Posted on 06/22/2004 3:12:54 PM PDT by RussianConservative
Sweeping initiative links diagnoses to treatment with specific drugs
© 2004 WorldNetDaily.com
President Bush plans to unveil next month a sweeping mental health initiative that recommends screening for every citizen and promotes the use of expensive antidepressants and antipsychotic drugs favored by supporters of the administration.
The New Freedom Initiative, according to a progress report, seeks to integrate mentally ill patients fully into the community by providing "services in the community, rather than institutions," the British Medical Journal reported.
Critics say the plan protects the profits of drug companies at the expense of the public.
The initiative began with Bush's launch in April 2002 of the New Freedom Commission on Mental Health, which conducted a "comprehensive study of the United States mental health service delivery system."
The panel found that "despite their prevalence, mental disorders often go undiagnosed" and recommended comprehensive mental health screening for "consumers of all ages," including preschool children.
The commission said, "Each year, young children are expelled from preschools and childcare facilities for severely disruptive behaviors and emotional disorders."
Schools, the panel concluded, are in a "key position" to screen the 52 million students and 6 million adults who work at the schools.
The commission recommended that the screening be linked with "treatment and supports," including "state-of-the-art treatments" using "specific medications for specific conditions."
The Texas Medication Algorithm Project, or TMAP, was held up by the panel as a "model" medication treatment plan that "illustrates an evidence-based practice that results in better consumer outcomes."
The TMAP -- started in 1995 as an alliance of individuals from the pharmaceutical industry, the University of Texas and the mental health and corrections systems of Texas -- also was praised by the American Psychiatric Association, which called for increased funding to implement the overall plan.
But the Texas project sparked controversy when a Pennsylvania government employee revealed state officials with influence over the plan had received money and perks from drug companies who stand to gain from it.
Allen Jones, an employee of the Pennsylvania Office of the Inspector General says in his whistleblower report the "political/pharmaceutical alliance" that developed the Texas project, which promotes the use of newer, more expensive antidepressants and antipsychotic drugs, was behind the recommendations of the New Freedom Commission, which were "poised to consolidate the TMAP effort into a comprehensive national policy to treat mental illness with expensive, patented medications of questionable benefit and deadly side effects, and to force private insurers to pick up more of the tab."
Jones points out, according to the British Medical Journal, companies that helped start the Texas project are major contributors to Bush's election funds. Also, some members of the New Freedom Commission have served on advisory boards for these same companies, while others have direct ties to TMAP.
Eli Lilly, manufacturer of olanzapine, one of the drugs recommended in the plan, has multiple ties to the Bush administration, BMJ says. The elder President Bush was a member of Lilly's board of directors and President Bush appointed Lilly's chief executive officer, Sidney Taurel, to the Homeland Security Council.
Of Lilly's $1.6 million in political contributions in 2000, 82 percent went to Bush and the Republican Party.
Another critic, Robert Whitaker, journalist and author of "Mad in America," told the British Medical Journal that while increased screening "may seem defensible," it could also be seen as "fishing for customers."
Exorbitant spending on new drugs "robs from other forms of care such as job training and shelter program," he said.
However, a developer of the Texas project, Dr. Graham Emslie, defends screening.
"There are good data showing that if you identify kids at an earlier age who are aggressive, you can intervene ... and change their trajectory."
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he can start by scanning the folks at DU..... :)~
Easy screeening test check voter registrations for dims then start there. Most I have met are delusional and paranoid.
An unattributed WND article. You can't get more credible than that.
Mr. Bush must own lots of drug stocks.
This ultra-big-government man from Texas is trying his best to get me to vote for John Kerry this November. A few more proposals like this one and he may succeed.
And this article doesn't read to you like a hysterical hyperbolic loony-tunes rant?
Are they crazy? sarcasm
If you refuse you'll get a chip under your skin too - by force...
It's on the White House site. The story is legitimate.
"I don't see Bush in an election year asking ALL the citizens of the United States to undergo a mental evaluation.. "
I don't see it either - maybe just registered democrats.
Actually this could be a blessing in disguise. It depends on whether the drive starts in the beltway.
Uh, isn't this sort of thing called corruption? A Governor in CT just resigned after engaging in self-dealing. Seems to me someone needs to clean up the mess in Texas.
President's New Freedom Commission on Mental Health
Executive Order
By the authority vested in me as President by the Constitution and the laws of the United States of America, and to improve America's mental health service delivery system for individuals with serious mental illness and children with serious emotional disturbances, it is hereby ordered as follows:
Section 1. Establishment. There is hereby established the President's New Freedom Commission on Mental Health (Commission).
Sec. 2. Membership. (a) The Commission's membership shall be composed of:
(i) Not more than fifteen members appointed by the President, including providers, payers, administrators, and consumers of mental health services and family members of consumers; and
(ii) Not more than seven ex officio members, four of whom shall be designated by the Secretary of Health and Human Services, and the remaining three of whom shall be designated -- one each -- by the Secretaries of the Departments of Labor, Education, and Veterans Affairs.
(b) The President shall designate a Chair from among the fifteen members of the Commission appointed by the President.
Sec. 3. Mission. The mission of the Commission shall be to conduct a comprehensive study of the United States mental health service delivery system, including public and private sector providers, and to advise the President on methods of improving the system. The Commission's goal shall be to recommend improvements to enable adults with serious mental illness and children with serious emotional disturbances to live, work, learn, and participate fully in their communities. In carrying out its mission, the Commission shall, at a minimum:
(a) Review the current quality and effectiveness of public and private providers and Federal, State, and local government involvement in the delivery of services to individuals with serious mental illnesses and children with serious emotional disturbances, and identify unmet needs and barriers to services.
(b) Identify innovative mental health treatments, services, and technologies that are demonstrably effective and can be widely replicated in different settings.
(c) Formulate policy options that could be implemented by public and private providers, and Federal, State, and local governments to integrate the use of effective treatments and services, improve coordination among service providers, and improve community integration for adults with serious mental illnesses and children with serious emotional disturbances.
Sec. 4. Principles. In conducting its mission, the Commission shall adhere to the following principles:
(a) The Commission shall focus on the desired outcomes of mental health care, which are to attain each individual's maximum level of employment, self-care, interpersonal relationships, and community participation;
(b) The Commission shall focus on community-level models of care that efficiently coordinate the multiple health and human service providers and public and private payers involved in mental health treatment and delivery of services;
(c) The Commission shall focus on those policies that maximize the utility of existing resources by increasing cost effectiveness and reducing unnecessary and burdensome regulatory barriers;
(d) The Commission shall consider how mental health research findings can be used most effectively to influence the delivery of services; and
(e) The Commission shall follow the principles of Federalism, and ensure that its recommendations promote innovation, flexibility, and accountability at all levels of government and respect the constitutional role of the States and Indian tribes.
Sec. 5. Administration. (a) The Department of Health and Human Services, to the extent permitted by law, shall provide funding and administrative support for the Commission.
(b) To the extent funds are available and as authorized by law for persons serving intermittently in Government service (5 U.S.C. 5701-5707), members of the Commission appointed from among private citizens of the United States may be allowed travel expenses while engaged in the work of the Commission, including per diem in lieu of subsistence. All members of the Commission who are officers or employees of the United States shall serve without compensation in addition to that received for their services as officers or employees of the United States.
(c) The Commission shall have a staff headed by an Executive Director, who shall be selected by the President. To the extent permitted by law, office space, analytical support, and additional staff support for the Commission shall be provided by executive branch departments and agencies.
(d) Insofar as the Federal Advisory Committee Act, as amended, may apply to the Commission, any functions of the President under that Act, except for those in section 6 of that Act, shall be performed by the Department of Health and Human Services, in accordance with the guidelines that have been issued by the Administrator of General Services.
Sec. 6. Reports. The Commission shall submit reports to the President as follows:
(a) Interim Report. Within 6 months from the date of this order, an interim report shall describe the extent of unmet needs and barriers to care within the mental health system and provide examples of community-based care models with success in coordination of services and providing desired outcomes.
(b) Final Report. The final report will set forth the Commission's recommendations, in accordance with its mission as stated in section 3 of this order. The submission date shall be determined by the Chair in consultation with the President.
Sec. 7. Termination. The Commission shall terminate 1 year from the date of this order, unless extended by the President prior to that date.
GEORGE W. BUSH
THE WHITE HOUSE,
April 29, 2002.
I must havee missed the poart about lining evryone up for a shrink session.
Has anyone seen another source for this story?
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Read the real story. Not some pathetic scribe to attack Bush.
"W" could have a nice, "voluntary" system set up. Then in 2008 Hillary can come along and make it mandatory. I can imagine a scheme where you can't buy health insurance unless you allow the government to test your mental "health." Next, having the wrong "attitude" is a form of "mental illness," and it becomes a crime not to take your medicine.
No author and an advertisement for the NYT. Yeah no bias here. And they didn't even get it right.
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