/article/us-health-rxdrugs-benzodiazepine-overdos-idUSKCN0VZ2TU.

[19] https://medicaid.utah.gov/pharmacy/ptcommittee/files/Criteria%20Review%20Documents/2016/2016.11%20Benzodiazepines%20in%20Anxiety%20Drug%20Class%20Review.pdf.

[20] https://www.drugs.com/article/benzodiazepines.html.

[21] “Harsh Reality of ‘Osbournes’ No Laughing Matter,” Los Angeles Times, 7 Dec. 2003, http://articles.latimes.com/2003/dec/07/entertainment/ca-ozzy7; Julian Coman, “Ozzy ‘prescribed 13,000 doses of drugs in a year’ by doctor,” The Telegraph, 14 Dec. 2003, http://www.telegraph.co.uk/news/worldnews/northamerica/usa/1449437/Ozzy-prescribed-13000-doses-of-drugs-in-a-year-by-doctor.html.

[22] Markian Hawryluk, “Benzodiazepines treat anxiety, cause long-term problems,” The Bulletin, 1 June 2014, http://www.bendbulletin.com/localstate/2119922-151/benzodiazepines-treat-anxiety-cause-long-term-problems.

[23] David Sack, “Benzodiazepines: The Danger Lurking in the Shadow of Opiates,” Psychology Today, 29 Jun. 2017, https://www.psychologytoday.com/blog/where-science-meets-the-steps/201706/benzodiazepines-the-danger-lurking-in-the-shadow-opiates.

[24] Markian Hawryluk, “Benzodiazepines treat anxiety, cause long-term problems,” The Bulletin, 1 June 2014, http://www.bendbulletin.com/localstate/2119922-151/benzodiazepines-treat-anxiety-cause-long-term-problems.

[25] “We Need to Talk About Our Generation’s (Alprazolam) Problem,” 23 Aug. 2017, https://www.vice.com/en_us/article/evvama/we-need-to-talk-about-our-generations-xanax-problem; “Overdose Death Rates,” National Institute of Drug Abuse, Sept. 2017, https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates.

[26] Markian Hawryluk, “Benzodiazepines treat anxiety, cause long-term problems,” The Bulletin, 1 June 2014, http://www.bendbulletin.com/localstate/2119922-151/benzodiazepines-treat-anxiety-cause-long-term-problems.

When Your Psychiatrist or Therapist is a Sexual Predator #MeToo in the Mental Health Industry

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Mental Health Industry Watchdog says #MeToo movement should extend to patients sexually assaulted under the guise of “therapy”—women detail harrowing stories of being drugged, psychologically manipulated and sexual assaulted by psychiatrists and therapists

A mental health watchdog has called for all states to enact uniform therapist-patient sexual abuse and rape laws in the wake of increased reports of women being sexually assaulted during psychiatric or psychological therapy. Women are at a disadvantage in those states that have not enacted such laws, according to the Citizens Commission on Human Rights International (CCHR). The group has been documenting women and children’s testimony of sexual abuse while undergoing “therapy” and was the first to advocate for the laws in the early 1990s. Today, there are 27 criminal statutes in the U.S. that recognize the added protection patients need when a psychiatrist or psychologist sexually assaults them, especially when fraudulently claiming it’s supposed to “help.”

As one woman that contacted CCHR reported, her psychotherapist had a “boundary talk” with her, claiming that “boundaries are purely subjective” and that “we could do anything we wanted in therapy; that basically there were no boundaries.”

Further: “I trusted him. I always wanted to be the good little patient to him, the chosen one. I never wanted to let him down or make him not proud of me. So I did whatever he told me. Said whatever he wanted me to say. I felt like his little toy, his puppet.”

She further described what is too often reported to CCHR: He “kissed me very passionately after a therapy session. The kissing then led to subsequent oral sex and intercourse during every appointment thereafter … He got paid for most of these sessions.” In fact, it cost her insurance $85 per hour.

Her case exemplifies why more stringent laws are needed: “It saddens me,” she said, “to see the statistic that only a small percentage of victims of this kind of abuse ever come forward. But yet I understand it. The shame and self-blame is overwhelming at times.”  Her psychotherapist was eventually prosecuted, jailed and is now a registered sex offender.[1]

But this is not always the case because of inequity in the law. Yet another woman and her husband sought marriage counseling from a psychologist.  After the couple decided to file for divorce and the ex-husband stopped attending the counseling, the psychologist encouraged her to continue counseling for which she took out her own health insurance. The therapist had reasons other than help. The woman described several incidents: “He would do something to brush himself on me.” He would tell her, “‘you make me want to want you’” and one time she described, “He had his head back on his chair [and] his eyes were closed, he was touching himself, he was rubbing his penis on the outside. The state in which she was allegedly abused does not have a statute regarding therapist sexual assault and under its criminal statutes, penetration must occur with the victim for police to take the matter seriously.

#MeToo Includes the Psychiatrist’s Couch

CCHR says it is paramount that the #MeToo movement, which emerged in the wake of allegations of sexual assault and harassment by entertainment executives, be extended largely from the workplace into therapists’ offices. Just as actress Alyssa Milano encouraged women to tweet about surviving sexual abuse to “give people a sense of the magnitude of the problem,” so CCHR says legislators need to recognize the magnitude of sexual assault of patients that is occurring, especially when psychiatrists, psychologists and psychotherapists think they can hide the abuse by calling it “therapy” and billing healthcare insurance carriers.

A 2012 Canadian study found psychiatrists were almost four times as likely as other doctors to be sanctioned for sexual misconduct.[2]

CCHR says it should be made clear in every statute that “consent” of the patient is not a valid defense because of the overpowering influence a psychiatrist or psychologist may have on a patient — more so than with doctors because of the ability to discredit any patient complaint as a sign of “mental illness” and their power to threaten involuntary commitment should the victim speak out. The Official Code of Georgia, for example, stipulates: “Consent of the victim shall not be a defense to a prosecution” of a therapist who sexually abuses a patient.[3]

As CCHR has discovered in nearly 50 years of documenting such abuses, in many cases, the victims are drugged by their assailant therapist. The psychiatrist “had a piece of paper and read off some symptoms and then said, ‘Yep, you’re bipolar.’ I just couldn’t believe that was the only way they diagnosed me. I was going through a divorce with an abusive husband. I was experiencing normal feelings regarding that,” another woman recounted to CCHR. He “suggested that my husband might not be the man that I was supposed to spend the rest of my life with. He suggested I find a man who would respect me, somebody probably a little older … and who was a professional.” He then plied her with “powerful and debilitating psychiatric drugs,” she stated, while sexually assaulting her. “I was a zombie, unable to think and function normally. [The drugs] absolutely had an effect on me with regards to causing/or my allowing the sexual abuse,” she said.

In another case, the sexual abuse began when the girl was only 17 years old after she began seeing the psychiatrist for an eating disorder. At one point she was taking a combination of six different drugs that he prescribed to her. He always kept beer in the refrigerator in his office … He would give me a beer and [alprazolam, an anti-anxiety drug].” She reported that sexual intercourse took place at her home on about five different occasions and that intercourse and oral sex would take place at his office during her scheduled appointments about once a month. She eventually attempted suicide.

In yet another example, a victim reported: “I didn’t want to do what I was doing … He had control of my drugs and whether I could stay out of the hospital. I had to do sexual things to get my medication.

Legislation Creates Protection

The Florida statutes address this, stating: “‘Mentally incapacitated’ means temporarily incapable of appraising or controlling a person’s own conduct due to the influence of a narcotic, anesthetic, or intoxicating substance administered without his or her consent …”[4]

Tennessee is the most detailed in describing aspects of sexual violations defining “deception” in a civil matter as the “representation that sexual actions are part of or consistent with the patient’s treatment by the therapist,” which should be extended to the criminal statutes.[5] Some statutes include former patients who are sexually abused, including California, Connecticut, Iowa, Texas and Minnesota.[6]

Heather Lynette Sinclair, a victim of therapy abuse, was horrified to find out that the Board of Professional Therapists and Counselors in Maryland rarely held professionals criminally accountable for patient abuse. In an interview with The Maryland Reporter, Sinclair said she can clearly identify ways in which her therapist took advantage of her vulnerabilities in order to build the confusing and insidious relationship. At the time, she says, she really believed he was trying to help her. “He already knew I had experienced trauma, he already knew I was a rape survivor who didn’t report it,” Sinclair explained. “And immediately after [the sexual abuse] happened he said ‘Oh I’m so sorry. I’ve never done anything like that — there’s something about you that made me do that.’”

Sinclair said she realized now that his reaction was very calculated. “He set it up to be my fault because he knew that was one of my challenges going into therapy — I’ve always felt like the things that have happened to me have been my fault,” she said. “And it’s very common for therapists who abuse victims to make their patients feel special. That’s why they don’t tell.[7]

CCHR says every state that has not implemented statutes defining psychotherapy/psychiatric sexual abuse of patients as a criminal offense needs to and those that have need to be uniform. It plans to provide a model law based on the existing 27 statutes to policymakers across the country. Those states that have already enacted statutes are Alaska, Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Iowa, Kansas, Maine, Maryland, Michigan, Minnesota, Mississippi, New Hampshire, New Mexico, New York, North Dakota, Ohio, South Dakota, Texas, Utah, Vermont, Washington and Wisconsin.[8]

CCHR also encourages anyone who has knowledge of a psychiatrist, psychologist or psychotherapist sexually abusing patients to please report this in confidence here.

References:

[1] https://www.homefacts.com/offender-detail/GA26539/James-Clifton-Tillery.html.

[2] “Psychiatrists four times as likely as other Canadian doctors to be disciplined for sexual misconduct: study,” The National Post, 6 Dec. 2012.

[3] http://www.lectlaw.com/files/sex06.htm.

[4] http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0700-0799/0794/Sections/0794.011.html.

[5] https://statutes.laws.com/tennessee/title-29/chapter-26/part-2/29-26-203/.

[6] http://coolice.legis.iowa.gov/Cool-ICE/default.asp?category=billinfo&service=IowaCode&input=709.15; http://www.dca.ca.gov/publications/proftherapy.shtml; https://www.lawserver.com/law/state/connecticut/ct-laws/connecticut_statutes_53a-73a; http://www.statutes.legis.state.tx.us/Docs/CP/htm/CP.81.htm; https://www.revisor.mn.gov/statutes/?id=604.201.

[7] “Making sexual abuse by therapists a crime is one woman’s crusade,” The Maryland Reporter, 1 Apr. 2013, http://marylandreporter.com/2013/04/01/making-sexual-abuse-by-therapists-a-crime-is-one-womans-crusade/.

[8] http://www.advocateweb.org/law-ethics-2/sexual-exploitation-laws/.

Largest Psych Hospital Chain Loses Another Facility Over Abuse & Violence

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UHS: Two behavioral facilities close in one month over critical safety issues

By CCHR International
The Mental Health Industry Watchdog
February 9, 2018

Arbour Health System, the largest psychiatric hospital company in Massachusetts, is permanently closing Lowell Treatment Center, a hospital with a history of citations for providing poor care, according to The Boston Globe.[1] Owned by Universal Health Services (UHS), that lost $1.5 billion over night in the stock market following a December 2016 national media exposé of its abusive behavioral division, it has come under the scrutiny of Citizens Commission on Human Rights since 2007, as well as media and the Federal Department of Justice and Health and Human Services.

This is the second UHS-Arbour psychiatric hospital that has been shut down in six months. The state Department of Mental Health closed the troubled Westwood Lodge psychiatric facility in August, citing “critical safety issues’’ and following years of quality lapses and inadequate staffing.[2]

Once again, UHS officials—this time, Lowell’s, executive director Shawn Daugherty—side stepped the years of citations against the facilities and claimed that the “availability of inpatient beds and outpatient programs in the state and the amount of money required to modernize the hospital,” impacted its decision.

But, as the Globe reported, employees said the Massachusetts Behavioral Health Partnership, a company that oversees mental health benefits for state Medicaid enrollees, ended its contract with Lowell. The state confirmed in a statement that it had severed the relationship “due to quality concerns.’’

Since July 2015, CCHR has filed hundreds of complaints to law enforcement, health and human services and legislators in Massachusetts about UHS’s behavioral division, including state authorities suspending admissions to Lowell Treatment Center last year after finding “serious issues involving patient safety.” In August, the facility faced $207,690 in proposed fines from the U.S. Department of Labor’s Occupational Safety and Health Administration (OSHA) over failure to address violence in the workplace.[3] Massachusetts was one of the first states where UHS came to CCHR Int’s attention in 2007, when it was investigating restraint deaths in psychiatric facilities across the country.

CCHR had raised concerns about the level of violence against staff in some UHS behavioral facilities which it questioned may have been contributed to by the use of powerful psychotropic drugs that studies link to violent behavior. Fourteen psychiatrists affiliated with UHS psychiatric facilities in Massachusetts had Medicare Part D retail prescription drug costs of more than $4 million in 2015. Of that, two psychiatrists accounted for $1.6 million (over 44%) of the costs.  Three were in the top-five in the state for both Medicare billing and prescribing.

Arbour Health System, owned by Universal Health Services, is permanently closing Lowell Treatment Center, a hospital with a history of citations for providing poor care.

Lowell hospital is closing Friday, 9 February 2017. On February 16, another UHS psychiatric facility, Timberlawn, in Dallas, Texas, will also close after safety violations and following the rape of a 13-year-old female patient at the facility recently, The Dallas Morning News reported.

A Globe review last June found that “the seven psychiatric hospitals then owned by Arbour had repeatedly and sometimes egregiously shortchanged patient care while reaping robust profits. Over the past several years, state and federal officials have found safety lapses time and time again and issued warnings or suspended admissions, only to have the hospitals reopen and repeat the pattern.”

UHS receives Medicaid revenues in excess of $100 million annually from Massachusetts and CCHR says all government funding to UHS-Arbour behavioral facilities should be terminated.[4] Massachusetts has six UHS-owned behavioral hospitals: Westwood Lodge in Jamaica Plain (now closed), Arbour-Fuller Hospital in South Attleboro, Pembroke Hospital in Pembroke, Arbour Senior Care in Rockland, Arbour Hospital in Boston and Arbour – HRI.

References:

[1] “Lowell psychiatric hospital with a history of citations will close,” The Boston Globe, 7 Feb. 2018, https://www.bostonglobe.com/business/2018/02/07/lowell-psychiatric-hospital-with-history-citations-will-close/ppzO1EsAzR7xfVurS2ALLM/story.html.

[2] “Lowell psychiatric hospital with a history of citations will close,” The Boston Globe, 7 Feb. 2018, https://www.bostonglobe.com/business/2018/02/07/lowell-psychiatric-hospital-with-history-citations-will-close/ppzO1EsAzR7xfVurS2ALLM/story.html.

[3]“Serious Workplace Hazards at Psychiatric Hospital,” Sun News, 14 Aug. 2017, http://sunnewsreport.com/serious-workplace-hazards-psychiatric-hospital/; “Medical Facility Faces $207K Fine for Workplace Violence,” Bloomberg BNA, 14Aug. 2017, https://www.bna.com/medical-facility-faces-n73014463123/; “State halts admissions at Lowell psychiatric hospital,” The Boston Globe, 12 Sept. 2017, https://www.bostonglobe.com/metro/2017/09/12/state-halts-admissions-lowell-psychiatric-hospital/uI35TIvQkDTN0INlvdIpaK/story.html.

[4] http://biz.yahoo.com/e/150508/uhs10-q.html.

School Shootings: Mental Health Watchdog Says Psychotropic Drug Use by School Shooters Merits Federal Investigation

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Group Warns Against Increasing Mental Health Funding in Response to Parkland Florida Shooting

By CCHR International
The Mental Health Watchdog
February 20, 2018

The Citizens Commission on Human Rights (CCHR), a mental health watchdog that has investigated school and other mass shootings since the Columbine High School Shooting in 1999, warns about pouring hundreds of millions of dollars into more mental health services in response to the Marjory Stoneman Douglas High School shooting on Valentine’s Day. While the nation is reeling from this senseless tragedy, CCHR cautions against acting on mental health experts’ advice to increase mental health funding or to enact stronger involuntary commitment laws as violence prevention measures. The group says an investigation into the shooting must include what psychotropic drugs the alleged shooter, Nikolas Cruz, has been prescribed and the fact that he had apparently undergone “behavioral health” treatment which did nothing to prevent the murderous outcome. A 2016 Florida Department of Children and Family Services (DCFS) report indicated that he was regularly taking “medication” for Attention Deficit Hyperactivity Disorder (ADHD).[1]

CCHR International’s investigation into school violence reveals that at least 36 school shootings and/or school-related acts of violence have been committed by those taking or withdrawing from psychiatric drugs resulting in 172 wounded and 80 killed (in other school shootings, information about their drug use was never made public—neither confirming or refuting if they were under the influence of prescribed drugs or undergone other behavioral therapy.)[2] At least 27 international drug regulatory agency warnings have been issued on psychiatric drugs being linked to mania, violence, hostility, aggression, psychosis, and homicidal ideation (thoughts or fantasies of homicide that can be planned).

CCHR says that training teachers and others in detecting and predicting violent behavior won’t curtail the problem because there’s no definitive science on how to do this, even according to psychiatrists and psychologists. “There is no instrument that is specifically useful or validated for identifying potential school shooters or mass murderers,” according to Stephen D. Hart, a psychologist at Simon Fraser University in Vancouver.[3] An American Psychiatric Association’s (APA) task force report admitted that “Psychiatric expertise in the prediction of ‘dangerousness’ is not established….”[4]

Cruz, 19, charged over the Parkland, Florida shooting, is a prime example of the failure of the mental health system, CCHR points out. Cruz had been diagnosed at various times with “developmental disorder,” “depression,” “autism” and “ADHD,” according to a Florida Department of Children and Families Services (DCFS) report. It was also reported that he had OCD or “Obsessive-compulsive Disorder.” None of these labels can be reliably diagnosed as there’s no test to confirm them. None of the labels or treatment given to him worked to prevent what occurred on 14 February 2018, when Cruz shot and killed 17 people and injured 15 more.[5]

Expecting better mental health treatment to solve America’s problems with gun violence is a forlorn hope. “It’s promising something that we can’t deliver,” Marcia Valenstein, a mental health services researcher at the University of Michigan, told BuzzFeed News.[6]

At least 27 international drug regulatory agency warnings have been issued on psychiatric drugs being linked to mania, violence, hostility, aggression, psychosis, and homicidal ideation.

For years, Cruz had been a client at Henderson Behavioral Health in Florida, until the fall of 2017.[7] For years, there were reports of his self-harm, cutting his arms, trouble controlling his temper, aggression, assaulting students, verbal abuse, banging his head, and yet in 2016, a therapist with Henderson Mental Health “deemed Nikolas to be no threat to anyone or himself at this present time,” according to the police report.[8] Teachers disciplined him and referred him to counseling and police responded to at least 36 emergency 911 calls to his home over a six year period.[9] CCHR says that teachers and police have put an unwitting and unearned trust in behavioral-psychiatric experts—a trust that has failed not only them but also Cruz, children and teachers who died at Marjory Stoneman Douglas High School, their families and a nation now mourning.

That failure is further highlighted by Henderson’s claims that through its participation in behavioral and other research, it is “able to incorporate cutting-edge knowledge of behavioral health disorders and enhanced service delivery to promote recovery and improve the lives of the people we serve.”[10] Its website says those services include medication (psychotropic drug) management; psychotherapy, psychiatric evaluations, crisis counseling and intervention.[11] The center participated in an antipsychotic drug study that the National Institute of Mental Health (NIMH) funded titled “Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) Study.”[12] Henderson has trained 536 mental health providers, including in domestic violence, safety and security.[13] Yet, the clearly troubled signs Cruz exhibited were either missed or ignored or, arguably, the “treatment” exacerbated his behavioral problems. Whether Cruz has been prescribed antipsychotics is not known.

CCHR says that although there can be numerous reasons for mass murder, violent crime and suicide, the prevalence of psychotropic drug use in the pediatric and adolescent population is a potential catalyst for violence in a percentage taking them.

David Kirschner, Ph.D., a New York psychologist explained: “As a forensic psychologist, I have tested/evaluated 30 teenage and young adult murderers, and almost all of them had been in some kind of ‘treatment,’ usually short term and psychoactive drug-oriented, before they killed. After each episode of school killings or other mass shootings, such as the Aurora, Colorado, Batman movie murders and Tucson, Arizona, killing of six and wounding of Rep. Gabrielle Giffords and 12 others, there is a renewed public outcry for early identification and treatment of youths at risk for violence. Sadly however, most of the young people who kill had been in ‘treatment,’ prior to the violence, albeit with less than successful results.”[14]

  • A review of scientific literature published in Ethical Human Psychology and Psychiatry regarding the “astonishing rate” of mental illness over the past 50 years revealed that it’s not “mental illness” causing the problem, but, rather, the psychiatric drugs prescribed to treat it.[15] Since the introduction of antipsychotics in 1955 and the newer Selective Serotonin Reuptake Inhibitors (SSRI) antidepressants, like Prozac, in 1987, both are documented to be linked to violent effects.
  • A statistical analysis of more than three decades of data shows that in 2011 the United States entered a new period in which mass shootings were occurring more frequently.[16] The annual number of mass-shooting incidents tripled from an average of five per year between 2000 and 2009 to approximately 15 per year since, according to a 2013 U.S. Justice report.[17]
  • In the 1970s, 150,000 American children were taking stimulants for “ADHD.” By 2014, this had reached 4.3 million—a 2,766% increase.
  • The proportion of U.S. children and teens (aged 0-19 years) taking antidepressants between 2005 and 2012 increased from 1.3% to 1.6%, despite the Food and Drug Administration “Black Box” warning in 2004 that antidepressants may induce suicidal behavior.[18]
  • Between 2002 and 2009, pediatric prescriptions for atypical (newer) antipsychotics increased by 65%, from 2.9 million to about 4.8 million. A staggering 90% of those prescriptions are off-label, according to a 2012 study published in JAMA Psychiatry, with ADHD and disruptive behavior accounting for about 38% of all antipsychotic use in children and teens.[19]
  • Almost 20,000 prescriptions for the antipsychotic risperidone (generic of Risperdal), quetiapine (generic of Seroquel) and other antipsychotic drugs were written in 2014 for children two and younger, a 50% jump from 13,000 just one year before, according to the prescription data company IMS Health. Prescriptions for the antidepressant fluoxetine (generic of Prozac) rose 23% in one year for that age group, to about 83,000.[20]

Researchers took the Food and Drug Administration (FDA) Adverse Event Reporting System data and identified 31 drugs disproportionately associated with violence. These drugs, accounting for 79% of all the violence cases reported, included 25 psychotropic drugs.[21] Their findings, published in Public Library of Science ONE, included 11 antidepressants, six sedative/hypnotics and three drugs for treatment of ADHD. The specific cases of violence included: homicide, physical assaults, physical abuse, homicidal ideation, and cases described as violence-related symptom.[22]

Drug Withdrawal Effects Create Violence

Withdrawal from psychotropic drugs has also been linked to violent or aggressive behavior. Post-withdrawal symptoms from antidepressants “may last several months to years.” Symptoms include disturbed mood, persistent insomnia, emotional lability, irritability, depression, impaired concentration and memory, and poor stress tolerance, according to a study published in Psychotherapy and Psychosomatics in 2012.[23]

British psychiatrist Joanna Moncrieff and others reported in The Journal of Psychoactive Drugs: “It is now accepted that all major classes of psychiatric medication produce distinctive withdrawal effects which mostly reflect their pharmacological activity.” Further, “Just like the various substances that are used recreationally, each type of psychiatric medication induces a distinctive altered mental and physical state….,” the researchers reported.[24] Withdrawal from psychiatric drugs, including antidepressants and antipsychotics, is associated with distinctive withdrawal or discontinuation syndromes, which are suppressed and are significant, “because they may be—and probably often are—mistaken for signs of relapse.”

Dr.  Kirschner adds more to this argument: “Most of the young murderers I have personally examined had…been in ‘treatment’ and were using prescribed stimulant/amphetamine type drugs before and during the killing events. These medications did not prevent but instead contributed to the violence….”[25]

CCHR says that pouring more funds into a mental health system that keeps failing and continues to use “treatments” that may induce violent and suicidal behavior in a percentage of those taking them, is a recipe for future disaster. The survivors of the Parkland shooting, the families of those killed and the community at large deserves answers and accountability. CCHR is calling on families with knowledge of a loved one who has experienced treatment abuse and for whistleblowers who have concerns about any behavioral facility to contact CCHR by calling 1-800-869-2247 or by reporting the abuse here.

References:

[1] “Florida Agency Investigated Nikolas Cruz After Violent Social Media Posts,” The New York Times, 18 Feb. 2018, https://www.msn.com/en-us/news/us/florida-agency-investigated-nikolas-cruz-after-violent-social-media-posts/ar-BBJg8kH?ocid=ob-tw-enus-677; Brianna Sacks, “Authorities Were Called To Alleged Florida School Shooter Nikolas Cruz’s House More Than 35 Times,” BuzzFeed News, 16 Feb 2018, https://www.buzzfeed.com/briannasacks/authorities-were-called-to-alleged-florida-school-shooter?utm_term=.ynyqp60aV#.qhoMG0vb4.

[2] https://www.cchrint.org/school-shooters/.

[3] https://www.washingtonpost.com/national/health-science/predicting-violence-is-a-work-in-progress/2013/01/03/2e8955b8-5371-11e2-a613-ec8d394535c6_story.html?utm_term=.b09e546246de.

[4] Joseph J. Cocozza and Henry J. Steadman, “The Failure of Psychiatric Predictions of Dangerousness…,” Rutgers Law Review, 1976 Summer, 29(5): 1084-1101.

[5] Op. cit., Brianna Sacks, BuzzFeed News.

[6] “The Latest: Florida Shooting Survivors Call For Action,” BuzzFeed News, Feb. 15, 2018, https://www.buzzfeed.com/buzzfeednews/florida-school-shooting?utm_term=.acN0Vl3zW#.dq468Rk3o.

[7] Jose Pagliery and Curt Devine, “School shooter showed violence and mental instability at home, police reports reveal,” CNN, 17 Feb 2018, https://www.cnn.com/2018/02/16/us/florida-shooter-cruz-records-police-calls-to-home-invs/index.html.

[8] Op. cit., Brianna Sacks, BuzzFeed News; Richard Fausset and Serge F. Kovaleski, “Nikolas Cruz, Florida Shooting Suspect, Showed ‘Every Red Flag,’” The New York Times, 15 Feb 2018, https://www.nytimes.com/2018/02/15/us/nikolas-cruz-florida-shooting.html; Tim Craig, Emma Brown, Sarah Larimer and Moriah Balingit, “For years, schools tried to get help for accused Florida shooter Nikolas Cruz,” Boston Globe, 19 Feb 2018, https://www.bostonglobe.com/news/nation/2018/02/19/for-years-schools-tried-find-help-for-florida-shooting-suspect-nikolas-cruz/WnXemxzEZkSjV6olgQpkLJ/story.html.

[9] Op. cit., Brianna Sacks, BuzzFeed News; Op. cit., Tim Craig, Emma Brown, Sarah Larimer and Moriah Balingit, Boston Globe.

[10] http://www.hendersonbh.org/who-we-are.php.

[11] http://www.hendersonbh.org/crisis.php.

[12] http://www.hendersonbh.org/research-projects.php.

[13] http://www.hendersonbh.org/outcome.php.

[14] “Mass Murderers and Psychiatric Drugs,” Behaviorism and Mental Health, 22 Sept. 2014, http://behaviorismandmentalhealth.com/2014/09/22/mass-murderers-and-psychiatric-drugs/.

[15] “Anatomy of an Epidemic: Psychiatric Drugs and the Astonishing Rise of Mental Illness in America,” Ethical Human Psychology and Psychiatry, Volume 7, No. I, Spring 2005, http://pt.cchr.org/sites/default/files/Anatomy_of_an_Epidemic_Psychiatric_Drugs_Rise_of_Mental_Illness.pdf.

[16] “Rate of Mass Shootings Has Tripled Since 2011, Harvard Research Shows,” Mother Jones, 15 Oct. 2014, http://www.motherjones.com/politics/2014/10/mass-shootings-increasing-harvard-research.

[17] “Holder: Mass shootings triple,” Associated Press, 21 Oct. 2013, http://www.politico.com/story/2013/10/us-mass-shootings-tripled-098617.

[18] https://www.eurekalert.org/pub_releases/2016-06/tl-tlm060716.php.

[19] https://www.scientificamerican.com/article/should-children-take-antipsychotic-drugs/.

[20] https://www.nytimes.com/2015/12/11/us/psychiatric-drugs-are-being-prescribed-to-infants.html.

[21] Thomas J. Moore, Joseph Glenmullen, Curt D. Furbert, “Prescription Drugs Associated with Reports of Violence Towards Others,” Public Library of Science ONE, Vol. 5, Iss. 12, Dec. 2010, http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0015337.

[22] Ibid., Thomas J. Moore, Joseph Glenmullen, Curt D. Furbert, Public Library of Science ONE.

[23] “Patient Online Report of Selective Serotonin Reuptake Inhibitor-Induced Persistent Post-withdrawal Anxiety and Mood Disorders,” Psychotherapy and Psychosomatics,  19 Jan. 2012, https://www.karger.com/Article/FullText/341178.

[24] Joanna Moncrieff, M.B.B.S., David Cohen, and Sally Porter, “The Psychoactive Effects of Psychiatric Medication: The Elephant in the Room,” J Psychoactive Drugs, Nov. 2013; 45(5): 409–415; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4118946/.

[25] “Mass Murderers and Psychiatric Drugs,” Behaviorism and Mental Health, 22 Sept. 2014, http://behaviorismandmentalhealth.com/2014/09/22/mass-murderers-and-psychiatric-drugs/.


Mental Health Watchdog Releases New Report on Link Between Psychotropic Drugs & School/Mass Shootings

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CCHR campaign launched to educate law enforcement, policy makers and school officials about violence- and suicide-inducing drug risks

By CCHR International
The Mental Health Watchdog
March 22, 2018

The mental health watchdog group, Citizens Commission on Human Rights (CCHR)International is offering Law Enforcement Officers (LEOs) and school officials a free copy of its compelling new report about a common denominator found in many mass shootings: psychotropic drugs. The report, called Psychiatric Drugs Create Violence & Suicide: School Shootings & Other Acts of Senseless Violence, provides information on more than 30 studies that link antidepressants, antipsychotics, psychostimulants, mood stabilizers and sedative hypnotics to adverse effects that include hostility, mania, aggression, self-harm, suicide and homicidal thoughts.

The 64-page report details more than 60 examples of school and mass shootings, stabbings and senseless violent acts committed by those under the influence of psychotropic drugs or experiencing serious withdrawal from them.

Jan Eastgate, President of CCHR International, said, “The goal of this report is to help law enforcement, educators and policy makers to learn how psychotropic drugs are a hidden link to the prevalence of violence and suicide in the community. Facts, statistics, studies and expert opinion in the report show the medical concerns about the rise of senseless acts of violence coincident with the increase in psychotropic drug prescriptions and usage.

“Psychiatric drugs create dependence, suicide and violence in a percent of individuals taking them. That is a documented fact. The disastrous consequences are felt by all. As so many lives are at stake, it is vital that each person who is in a position to take action avail themselves of this information to help protect our communities.”

Experts Speak Out About Psychotropic Drugs, Violence & Suicide

Some of the information the report covers:

  •  An Australian judge said an antidepressant was the “overwhelmingly probable” reason for turning a peaceful, law-abiding man into a brutal killer of his wife.[1]
  • A Wyoming jury awarded $8 million to the relatives of a man who, with no history of aggressive or suicidal behavior, went on a shooting rampage killing three family members after taking an antidepressant. The jury determined that the drug was 80 percent responsible for the crime and “can cause some people to become homicidal and/or suicidal.”[2]
  • A Harvard Medical school psychiatrist says: “The irritability and impulsivity” from antidepressants “can make people suicidal or homicidal.”[3]
  • An affiliate professor of Biology at Loyola University Maryland says: The link between antidepressants and violence, including suicide and homicide, is well-established.”[4]
  • A leading international psychopharmacology expert and professor of psychiatry reports: “Violence and other potentially criminal behavior caused by prescription drugs are medicine’s best-kept secret.”[5] He also believes that an estimated 90 percent of school shootings, over more than a decade, were linked to SSRI antidepressants.[6]
  • 27 international drug agency warnings link psychiatric drugs to the adverse effects of violence, mania, psychosis or homicidal ideation; 49 warn of self-harm or suicide/suicidal ideation and 17 report addiction or withdrawal effects.[7]
  • The Adverse Event Reporting System (AERS) of U.S. Food and Drug Administration (FDA) has at least 1,530 cases of homicide/homicidal ideation associated with psychiatric drugs.
  • Researchers took the FDA ADR data and identified 25 psychotropic drugs that are disproportionately associated with violence.[8]
  • A New York forensic psychologist says that most of the young murderers he has personally examined had been “in ‘treatment’ and were using prescribed stimulant/amphetamine type drugs before and during the killing events. These medications did not prevent but instead contributed to the violence….”[9]

Drug Withdrawal Effects Create Havoc

  • The Council for Evidence-Based Psychiatry in the UK has determined: “Withdrawal from psychiatric drugs can be disabling and can cause a range of severe physical and psychological effects which often last for months and sometimes years….” [emphasis added][10] 
  • A study in The Journal of Psychoactive Drugs reported: “It is now accepted that all major classes of psychiatric medication produce distinctive withdrawal effects….”[11]
  • Withdrawal effects from sedative hypnotics, also known as benzodiazepines, can last weeks and sometimes months or years, and include increased anxiety, perceptual distortions, depersonalization, paranoid thoughts, rage, aggression, and irritability, according to leading British expert with the Institute of Neuroscience, Newcastle University, Newcastle upon Tyne.[12]

Psychiatric Drug-Induced “Suicide by Cop”

Ann Blake Tracy, Ph.D., head of the International Coalition for Drug Awareness, says there is a whole new vocabulary today as a result of widespread antidepressant use, with terms such as “road rage,” “murder/suicide,” “going postal” and “suicide by cop.”[13] For example, a suicidal veteran fired 11 shots during an encounter with police in Spokane, Washington, admitting during his trial that he had unloaded his gun (in the air) before walking out into the alley where he intended to provoke the police to shoot him as part of a “suicide by cop” plan. He’d been prescribed an antidepressant documented to cause suicidal thoughts.[14]

CCHR is clear that not every violent killer has been on or withdrawing from a psychotropic drug at the time of committing a crime, but in many cases such drugs emerge when learning of the killer’s background. “It begs the question whether in taking the drug or when the drug or other treatment failed them, did this help propel them on a path towards the destruction of others?” the report poses.

CCHR says that in any official response to the Vegas concert shooting, Texas Church Shooter and Parkland Florida school shooting, LEOs, educators and legislators should not lose sight of the fact that there is a driving force behind someone picking up a gun, knife or even making a bomb to carry out violent and deadly acts. And there is sufficient evidence to investigate the role of prescribed mind-altering drugs in inducing altered states of mind in a percentage of people taking these drugs.

Some of the recommendations in the report include:

  • Legislative hearings should be held to fully investigate the correlation between psychiatric treatment and violence and suicide.
  • Toxicology testing for psychiatric drugs should be mandatory in cases where someone has committed a mass shooting or other serious violent crime, the information from which would become part of a national database that all branches and levels of law enforcement could access.

Eastgate summarizes: “The information in this report is not to excuse violent crimes and make the perpetrator blameless, but to demonstrate why there may be a much different type of violent behavior that police and the community face today compared to 50 years ago. All psychotropic drugs are called that because they are mind-altering or mind-turning. For some of those taking them, the consequences can be serious for them and the community. CCHR wants to educate as many officials and educators as possible in launching this report.”

CCHR Urges: Take Action Against Violence in Our Schools and Community

Law Enforcement Officers and School Officials wishing a free printed copy of: Psychiatric Drugs Create Violence & Suicide: School Shootings & Other Acts of Senseless Violence can email media@cchr.org.

References:

[1] Sarah Boseley, “Prozac class drug blamed for killing,” The Guardian (London), 2 May 2001, https://www.theguardian.com/uk/2001/may/26/sarahboseley.

[2] Jim Rosack, “SSRIs Called on Carpet Over Violence Claims,” Psychiatric News, Vol. 36, No. 19, 5 Oct. 2001; David Healy,Andrew Herxheimer, and David B Menkes, “Antidepressants and Violence: Problems at the Interface of Medicine and Law,” PLoS Medicine, Sept. 2006, 3(9): e372, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1564177.

[3] “FDA Mulls Antidepressant Warnings,” Daily Press, 21 Mar. 2004, http://articles.dailypress.com/2004-03-21/news/0403210207_1_dr-joseph-glenmullen-corey-baadsgaard-school-shootings-and-murder-suicides.

[4] Patrick D. Hahn, “Antidepressants: a deadly treatment?,” Baltimore Sun, 11 Apr. 2015, http://www.baltimoresun.com/news/opinion/bs-ed-antidepressants-violence-20150411-story.html.

[5] John Horgan, “What ‘60 Minutes’ Gets Wrong in Report on Mental Illness and Violence,” Scientific American, 2 Oct. 2013, https://blogs.scientificamerican.com/cross-check/what-e2809c60-minutese2809d-gets-wrong-in-report-on-mental-illness-and-violence.

[6] “Psych meds linked to 90% of school shootings, WND, 18 Dec. 2012, http://www.wnd.com/2012/12/psych-meds-linked-to-90-of-school-shootings/#i1JviHwg3g2T7KSt.99.

[7] https://www.cchrint.org/school-shooters.

[8] Thomas J. Moore, Joseph Glenmullen, Curt D. Furbert, “Prescription Drugs Associated with Reports of Violence Towards Others,” Public Library of Science ONE, Vol. 5, Iss. 12, Dec. 2010, http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0015337.

[9] David Kirschner, Ph.D., “Mass shooters received only limited treatment,” The National Psychologist, 10 Sep 2014, http://nationalpsychologist.com/2014/09/mass-shooters-received-only-limited-treatment/102638.html.

[10] “Withdrawal from psychiatric drugs can be disabling and can cause a range of severe physical and psychological effects…,” Council for Evidence-Based Psychiatry, 15 Mar. 2015, https://ravimid.files.wordpress.com/2015/02/psychiatric-drug-withdrawal-can-be-disabling-010314-1.pdf.

[11] Joanna Moncrieff, M.B.B.S., David Cohen, and Sally Porter, “The Psychoactive Effects of Psychiatric Medication: The Elephant in the Room,” J Psychoactive Drugs, Nov. 2013; 45(5): 409–415, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4118946.

[12] C. Heather Ashton, DM, FRCP, “Benzodiazepines: How They Work and How to Withdraw,” Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, 2002, http://www.benzo.org.uk/manual/bzcha03.htm.

[13] Ann Blake Tracy, “Suicide & Death Can Lurk in Each SSRI Pill,” http://www.rense.com/general77/lurk.htm.

[14] “Man seeking ‘suicide by cop’ found guilty of assault,” The Spokane-Review, 11 Feb. 2016, http://www.spokesman.com/stories/2016/feb/11/man-who-encouraged-spokane-police-to-shoot-him-fou/; Jeff Humphrey, “Army vet gets nine years for suicide by cop attempt,” KXLY, 3 Mar. 2016, http://www.kxly.com/news/local-news/spokane/army-vet-gets-nine-years-for-suicide-by-cop-attempt_20161121034442715/176407731.

CCHR Launches Petition for Laws Against Psychiatrist/Psychologist Sexual Abuse

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Victims of therapist sexual abuse encouraged to speak out during National Sexual Assault Awareness Month

By CCHR International
The Mental Health Industry Watchdog
April 4, 2018

With studies showing an average of 6 to 10 percent of psychiatrists and psychologists sexually abusing their patients, including children as young as three, Citizens Commission on Human Rights (CCHR) is encouraging victims of such abuse to contact it and speak out.[1] Coinciding with April being Sexual Assault Awareness Month, CCHR also launched a petition calling for uniform laws to prosecute sexual harassment and assault of mental health patients, calling the problem catastrophic. The sexual crimes committed by psychiatrists are estimated at 37 times greater than rapes occurring in the general community, one U.S. law firm stated, estimating that about 150,000 female patients have been assaulted.[2]

CCHR, a mental health watchdog, points to studies showing that mental health practitioners abusing their patients are often repeat offenders. A U.S. national survey of therapist-client sex involving minors also revealed one out of 20 clients who had been sexually abused by their therapist was a minor, with girls as young as three and boys as young as seven.[3]

Clinicians have compared psychotherapist-patient sexual involvement to rape, child molestation, and incest, putting victims at increased risk of suicide, according to the study, “Psychotherapists’ Sexual Relationships with Their Patients” in Annals of Health Law. [4] Such sexual assault victims commonly struggle with emotional repercussions such as: Feelings of no self-worth, denial, crying spells, paranoia, helplessness, loneliness, shame, anxiety, nightmares, insomnia, flashbacks, numbness, withdrawal, depression, fear of relationships and intimacy, and more. [5] The findings of a national study of 958 patients sexually abused by their therapist suggested that 90% were harmed and of those, only 17% recovered.  About 14% of those who had been sexually involved with a therapist attempted suicide.[6]

The National Sexual Violence Resource Center which started Sexual Assault Awareness Month states, “With the #MeToo movement shining an unprecedented spotlight on this complex societal issue, it is a critical opportunity for informed news coverage to advance the public conversation.”[7]  CCHR says that public conversation must include the rampant assault of women and children in the mental health system.

The group is calling for uniform therapist-sexual assault laws to be enacted throughout the U.S. and internationally. In 2016 a U.S. investigation by The Atlanta Journal-Constitution found that in 49 states and the District of Columbia, multiple gaps in laws can leave patients vulnerable to abusive physicians.[8]

CCHR cites various studies in support of psychiatrist/psychologist/psychotherapist patient sexual assault laws:

  • Psychiatrists themselves indicate that 65% of their new patients inform them of previous psychiatrists who have sexually abused them. Sexual assault or rape is not just limited to females. Men are also victims of therapist sexual abuse or rape.[9]
  • A 2012 study found psychiatrists in Canada were four times as likely as other doctors to be sanctioned for sexual misconduct.[10]
  • “More spectacular cases may involve the use of drugs to sedate patients or Svengali-like manipulation of patients who perform nonsexual and sexual services,” a Los Angeles Times article on the subject reported.[11]
  • A Canadian task force on sexual abuse of patients found that patients younger than 14 years accounted for 8.7% of reports of therapist sexual abuse.[12]
  • A study published in the Bulletin of the American Academy of Psychiatry Law reported those therapists “who report having sex with their patients are often repeat offenders with some surveys noting over 50% of male therapists reporting sexual involvement with more than one patient.”[13]
  • Psychiatrists have an ethical obligation to expose colleagues who sexually abuse their patients.[14]
  • A survey of therapists published in the journal Professional Psychology reported that almost nine of 10 therapists said they had been sexually attracted to a patient, and 58% said they had been sexually aroused in the presence of a patient.[15]

A report in Annals of Health Law said that when sexual contact occurs in a psychotherapeutic setting, it is not unusual for the patient to have been persuaded that it was a necessary and integral part of the therapy itself.[16] The practice is referred to as “therapeutic deception,” which CCHR recommends should elicit greater penalties if used to sexually abuse a patient.

In one of the first lawsuits involving such abuse, the New York Appellate Court affirmed a trial court’s decision which found that the relationship between a patient and psychiatrist was a fiduciary one, and it based liability on the psychiatrist’s misuse of his position of overpowering influence and trust to coerce a patient to have sex with him. According to the trial court, “[T]here is a public policy to protect a patient from the deliberate and malicious abuse of power and breach of trust by a psychiatrist when that patient entrusts to him her body and mind in the hope that he will use his best efforts to effect a cure.”[17]

At least 10 U.S. states specify “consent” is not a valid defense (CO, FL, GA, ID, IL, MN, NE, SD, ND, WI). Current Psychiatry referred to psychiatrist-patient sexual contact as a “boundary violation,” while acknowledging that such contact with patients is “inherently harmful to patients, always unethical, and usually illegal.”[18]

In a U.S. survey of psychiatrist-patient sex, 73% of psychiatrists who admitted they had sexual contact with their patients claimed it was committed in the name of “love” or “pleasure”; 19% said it was  to “enhance the patient’s self-esteem” or provide a “restitutive emotional experience for the patient,” while others said it was merely a “judgment lapse.”[19]

CCHR says such excuses add weight to the need for uniform patient sexual assault laws, arguing that no lay rapist could argue that he “crossed the boundary,” his violent act was for the victim’s “self-esteem.”

Defrauding Insurance Companies

 Some therapists that have sexually assaulted their patients add to the abuse by billing health insurance companies, fraudulently claiming they provided a “consultation.”  For example, a psychologist in Florida was accused of having sex multiple times with one of his female patients and billing her insurance company $1,400 for “sessions,” according to records from the Florida Department of Health.[20]

CCHR encourages anyone who has knowledge of a psychiatrist, psychologist or psychotherapist sexually abusing a family member or friend to report this to CCHR to call CCHR’s hotline at 1-800-869-2247 or fill out an abuse case report form on the CCHR website.

References:

[1] “Doctor Sexual Assault Cases: Capable Philadelphia Medical Malpractice Lawyers Fight for Justice,” https://www.beasleyfirm.com/medical-malpractice/doctor-sexual-assault/; Kenneth S. Pope, “Therapist-Patient Sex as Sex Abuse: Six Scientific, Professional, and Practical Dilemmas in Addressing Victimization and Rehabilitation,” https://kspope.com/sexiss/therapy1.php

[2] “Doctor Sexual Assault Cases: Capable Philadelphia Medical Malpractice Lawyers Fight for Justice,” https://www.beasleyfirm.com/medical-malpractice/doctor-sexual-assault/

[3] http://www.apa.org/pubs/books/4317430.aspx

[4] Clifton Perry, Joan Wallman Kuruc, “Psychotherapists’ Sexual Relationships with Their Patients,” Annals of Health Law, Vol. 2, Issue 1, 1993, https://lawecommons.luc.edu/cgi/viewcontent.cgi?referer=https://www.bing.com/&httpsredir=1&article=1356&context=annals

[5] Op. cit., “Doctor Sexual Assault Cases: Capable Philadelphia Medical Malpractice Lawyers Fight for Justice”

[6] https://kspope.com/sexiss/sexencyc.php

[7] https://www.nsvrc.org/publications/sexual-assault-awareness-month

[8] “50-state review uncovers how patients are vulnerable to abusive physicians,” The Atlanta Journal Constitution, 17 Nov. 2016, https://www.ajc.com/news/national/state-review-uncovers-how-patients-are-vulnerable-abusive-physicians/MrE462LHAPKilYj3SA2crN/

[9] Op. cit. “Doctor Sexual Assault Cases.”

[10] “Psychiatrists four times as likely as other Canadian doctors to be disciplined for sexual misconduct: study,” The National Post, 6 Dec. 2012

[11] “When Doctors and Patients Become Involved : Ethics: Sexual contact between therapists and patients is not new. But now it is the subject of a growing number of malpractice cases,” Los Angeles Times, reprinting a Washington Post article, 9 Nov. 1989, http://articles.latimes.com/1989-11-09/news/vw-1375_1_malpractice-cases

[12] “Statistics & Laws Regarding Sexual Abuse by a Doctor or a Health Care Provider,” Averly Law Firm, 18 Mar. 2012, http://www.coloradosuperlawyer.com/injury-law/medical-malpractice/statistics-laws-regarding-sexual-abuse-by-a-doctor-or-a-health-care-provider/

[13] Gary C. Hankins et al, “Patient-Therapist Sexual Involvement: A Review of Clinical and Research Data,” Bulletin of the American Academy of Psychiatry Law, Vol. 22, No.1, 1994, http://jaapl.org/content/jaapl/22/1/109.full.pdf

[14] https://ajp.psychiatryonline.org/doi/abs/10.1176/ajp.140.2.195

[15] “Many Therapists Feel Rage, Fear, Desire Toward Patients,” Chicago Tribune, 12 Sept. 2013, http://articles.chicagotribune.com/1993-09-12/features/9309120024_1_therapists-patient-feelings

[16] Clifton Perry, Joan Wallman Kuruc, “Psychotherapists’ Sexual Relationships with Their Patients,” Annals of Health Law, Vol. 2, Issue 1, 1993, https://lawecommons.luc.edu/cgi/viewcontent.cgi?referer=https://www.bing.com/&httpsredir=1&article=1356&context=annals

[17] Clifton Perry, Joan Wallman Kuruc, “Psychotherapists’ Sexual Relationships with Their Patients,” Annals of Health Law, Vol. 2, Issue 1, 1993, https://lawecommons.luc.edu/cgi/viewcontent.cgi?referer=https://www.bing.com/&httpsredir=1&article=1356&context=annals

[18] “Psychiatrist/patient boundaries: When it’s OK to stretch the line,” Current Psychiatry, 2008 August;7(8):53-62, http://www.mdedge.com/currentpsychiatry/article/63241/psychiatrist/patient-boundaries-when-its-ok-stretch-line

[19] Nanette Gartrell, M.D., Judith Herman, M.D., et al., “Psychiatrist-Patient Sexual Contact: Results of a National Survey, I: Prevalence,” American Journal of Psychiatry, Vol. 143 No. 9, Sept. 1986, p. 1128

[20] Tamara Lush, “Tampa psychologist accused of billing insurance for sex with patient,” Associated Press, 18 Feb 2010, http://www.foxnews.com/story/2010/02/18/florida-psychologist-accused-having-sex-with-patient.html.

Watchdog Group Protests Annual American Psychiatric Convention, Objects to Recommendation of More Drugs & Electroshock on Children

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By CCHR International
The Mental Health Industry Watchdog
May 4, 2018

The mental health watchdog Citizens Commission on Human Rights (CCHR) New York, is holding a rally and march on Saturday, May 5th in New York City to coincide with the annual convention of the American Psychiatric Association. The group is protesting the American Psychiatric Association’s continual push to drug America’s children, along with their recent recommendations to the U.S. FDA that electroshock treatment (ECT) be used on children and teens that are “unresponsive” to psychiatric drugs.

In a letter to the FDA, the American Psychiatric Association stated, “Having access to a rapid and effective treatment such as ECT is “especially meaningful in children and adolescents.”

Sign the Petition to Ban Electroshock here.

Currently, 8 million children in the U.S. are being prescribed psychiatric drugs, including antidepressants, antipsychotics, antianxiety drugs and ADHD drugs.  Nearly 800,000 of these children are between the ages of 0 to 5 years old. The drugs children are being prescribed carry more than 409 international drug regulatory warnings including side effects of agitation, mania, psychosis, depersonalization, hallucinations, drug dependence, hostility, aggression and more.

According to CCHR, children are being drugged simply because psychiatry has pathologized normal childhood behaviors, and repackaged them as “mental disorders.” As a result millions of children are being drugged for behaviors reclassified by psychiatry as “disease.” Now the American Psychiatric Association is asking the U.S. FDA (which regulates the electroshock machine) to allow them greater access to electroshock children who don’t respond to “treatment” (drugs.) This opens the door for millions of children experiencing side effects from the drugs, to be reclassified as “treatment resistant” and to undergo electroshock as “treatment.”

Electroshock therapy, or electroconvulsive therapy, is an archaic treatment invented in the 1930s that sends jolts of electricity into the brain, inducing a grand mal seizure. It’s associated with numerous side effects, including short and long-term memory loss, cognitive problems, unwanted personality changes, manic symptoms, prolonged seizures, heart problems and even death.

Psychiatrists claim children are “infrequently” electroshocked, but no state or federal agency is documenting how many children are currently being electroshocked each year. State Medicaid records obtained solely through Freedom of Information Act (FOIA) requests by CCHR have revealed 16 states are electroshocking children, including 0-5 year olds.

For more information on electroshock, click here.

The march will commence at 10:30 am on West 46th Street and Broadway.

For more information about the march in New York City, call CCHR NY at 929-344-2247.

CCHR is a non-profit mental health watchdog group dedicated to eliminating abuses committed under the guise of mental health. CCHR works to ensure patient and consumer protections are enacted and upheld as there is rampant abuse in the field of mental health.  In this role, CCHR has helped to enact more than 180 laws protecting individuals from abusive or coercive mental health practices since it was formed over 48 years ago.

Human Rights Group Says Ban on Electroshock Treatment Crucial to Protect Lives

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Mental Health Watchdog, CCHR, protests at psychiatric conference over ECT damaging & torturing children

By CCHR International
The Mental Health Industry Watchdog
May 8, 2018

The mental health watchdog Citizens Commission on Human Rights (CCHR) New York protested psychiatry’s ongoing use of electroshock treatment (ECT), especially on toddlers and children when it marched on the annual conference of the American Psychiatric Association (APA) in New York on Saturday, May 5. While most Americans believe that ECT—the passage of up to 460 volts of electricity sent through the brain—stopped following the 1975 film, One Flew Over the Cuckoo’s Nest, CCHR says the more than 25 lectures or papers presented on electroshock at the APA convention this year puts such beliefs to rest. The U.S. manufacturers of electroshock devices were two of many psychiatric device and pharmaceutical companies exhibiting at the APA conference. The protest condemned electroshock as torture and called for it to be banned.

CCHR’s international headquarters, based in Los Angeles, supported the protest and the need for a ban on all uses of electroshock. It said thousands of adult patients have condemned ECT as causing them brain damage and memory loss. Such physical abuse, if committed by anyone but a psychiatrist, it says, would constitute a crime, and when given to children should be meted the highest penalties.

Through recent Freedom of Information Act requests filed with U.S. states, CCHR established what has been withheld from Americans for years—that children aged five and younger are being electroshocked. Autistic children are also undergoing it, despite the Food and Drug Administration (FDA) never approving ECT’s use for autism. One autistic teenager was electroshocked 260 times.

As children cannot consent to this barbarity, CCHR says that based on a United Nations (UN) report, its use on children would constitute torture, adding further argument for its prohibition. Some media generate the idea that despite ECT being viewed as a “brain-damaging tool of torture with no place in modern medicine,” it “works.” However, no psychiatrist has been able to prove how brain-damaging a person does anything other than temporarily shift the person’s attention off what might be ailing him—too numb and in pain to remember. But based on many thousands of cases over decades that have either contacted CCHR or been publicly reported, their underlying problem returns and can worsen.

It’s not just recipients of the “treatment” that call it unworkable, torture and inhumane. In 2013, Juan E. Méndez, the UN Special Rapporteur on Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment, said that forced electroshock could be tantamount to torture or cruel, inhuman or degrading treatment or punishment. He, too, called for an “absolute ban on all forced and non-consensual medical interventions against persons with disabilities,” including “electroshock.[1] And, according to the World Health Organization’s Resource Book on Mental Health, Human Rights and Legislation, “There are no indications for the use of ECT on minors, and hence this should be prohibited through legislation.”

Electroshock has no therapeutic value in as much as it doesn’t cure. In fact, it induces a grand mal seizure, a type of seizure that involves a loss of consciousness and violent muscle contractions, masked by an anesthetic. The FDA has never required manufacturers to conduct clinical studies that prove electroshock is either safe or effective, despite being used for more than 80 years.[2]

CCHR also points out that electroshock cannot be compared with administering life-saving insulin or chemotherapy to cure or give relief to cancer. Diabetes and cancer are identifiable medical illnesses that can be physically tested and confirmed. But as CCHR’s co-founder, the late Dr. Thomas Szasz, professor of psychiatry, and prolific author on psychiatry, stated: “There is no blood or other biological test to ascertain the presence or absence of a mental illness, as there is for most bodily diseases.” Thomas Insel, former Director of the U.S. National Institute of Mental Health also said psychiatric “diagnoses are based on a consensus [vote] about clusters of clinical symptoms, not any objective laboratory measure.”[3]

There’s no evidence that electroshock is life-saving. Psychiatrists argue that ECT can prevent suicide but, argues CCHR, this is as illogical as hitting someone over the head with a 2” x 4” piece of wood and repeating it 10 to 12 times in a week in the hope that it may cure depression. In fact, experts such as psychologist John Read, professor of clinical psychology at the University of East London confirmed from a comprehensive review of research on ECT that there is “no evidence that ECT is more effective than placebo for depression reduction or suicide prevention.” He and a colleague concluded, “Given the well-documented high risk of persistent memory dysfunction, the cost-benefit analysis for ECT remains so poor that its use cannot be scientifically, or ethically, justified.”[4]

CCHR says that because a muscle relaxant and an anesthetic are used today to prevent bone fracture or to spare the patient the full effect of the electroshock violence impacting the body, or that ECT differs from its early years, electricity hasn’t changed. There’s no evidence that it is re-setting a “depressed” brain (or that the brain is even a source of depression)—in the way that a brief electroshock to a stopped heart may resuscitate it or reset its rhythm. ECT is not treating a physical abnormality or disease.

Early results of children being given electroshock include a seven-year-old girl, following five sessions, becoming nearly catatonic and a six-year-old boy going from being shy to acting increasingly aggressive and violent.[5] Today, nearly 12,000 people have signed CCHR’s online petition launched in 2017 supporting a ban on electroshock.[6] CCHR is urging more concerned individuals to sign and let others know to sign the Petition to Ban Electroshock (ECT) Device Being Used on Children, the Elderly and Vulnerable Patients.

 

References:

[1] A/HRC/22/53, “Report of the Special Rapporteur on torture and other cruel, inhuman or degrading treatment or punishment, Juan E. Méndez,” United Nations, General Assembly, Human Rights Council, Twenty-second Session, Agenda Item 3, 1 Feb. 2013, p. 21, para 85, http://www.ohchr.org/Documents/HRBodies/HRCouncil/RegularSession/Session22/A.HRC.22.53_English.pdf.

[2] Citizens Petition filed with FDA Commissioner, Aug. 2016, http://emord.com/blawg/wp-content/uploads/2016/08/1-ECT-Citizen-Petition.pdf.

[3] Thomas Insel, “Transforming Diagnosis,” NIMH Website, 20 Apr.  2013, http://www.nimh.nih.gov/about/director/2013/transforming-diagnosis.shtml.

[4] John Read, Chelsea Arnold, “Is Electroconvulsive Therapy for Depression More Effective Than Placebo? A Systematic Review of Studies Since 2009,” Ethical Human Psychology and Psychiatry Volume 19, Number 1, 2017, pp. 5-23(19), http://www.ingentaconnect.com/content/springer/ehpp/2017/00000019/00000001/art00002.

[5] Dr. Jeffrey S. Kaye and HP Albarelli Jr., “The Hidden Tragedy of the CIA’s Experiments on Children,” Truthout, 11 Aug 2010, http://truth-out.org/archive/component/k2/item/91211:the-hidden-tragedy-of-the-cias-experiments-on-children.

[6] https://www.change.org/p/ban-electroshock-ect-device-being-used-on-children-the-elderly-and-vulnerable-patients.

Expert Warns of Antidepressants Linked to Violence

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CCHR says school mental health screening & psychotropic drugs can contribute to senseless violence acts

By CCHR International
The Mental Health Industry Watchdog
May 29, 2018

In the wake of recent senseless acts of violence, especially in schools, the mental health watchdog Citizens Commission on Human Rights International (CCHR) urged state authorities and educators not to adopt “mental health screening” in schools in the false hope that it could prevent the violence. Such screening could exacerbate the issue if it leads to children being prescribed psychotropic drugs, CCHR says. Independent of CCHR, Dr. David Healy, an international expert in psychopharmacology, estimated that 90 percent of school shootings, over more than a decade leading up to 2012, were linked to SSRI antidepressants (e.g., fluoxetine, paroxetine, sertraline, etc.).[1] Dr. Healy further warned: “Violence and other potentially criminal behavior caused by prescription drugs are medicine’s best-kept secret.”[2]

In an international study released earlier this year, CCHR documented 36 school shootings and school-related acts of violence that date back to 1988. All of the crimes were committed by people either taking or withdrawing from psychiatric drugs. The end result was that 172 people were wounded and 80 were killed, according to the study and, as covered recently by the online news service, The Blaze. Read the report here.

Recent cases have reinforced CCHR’s position. On May 20, police charged a 62-year-old father with first-degree murder after they say he intentionally drove his Jeep into a North Carolina restaurant, killing two family members. He had gone into the restaurant with the family before he excused himself. Family members were eating appetizers and assumed the man had got up to use the restroom. Moments later, he slammed his vehicle at a high rate of speed into the area where he knew his family was seated. According to the man’s pastor, he was prescribed antidepressants as well as anti-anxiety medication. He allegedly told the pastor that he was taking them properly and that he was seeing a psychiatrist, as well as his family physician.[3]

On May 19, The West Australian reported that an Australian grandfather, aged 61, shot dead his wife, daughter and four grandchildren within weeks of starting an antidepressant. According to the article, the newer antidepressants “boost serotonin levels in the brain” and “in rare cases, they can contribute to extreme violence, murder and suicide, particularly in the first few weeks they are taken.” A family friend told the newspaper, “I feel for the sake of society that these mind-altering drugs should be exposed as dangerous.”[4]

Courts Recognize Drug Risks

It is these dangers—covered in drug regulatory agency warnings and by many experts in CCHR’s study, “Psychiatric Drugs Cause Violence and Suicide,” that educators and state official need to be aware of, CCHR says.

Courts have recognized the contributing role psychiatric drugs play in violent crimes.

  • In January 1999, University of North Dakota student aged 27, shot and killed his five-week-old daughter and wounded himself after taking a stimulant drug for a couple of weeks. After the first week of taking it, he described delusions and hallucinations. Shire Richwood, the manufacturer of the drug, issued a statement to the court that psychosis is a side effect of this class of stimulants. Charges were dismissed against a young man after various doctors reported that he suffered from “Amphetamine-Induced Psychotic Disorder.”[5] (In 1994, the Food and Drug Administration [FDA] wrote to Dr. Mark Abramowicz regarding a draft article on stimulant drugs for Attention Deficit Hyperactivity Disorder, suggesting that “toxic psychosis” deserved mention in the paragraph on adverse effects. The New York Times recently referenced the FDA’s medication guide on methylphenidate which says to watch for “new or worse aggressive behavior or hostility.”)
  • On May 25, 2001, an Australian judge blamed the antidepressant sertraline for turning a peaceful, law-abiding husband into a violent killer. The man had no history of violence or suicidality and had remained gainfully employed throughout his life. Judge Barry O’Keefe said that had the defendant not taken the antidepressant, “it is overwhelmingly probable that [his wife] would not have been killed…”[6] He was sentenced to three years in prison.
  • In June 2001, a Wyoming jury awarded $8 million to the relatives of a non-violent family man and doting grandfather who had gone on a shooting rampage after taking an antidepressant, prescribed for anxiety. Two days later, the father put three bullets each through the heads of his wife, his daughter, and his nine-month-old granddaughter before killing himself. The jury determined that paroxetine “can cause some people to become homicidal and/or suicidal” and that the drug was 80 percent responsible for the ensuing acts.[7]

Mental Health Screening Creates More Problems

In the wake of the terrible shooting tragedy at Santa Fe High School in Texas, leaving ten dead, Texas Gov. Greg Abbott hosted roundtable discussions in the hopes of developing solutions to improve school safety statewide. Whether the Texas shooter was taking psychotropic drugs or not for his alleged disturbed behavior, there are concerns that Texas may want to implement wider mental health screening which, while sounding optimistic could simply fuel the problem.

The Texas Criminal Justice Division of the governor’s office provided $565,000 to the Telemedicine Wellness, Intervention, Triage, and Referral (TWITR) Project at the Texas Tech University Health Sciences Center to identify junior high and high school students most at risk for committing violence in schools and intervene before it happens.[8] The grant term was between September 2014 and August 2016. Through the program, at-risk students at 10 West Texas school districts who showed aggressive or harmful behavior were identified and then screened for potential psychiatric services.

Since its launch, more than 400 students have been referred to the program, with 200 getting screened for alleged anxiety, depression, loneliness, isolation and whether they’re prone to violence or violent thoughts.[9] This is an astounding figure, CCHR says, considering that psychiatrists admit they have no means of predicting violence. In an article in the Rutgers Law Review, Henry Steadman and Joseph Cocozza also concluded, “There is no empirical evidence to support the position that psychiatrists have any special expertise in accurately predicting dangerousness.”[10]

Further, psychiatrists’ diagnostic methods are subjective and several screening methods have extraordinarily high false-positive rates—i.e., a high risk of being erroneously labeled with a mental disorder and drugged.

The TWITR Project reported:

  • 38 (17%) were sent to psychiatric hospitals or emergency rooms.
  • 44 (20%) sent to alternative placements, which could be a disciplinary campus or a psychiatric based alternative educational placement.
  • 57 (26%) were referred for other services for things like anxiety, eating disorders, etc.
  • 65 were referred for suicidal ideation or self-harm.
  • 94 students were referred to the TWITR project for anger or violence.

Karen Effrem, MD, a pediatrician and president of Education Liberty Watch (formerly Ed Watch), points out a number of problems with the project. “While federal, state, and local officials are trying to improve student safety in the wake of the tragic Parkland, Fla., school shooting [and now Santa Fe High School shooting], the heightened concern over student mental health has greatly increased efforts to screen students for mental health issues.”[11]

Dr. Effrem stated, “There are so many problems with the foundation of these programs, it is difficult to know where to begin. Let’s start with the admitted subjectivity of mental illness diagnostic criteria. As the latest version of the American Psychiatric Association’s (APA) diagnostic handbook was about to be published, Dr. Dilip Jeste, APA’s president at the time, admitted: ‘At present, most psychiatric disorders lack validated diagnostic biomarkers, and although considerable advances are being made in the arena of neurobiology, psychiatric diagnoses are still mostly based on clinician assessment.’” In other words, as Thomas Insel, former Director of the National Institute of Mental Health said, psychiatric “diagnoses are based on a consensus [vote] about clusters of clinical symptoms, not any objective laboratory measure.”[12]

Dr. Effrem cited the World Health Organization (WHO) that addresses how complicated it is to diagnose children and teens: “Childhood and adolescence being developmental phases, it is difficult to draw clear boundaries between phenomena that are part of normal development and others that are abnormal.”

“The accuracy of mental screening instruments is also important to discuss given that both programs are doing mental screening in the schools. The Columbia Suicide Screen has a false positive rate of 84 percent. Others recommended by the American Academy of Pediatrics have false positive rates of 71 percent and 59 percent,” Dr. Effrem further stated.

Additionally, the drugs prescribed to treat childhood/teen disorders, such as SSRI antidepressants, “are associated with suicidal thoughts and attempted suicide in children and teens. In fact, these medications are under the FDA’s black box warning, the agency’s most serious warning short of a ban. The SSRI drugs are also associated with violent reactions, including murderous rampages like school and other mass shootings,” Dr. Effrem points out.

Often antidepressants are combined with other classes of psychotropic drugs like antipsychotics. Says Dr. Effrem, “However, these other drugs have very serious additional side effects, including permanent abnormal movements, brain damage, obesity, diabetes, and heart attacks.” Therefore, “using mental screening and medication for these issues is like trying to put a bandage on a broken leg.

A renowned side effect of antipsychotics (and sometimes antidepressants) is akathisia (a, without; kathisia, sitting—an inability to keep still). As CCHR’s report covers, “It’s a torturous condition where the sufferer feels an incredible, irresistible restlessness that creates constant repetitive movements like pacing, rocking back and forth or swaying. This side effect has been linked to assaultive, violent behavior.[13] The person may experience violent, aggressive impulses or feel suicidal, although they often can’t pinpoint the source of their distress, even though it can feel unbearable.”[14] In CCHR’s study of more than 60 acts of violence, antidepressants were referenced about 48 times; benzodiazepines/sedatives about 12; antipsychotics and stimulants (methylphenidate) at least six times each (some perpetrators took multiple psychotropic drugs.)

Texas already has a history of adopting dangerous psychiatric recommendations, namely the Texas Medication Algorithm (flow chart) Project (TMAP) developed in a collaborative effort between the pharmaceutical industry, prominent University of Texas psychiatrists and state officials in the department of mental health.[15] Texas initiated the TMAP drug protocol in 1997, recommending the prescription of the newer more expensive psychiatric drugs, especially antipsychotics. The Texas health department received almost $6 million in contributions from a pharmaceutical company and other parties to implement TMAP. The psychiatrists in charge of determining the TMAP guidelines all had major ties to the pharmaceutical companies that funded its development. TMAP meant crippling health care costs, with Texas Medicaid spending on five antipsychotic drugs skyrocketing from $28 million in 2002 to $177 million in 2004.[16] Lawsuits eventually put an end to TMAP.[17]

CCHR warns that mental health screening and the inevitable resulting increased psychotropic drug prescriptions will not only escalate state budgets for no equitable or positive return—decreased violence—but more importantly, will put more students, teachers and the community at risk of increased violence.

References:

[1] “Psych meds linked to 90% of school shootings, WND, 18 Dec. 2012,
http://www.wnd.com/2012/12/psych-meds-linked-to-90-of-school-shootings/#i1JviHwg3g2T7KSt.99.

[2] John Horgan, “What ‘60 Minutes’ Gets Wrong in Report on Mental Illness and Violence,” Scientific American, 2 Oct. 2013, https://blogs.scientificamerican.com/cross-check/what-e2809c60-minutese2809d-gets-wrong-in-report-on-mental-illness-and-violence/.

[3] “Man Who Crashed Into Restaurant Killing 2 Was Severely Depressed: Pastor,” wfmynews2.com, 21 May 2018, https://www.wfmynews2.com/article/news/local/man-who-crashed-into-restaurant-killing-2-was-severely-depressed-pastor/83-556684229.

[4] Trevor Paddenburg, “Margaret River shootings: Grandfather taking antidepressant medication before murders,” The West Australian, 19 May 2018, https://thewest.com.au/news/south-west/margaret-river-shootings-grandfather-taking-antidepressant-medication-before-murders-ng-b88841069z.

[5] “Prescription: concentration. The number of prescriptions for Adderall is rising, as is the number of students using the drug for academic and recreational purposes,” Oregon Daily Emerald, 2 May 2005; “Man who Shot Child Sues Drug Company,” Herald, 23 Sept. 2000.

[6] Sarah Boseley, “Prozac class drug blamed for killing,” The Guardian (London), 25 May 2001, https://www.theguardian.com/uk/2001/may/26/sarahboseley.

[7] Jim Rosack, “SSRIs Called on Carpet over Violence Claims,” Psychiatric News, Vol. 36, No. 19, 5 Oct. 2001.David Healy, Andrew Herxheimer, and David B Menkes, “Antidepressants and Violence: Problems at the Interface of Medicine and Law,” PLoS Medicine, Sept. 2006, 3(9): e372, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1564177/.

[8] “After Santa Fe shooting, Gov. Greg Abbott sees a West Texas mental health program as a statewide model,” Texas Tribune, 19 May 2018, https://www.texastribune.org/2018/05/19/after-santa-fe-high-school-shooting-gov-greg-abbott-wants-school-menta/.

[9] Ibid.

[10] Joseph J. Cocozza and Henry J. Steadman, “The Failure of Psychiatric Predictions of Dangerousness: Clear and Convincing Evidence,” Rutgers Law Review, Vol. 29, No. 5, Late Summer 1976, pp. 1099-1100.

[11] Karen Effrem, MD., “Parents Beware: Mental Screening of Students Ramps Up in Texas,” The National Pulse, 12 Apr. 2018, https://thenationalpulse.com/commentary/parents-beware-mental-screening-students-ramps-up-texas/.

[12] Thomas Insel, “Transforming Diagnosis,” NIMH Website, Apr. 29, 2013, https://www.nimh.nih.gov/about/directors/thomas-insel/blog/2013/transforming-diagnosis.shtml.

[13] Crowner ML, et al., “Akathisia and violence,” Psychopharmacol Bull, 1990, https://www.ncbi.nlm.nih.gov/pubmed/1973544;  Morrison-Valfre, Michelle. Foundations of Mental Health Care. St. Louis, MO: Elsevier, 1997, pg. 367, https://books.google.com/books?id=ctXsAwAAQBAJ&pg=PA367&lpg=PA367&dq=akathisia+and+assaultive+behavior&source=bl&ots=XFMBOSsmdB&sig=sdz1eU026fukvJNkCsMmReXmqaE&hl=en&sa=X&ved=0ahUKEwjWl4-TlvfSAhUO92MKHea6AQUQ6AEIJzAD#v=onepage&q=akathisia%20and%20assaultive%20behavior&f=false.

[14] “Akathisia: 15 Things to Know about This Horrible Condition,” MedPro, 24 Jul. 2017, https://www.medprodisposal.com/akathisia-15-things-to-know-about-this-horrible-condition/.

[15] Report on TMAP by whistleblower Allen Jones, Revised edition, posted on psychrights.org, 20 Jan. 2004, http://psychrights.org/Drugs/AllenJonesTMAPJanuary20.pdf.

[16] http://www.aliveandwell.org/html/the_bigger_picture/US_Government_Pushes_Mental_Health_Tests.html.

[17] “J&J Paid Texas Official to Speak Around the U.S., Jury Told,” Bloomberg News, 11 Jan. 2012, https://www.bloomberg.com/news/articles/2012-01-11/johnson-johnson-paid-texas-official-to-speak-around-the-u-s-jury-told.

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