Typical or Troubled? School Mental Health Education Program

October 26th, 2014

Typical or Troubled?

School Mental Health Education Program

The American Psychiatric Foundation (APF), the philanthropic and educational arm of the American Psychiatric Association (APA), provides grants to fund the implementation of the Typical or Troubled?™ mental health education program in schools throughout the United States. Contributors to the funding include Janssen Pharmaceutical Companies of Johnson & Johnson and Shire Pharmaceuticals, Inc.

They say that the curriculum has been presented so far in 2,000 schools. It is available in English and Spanish; it includes APA mental health disinformation and role-playing exercises — pushing the typical psychiatric misinformation about warning signs, mental disorders, treatments, and referrals for mental health treatment. One of its aims, of course, is connecting teens to “treatment.”

The “educational” program spouts the fraudulent psychiatric party line: “1 in 5 children has a mental health disorder;” “1 in 10 kids have ADHD;” and a dissection of the “teen brain” that looks like this:

Close to home, this program has been done in the Rockwood School District (Eureka, Missouri).

If you have young children or teens in school, you might want to check if this program is in your school and pull your children out of the program. Contact your school Board of Education, your state Board of Education, your Parent-Teacher organization, your school administrators and counselors, and let them know what you think about this.

We think this is just another way to get away with mental health screening in schools, and get more kids onto psychiatric drugs.

Mental health screening aims to get whole populations on drugs and thus under control. The kinds of drugs used create further medical and social problems, and these subsequent complications require additional taxes and laws to handle them. The net result is a sick and fearful population dependent on the government to “solve” all their problems.

Recognize that the real problem is that psychiatrists fraudulently diagnose life’s problems as an “illness”, and stigmatize unwanted behavior or study problems as “diseases.” Psychiatry’s stigmatizing labels, programs and treatments are harmful junk science; their diagnoses of “mental disorders” are a hoax – unscientific, fraudulent and harmful. All psychiatric treatments, not just psychiatric drugs, are dangerous, and can cause crime.

Psychiatrists, psychologists, psychotherapists, psychiatric institutions, and other medical doctors prescribing psychiatric drugs and treatments must be made fully accountable for their funding, practices and treatments, and their results, or lack thereof — including prescribing antidepressants whose only results are harmful side effects.

Click here for more information about mental health screening.

New study throws into question long-held belief about depression

October 26th, 2014

New Study Throws into Question Long-Held Belief About Depression

[The following Press Release is from the American Chemical Society ACS News Service Weekly PressPac: Wed Aug 27 2014. Read the original here.]

“Mice Genetically Depleted of Brain Serotonin Do Not display a Depression-like Behavioral Phenotype” [ACS Chem. Neurosci., 2014, 5 (10), pp 908–919]

“New evidence puts into doubt the long-standing belief that a deficiency in serotonin — a chemical messenger in the brain — plays a central role in depression. In the journal ACS Chemical Neuroscience, scientists report that mice lacking the ability to make serotonin in their brains (and thus should have been “depressed” by conventional wisdom) did not show depression-like symptoms.

Donald Kuhn and colleagues at the John D. Dingell VA Medical Center and Wayne State University School of Medicine note that depression poses a major public health problem. More than 350 million people suffer from it, according to the World Health Organization, and it is the leading cause of disability across the globe. In the late 1980s, the now well-known antidepressant Prozac was introduced. The drug works mainly by increasing the amounts of one substance in the brain — serotonin. So scientists came to believe that boosting levels of the signaling molecule was the key to solving depression. Based on this idea, many other drugs to treat the condition entered the picture. But now researchers know that 60 to 70 percent of these patients continue to feel depressed, even while taking the drugs. Kuhn’s team set out to study what role, if any, serotonin played in the condition.

“To do this, they developed “knockout” mice that lacked the ability to produce serotonin in their brains. The scientists ran a battery of behavioral tests. Interestingly, the mice were compulsive and extremely aggressive, but didn’t show signs of depression-like symptoms. Another surprising finding is that when put under stress, the knockout mice behaved in the same way most of the normal mice did. Also, a subset of the knockout mice responded therapeutically to antidepressant medications in a similar manner to the normal mice. These findings further suggest that serotonin is not a major player in the condition, and different factors must be involved. These results could dramatically alter how the search for new antidepressants moves forward in the future, the researchers conclude.

“The authors acknowledge funding from the Department of Veterans Affairs and the Department of Psychiatry and Behavioral Neurosciences at Wayne State University.”


The Bottom Line

Why are psychiatrists still prescribing drugs already proven to be ineffective and that have potentially devastating side effects? One might presume that there is so much money and time invested in developing this drug that they are desperate to find some way to use it and continue to reap its profits. Or one might presume that they really do intend to cause as much damage from these drugs as they can.

Behind the alarming reports of mental illness gripping our nation are drug companies inventing diseases. Disease mongering promotes nonexistent diseases and exaggerates mild conditions in order to boost profits for the pharmaceutical industry.

Click here for more information about psychiatric scams.

Crisis Intervention Teams and your mental health

October 19th, 2014

Crisis Intervention Teams and your mental health

You may or may not be aware of a police function called a “Crisis Intervention Team” (CIT). There is a heavy ongoing push country-wide to train police officers to “handle” difficult situations involving “suspected mental illness.”

For example, someone calls 911 to report a domestic squabble. The police arrive. Tempers flair. Someone is going to be taken to a mental health facility for a “96-hour evaluation,” also called Involuntary Commitment or Civil Commitment.

Let us use the Saint Louis County Police CIT as an example, whose mission is “to deliver positive law enforcement crisis intervention service to people with mental illness in the St. Louis area.”

The CIT-trained officers are used primarily as a referral mechanism to local mental health hospitals and agencies. If they cannot defuse a potentially dangerous situation, they will forcibly transport the offending person to a local hospital emergency room and transfer the person into the mental health system, authorized by Missouri Statute 632.305 (“Detention for evaluation and treatment”.)

The CIT engages local hospitals, agencies and organizations in a cooperative effort (“community partnership”) to streamline this process. One of the primary goals of a CIT is to divert offenders from jail to the mental health system, reducing the burden on the criminal justice system.

In the St. Louis area, there are 20 cooperating mental health agencies, 9 cooperating hospital systems, and 58 local law enforcement agencies with CIT-trained personnel. There are 10 counties throughout Missouri with CIT programs.

In 1988, the Memphis Police Department joined in partnership with the Memphis Chapter of the Alliance for the Mentally Ill, mental health providers, and two local universities (the University of Memphis and the University of Tennessee) in organizing, training, and implementing a specialized unit for handling mental crisis events. This became the model Crisis Intervention Team subsequently exported to police departments across the country.

To be sure, no one disputes the need for police training, the safe and effective handling of potentially dangerous situations, and the temporary care for persons in crisis mode. One does, however, question the efficacy of mental health “treatment” in the current model of the psychiatric mental health system, where “treatment” generally means one or more abusive practices such as involuntary commitment, harmful and addictive psychotropic drugs, patient restraints, electroshock, and psycho-surgery.

Your mental health, and the mental health of your family, friends and associates, can be questioned by CIT-trained police. If this makes you uncomfortable, execute a Living Will (Letter of Protection from Psychiatric Incarceration and/or Treatment) and then express your opinion to your local, state and federal officials, and email the St. Louis Area Crisis Intervention Team Coordinating Council.

The Truth About PTSD

October 4th, 2014

Post-Traumatic Stress Disorder (PTSD)

Pathologizing Tragedy and War to Sell Drugs

So-called post-traumatic stress disorder emerged in the aftermath of the Vietnam War, when veterans were having difficulties overcoming the brutal events they had witnessed.

Three American psychiatrists coined the term PTSD and lobbied for its inclusion in the 1980 edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders. While the effects of war are devastating, psychiatrists use people’s logical reactions to it to make money at the expense of their vulnerability.

Some experts say that most of the soldiers suffering the effects of participating in particularly dangerous missions were experiencing battle fatigue, or in other words, exhaustion, not “mental illness.”

Today, PTSD has become blurred as a catch-all diagnosis for some 175 combinations of symptoms, becoming the label for identifying the impact of adverse events on ordinary people. This means that normal responses to catastrophic events have often been interpreted as mental disorders.

Psychiatric trauma treatment at best is useless, and at worst highly destructive to victims seeking help. By medicalizing what is a non-medical condition and introducing harmful drugs as a therapy, victims have been denied effective treatment options.

Dr. Frank Ochberg, a clinical professor of psychiatry at Michigan State University, who at that time was involved in updating the DSM, said he and his colleagues wanted it called a disorder because — only half–jokingly — “we figured if we did, then Blue Cross would pay for it.”

The favored “treatment” for PTSD is psychotropic drugs known to cause violence and suicide.

The cornerstone of psychiatry’s disease model today is the theory that a brain-based, chemical imbalance causes mental illness. Despite the billions of pharmaceutical company funding in support of the chemical imbalance theory, this psychiatric “disease” model is thoroughly debunked. The whole theory was invented to push drugs.

In an effort to create the “Super Soldier,” the U.S. military spends hundreds of millions of dollars on psychiatric research programs that can only be described as science fiction-esque experimentation. It’s no secret that the nation’s military forces long have been used as guinea pigs for psychological and pharmaceutical experiments. Recent history is littered with examples of the botched experiments brought to light in the form of lawsuits and congressional investigations. As for the troops, well, it appears they truly are expendable. The military is spending billions of dollars on psychiatric drugs. In a 2012 assessment, the Institute of Medicine found that the majority of patients in the VA diagnosed with PTSD receive more than one psychotropic drug, and that 80 percent of them receive an antidepressant.

The Army and the other fighting services form rather unique experimental groups since they are complete communities and it is possible to arrange experiments in a way that would be very difficult in civilian life.

Psychiatrists used the Second World War as an opportunity to try some very risky treatments on soldiers who had very little to say in the matter.

From the 50’s through the 70’s psychiatrists in countries like Britain, the United States, and the USSR, continued to use their militaries as proving grounds for an arsenal of new experimental treatments such as LSD.

The drugging of the military is off the charts, especially in the United States. From 2005 to 2011 the U.S. Department of Defense increased its prescriptions of psychiatric drugs by nearly seven times. These powerful mind-altering psychiatric drugs carry warnings of increased suicidal thoughts, anxiety, insomnia, and psychosis, especially with high dosages or when abruptly stopped.

In early 2013, the official website of the United States Department of Defense announced the startling statistic that the number of military suicides in 2012 had far exceeded the total of those killed in battle – an average of nearly one a day. A month later came an even more sobering statistic from the U.S. Department of Veterans Affairs: veteran suicide was running at 22 a day — about 8000 a year.

The situation became so dire that the U.S. Secretary of Defense called suicide in the military an “epidemic.”

Some have claimed that this spate of self-harm is because of the stresses of war. But the facts reveal that 85% of military suicides have not seen combat — and 52% never even deployed.

So what unsuspected factor is causing military suicide rates to soar?

According to the CCHR documentary The Hidden Enemy: Inside Psychiatry’s Covert Agenda, all evidence points in one direction: the soaring rates of psychiatric drug prescribing since 2003. Known medication side effects of these drugs such as increased aggression and suicidal thinking are reflected in similar uptrends in the rates of military domestic violence, child abuse and sex crimes, as well as self-harm.

Pull the string further and you’ll find psychiatrists ever widening the definitions of what it means to be “mentally ill,” especially when it comes to post traumatic stress disorder in soldiers — and PTSD in veterans.

And in psychiatry, diagnoses of psychological disorders such as PTSD, personality disorder and social anxiety disorder are almost inevitably followed by the prescription of at least one psychiatric drug.

Psychiatrists know that their drugs do not actually cure anything, but merely mask symptoms. They are well aware of their many dangerous side effects, including possible addiction. However, they claim that the risks of the medication side effects are exceeded by their benefits. And while the soldier’s real problem goes unaddressed, his health deteriorates.

In the face of these grim military suicide statistics, more and more money is being lavished on psychiatry: the U.S. Pentagon now spends $2 billion a year on mental health alone. The Veterans Administration’s mental health budget has skyrocketed from less than $3 billion in 2007 to nearly $7 billion in 2014—all while conditions continue to worsen.

The Hidden Enemy reveals the entire situation in stark relief, while urging that soldiers and vets become educated on the true dangers of psychiatry and psychiatric drugs. The answer lies in their right to full and honest informed consent—as well as exercising their right to refuse treatment. Our service members need to know there are safe and effective non-psychiatric solutions to the horrors of combat stress, and that these solutions will not subject them to dangerous and toxic treatments that will only send their health spiraling downward.

For more information:

Download and read the CCHR reportA Review of How Prescribed Psychiatric Medications Could Be Driving Members of the Armed Forces and Vets to Acts of Violence and Suicide.

Watch the CCHR documentary onlineThe Hidden Enemy: Inside Psychiatry’s Covert Agenda.

If you are in the military, a veteran, a member of a military or veteran support group, or family or associate of a member of the military or a veteran, you quality for a free Hidden Enemy DVD. Fill out this form to receive a free DVD.

Former Top Industry Insider Reveals Big Pharma Secrets

September 28th, 2014

Former Top Industry Insider Reveals Big Pharma Secrets

[From American Free Press Newspaper] “The former managing director of drug giant Eli Lilly and Company in Sweden continues to blow the whistle on the business practices of the pharmaceutical industry, scoring a major victory in announcing that his first book, Side Effects: Death. Confessions of a Pharma-Insider, will be turned into a full-length feature film.

“John Virapen, who began his career with ‘Big Pharma’ in 1968 as a salesman knocking on doctors’ doors, rose through the ranks to realize what he was pitching were not drugs, but death. Virapen was well aware early on that thousands had died or committed suicide by taking the drugs he was pushing. ‘I indirectly contributed to the death of … people, whose shadows now haunt me,’ he explained in his book.

[From Amazon.com] “I bribed a Swedish professor to enhance the registration of Prozac in Sweden.” -John Virapen

“Pharmaceutical companies want to keep people sick. They want to make others think that they are sick. And they do this for one reason: money. Did you know:
* Pharmaceutical companies invest more than $50,000 per physician each year to get them to prescribe their products?
* More than 75 percent of leading scientists in the field of medicine are ‘paid for’ by the pharmaceutical industry?
* Corruption prevailed in the approval and marketing of drugs in some cases?
* Illnesses are made up by the pharmaceutical industry and specifically marketed to enhance sales and market shares for the companies in question?
* Pharmaceutical companies increasingly target children?

“Side Effects: Death is the true story of corruption, bribery and fraud written by Dr. John Virapen, who has been called THE Big Pharma Insider. During his 35 years in the pharmaceutical industry internationally (most notably as general manager of Eli Lilly and Company in Sweden), Virapen was responsible for the marketing of several drugs, all of them with side effects. Now, Virapen is coming clean and telling all of the little secrets you were never intended to know!”

Now balance this valuable anecdotal account with more of the facts. Download and read these various CCHR booklets to get the truth about psychiatric drugs:

Psychiatric Drugs Create Violence and Suicide
The Link Between Psychiatric Drugs and Senseless Violence
The Truth About Ritalin Abuse
Antianxiety Drugs — the facts about the effects
Antidepressants — the facts about the effects
Antipsychotics — the facts about the effects
Psychostimulants — the facts about the effects
Mood Stabilizers — the facts about the effects

Contrave

September 21st, 2014

Contrave

The U.S. Food and Drug Administration (FDA) approved a new weight loss drug on September 10. Aren’t you excited? Don’t get your hopes up, we’re going to tell you all the reasons you should not take this drug.

I just lost 10 pounds by eating meat and vegetables for a month. I temporarily gave up ice cream and cheese, also. Why do you care about my diet? Because with Contrave you only get the best results by combining the drug with a non-drug weight management program (that is, proper diet and exercise.) Test results show that Contrave drug users might lose an average of 8 pounds more over 6 months than those losing weight without the drug, with both groups also doing a non-drug weight management program. The experts say that if you just use the drug with no changes in diet or exercise, it is not going to be successful. So why not just save yourself $200 a month and go with the non-drug weight management program?

OK, so some of the test results show that on average people on the drug lost 4% more weight over a year than those on a placebo, while doing the same non-drug weight management things. So how is Contrave supposed to work?

Well, funny thing about that. No one has a real clue about how Contrave works or doesn’t work. The best they can say is that sometimes it lessens one’s appetite. There is no way to predict the results, it is strictly trial and error.

There are not that many weight loss drugs on the market, leading some doctors to joke about slim pickings for the treatment of obesity. There is also controversy about whether obesity is really a medical condition or a symptom of a medical condition. In any case, let’s not follow all these red herrings and just describe this particular drug in more depth.

The FDA rejected the first approval request in 2011 for Contrave, and has given approval this year only with two additional requirements — more safety studies are needed, and the drug must carry a boxed warning about the risk of suicide and other bad side effects.

Suicide risk? Really? For weight loss? What kind of a drug is this?

Guess what, Contrave is a psychiatric drug. Two psych drugs in combination, actually. Contrave is a combination of bupropion (Wellbutrin), and naltrexone. The recommended daily dose is a total of 32 mg naltrexone and 360 mg bupropion.

You may recall that Wellbutrin is an antidepressant; as a short-acting antidepressant and amphetamine-like drug similar to Ritalin and Dexedrine, it is also marketed in slow-release form as Zyban for people trying to quit smoking.

The FDA approved Wellbutrin as an antidepressant in 1985 but because of the significant incidence of seizures at the originally recommended dose (400-600 mg), the drug was withdrawn in 1986. It was reintroduced in 1989 with a maximum dose of 450 mg per day.

It can cause seizures and at rates of four times that of other antidepressants. Fatal heart attacks in those with a history of heart-rhythm disturbances have occurred. Other side effects include agitation, insomnia, increased restlessness, anxiety, delusions, hallucinations, psychotic episodes, confusion, weight loss and paranoia. Teens have abused the drug by crushing and snorting it, causing seizures. So, we can see that weight loss is one of the possible side effects of Wellbutrin; only in the context of an antidepressant or smoking cessation drug, weight loss is an unwanted side effect. So why not change the name and market it as a weight loss drug?

Naltrexone, on the other hand, is an anti-addiction drug, technically an opioid receptor antagonist. It is FDA approved to treat alcohol and opioid dependence, although it must not be used if the person is still taking alcohol or opioids, as it can induce severe withdrawal symptoms. It also has side effects of depression and suicidal thoughts or suicide. I can believe it might suppress one’s appetite, as well.

I think I’ll just go buy some ice cream and drown my visions of weight loss in a sugar coma.

The Deadliest Enemy

September 7th, 2014

The Deadliest Enemy

is the one you never suspect

“The use of psychotropic drugs, especially combined use of antipsychotic and antidepressant drugs, is strongly associated with an increased risk of SCD [Sudden Cardiac Death].” —European Heart Journal

“Prior to the Iraq and Afghanistan wars, the use of prescribed antidepressant and antipsychotic drugs was never part of military policy.

“In a June 2010 report, the latest available on the subject, the Defense Department’s Pharmacoeconomic Center noted that 213,972, or 20 percent of the 1.1 million active-duty troops surveyed, were taking some form of psychotropic drug.

“Since that report was released, those figures have greatly increased and are now considerably beyond the 20 percent level for psychiatric medications prescribed to active-duty soldiers. These are precisely the sort of drugs cited in an overwhelming majority of veteran suicides.

“These substances significantly impair motor skills and reaction times, and cause confusion, disorientation and forgetfulness—critical damage to a skill set vital to soldiers in combat.

“Other numbers are even more staggering, showing that the Departments of Defense and Veterans Affairs poured more than $4.5 billion into purchases of antidepressants, antipsychotics and anti-anxiety drugs in the decade after 9/11. The mass prescribing of these dangerous drugs continues in high gear once the soldier, sailor, Marine or airman comes under the authority of the Department of Veterans Affairs.

“In return for the billions of dollars spent on these substances, suicides and cases of sudden cardiac arrest have soared.”

Click here to read the full report on deaths in the military due to psychotropic drugs.

If you are in the military, a veteran, a member of a military or veteran support group, or family or associate of a member of the military or a veteran, you quality for a free Hidden Enemy DVD. Fill out this form to receive a free DVD.

You can also watch the full Hidden Enemy documentary here:

Behavioral Health in St. Louis

September 1st, 2014

Behavioral Health

It used to be called “mental health.”

The so-called “stigma” of mental health now prompts a name change, and they are starting to call it “behavioral health,” which just means how effectively one handles stress.

There isn’t any stigma, of course. Stigma is manufactured by the psycho-pharmaceutical industry so that there is a bad-sounding social issue for which research funds can be solicited and psychotropic drugs sold to unsuspecting victims, and for which reports can be written about how bad it all is.

We call it propaganda by redefinition of words, which is a way to mold public opinion by altering words to obtain a public relations advantage.

Behavior: The way in which one acts or conducts oneself, especially toward others, or in response to a particular situation [late Middle English from be-have in the sense of "have or bear (oneself) in a particular way".]

The implication is that “behavior” is troublesome and must be corrected; one’s behavioral health, then, is amiss, requiring psychiatric treatment.

A primary strategy of behavioral health is the extension of services into the community — at home, school, workplace and other community settings.

Recently, the “crisis in Ferguson, Missouri” is a field day for behavioral health therapists. Misbehaving people (whether the police or the populace, take your pick) are thus desperately in need of treatment; and the stress of dealing with this misbehavior for the rest of us means we also need some “behavioral health” treatments.

One truly hopes you recognize tongue firmly in cheek here.

Misconduct or misbehavior exhibit a lack of environmental control by all parties concerned. Such control begins with the individual managing and controlling his own environment — his person, his things, his behavior. We usually just call this “competence.” When a group messes up to such an extent as witnessed in Ferguson, look to the sanity of their leaders, who have allowed those under their care to deteriorate to such an extent that they can no longer handle the stress of their environment.

Unfortunately, psychiatry does not have an answer here other than more drugs, further suppressing one’s ability to deal with stress in their environment.

What is the proper response? Put order into the environment. Locate and handle the insane ones who are provoking the stress, or just letting it happen. Locate and handle those pushing psychiatric solutions, such as the “behavioral health” people at local hospitals and universities who promote electro-convulsive therapy as a solution to behavior.

The Saint Louis Mental Health Board is a special tax district in the City of St. Louis as set forth by state statute, and consider themselves the mental health authority for the City of St. Louis, funding 48 different agencies with community programs, community projects, community partnerships and other initiatives that are supposed to help residents improve their behavioral health. Since their inception in 1992 they have proudly spent $111,769,998 on such programs. They financially support the publication of the Vision for Children at Risk “Children of Metropolitan St. Louis” report, which gathers statistics on 28 indicators of well-being for children under 18 by zip code; the primary zip code for Ferguson is 63135, in case you would like to review it.

Gee whiz, our children need a lot of behavioral health help!

Is it working?

Doesn’t appear to be.

But they sure know how to write reports!

Your task is to contact your local, state and federal officials and representatives, and let them know what you think about this. Provide your personal observations and experiences. Suggest that they stop funding failed psychiatric treatments, mental health programs, and behavioral health community initiatives — and do something effective, like teaching children to read.

The Link Between Psychiatric Drugs and Senseless Violence

August 24th, 2014

The Link Between Psychiatric Drugs and Senseless Violence

There is overwhelming evidence that psychiatric drugs cause violence: 22 international drug regulatory warnings cite violence, mania, hostility, aggression, psychosis and even homicidal ideation. Individuals under the influence of such drugs and committing these acts of senseless violence are not limited to using guns and are not limited to just schools.

There have been 10 studies in four countries on psychiatric drug-induced violence.

At least 34 school shootings and/or school-related acts of violence have been committed by those taking or withdrawing from psychiatric drugs resulting in 166 wounded and 78 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). The list includes not only mass shootings, but the use of knives, swords and bombs.

School-related acts of violence aren’t the only cases commonly found to be under the influence of psychiatric drugs. There are 18 other recent acts of senseless violence committed by individuals taking or withdrawing from psychiatric drugs resulting in an additional 76 dead and 61 wounded.

Between 2004 and 2012, there have been 14,773 reports to the U.S. FDA’s MedWatch system on psychiatric drugs causing violent side effects including: 1,531 cases of homicidal ideation/homicide, 3,287 cases of mania & 8,219 cases of aggression. (Note: By the FDA’s own admission, less than 1% of side effects are ever reported to it, so the actual numbers of side effects occurring are most certainly higher.)

While there is never one simple explanation for what drives a human being to commit such unspeakable acts of violence, all too often one common denominator has surfaced in hundreds of cases—prescribed psychiatric drugs which are documented to cause mania, psychosis, violence, suicide and in some cases, homicidal ideation. To date, there has been no federal investigation of the link between psychiatric drugs and acts of violence.

For more evidence on the link between psychiatric drugs and violence, download and read the booklet “The Link Between Psychiatric Drugs and Senseless Violence”.

California Medical Evaluation Field Manual

August 17th, 2014

California Medical Evaluation Field Manual

In 1991, Dr. Lorrin M. Koran prepared the Medical Evaluation Field Manual at the request of the California legislature.

Quoting from the Introduction:


“This Field Manual shows California mental health program administrators and staff how to screen their patients for active, important physical diseases. The Manual explains how, where, and when to screen, how to initiate and staff a screening program, and how to maximize its cost-effectiveness. The Manual also includes a list of clinical findings that characterize patients whose mental symptoms are quite likely to be caused by an unrecognized physical disease.

“For several reasons, mental health professionals working within a mental health system have a professional and a legal obligation to recognize the presence of physical disease in their patients. First, physical diseases may cause a patient’s mental disorder. Second, physical disease may worsen a mental disorder, either by affecting brain function or by giving rise to a psychopathologic reaction. Third, mentally ill patients are often unable or unwilling to seek medical care and may harbor a great deal of undiscovered physical disease. Finally, a patient’s visit to a mental health program creates an opportunity to screen for physical disease in a symptomatic population. The yield of disease from such screening is usually higher than the yield in an asymptomatic population.”


The conclusions drawn in this manual are not theoretical; they were arrived at by extensive experimental evidence, and include such findings as:

“1. Nearly two out of five patients (39%) had an active, important physical disease.

“2. The mental health system had failed to detect these diseases in nearly half (47.5%) of the affected patients.

“3. Of all the patients examined, one in six had a physical disease that was related to his or her mental disorder, either causing or exacerbating that disorder.

“4. The mental health system had failed to detect one in six physical diseases that were causing a patient’s mental disorder.

“5. The mental health system had failed to detect more than half of the physical diseases that were exacerbating a patient’s mental disorder.”

The step-by-step procedures in this manual detected more physical diseases than the mental health programs had detected among 476 patients sampled, did so at a lower cost per diagnosed case, and can be performed by mental health personnel after very limited training.

Why Is This Important?

CCHR has always recommended a full, searching medical examination by a non-psychiatric health care professional, with appropriate clinical tests, to determine if there are undetected and untreated medical conditions that could be causing or contributing to mental distress.

The Missouri Department of Mental Health, with the recent passage of Senate Bill 716, is now instructed to develop guidelines for the screening and assessment of persons that address the interaction between physical and mental health to ensure that all potential causes of changes in behavior or mental status caused by or associated with a medical condition are assessed. This legislation goes into effect August 28, 2014.

One expects that this implies that those medical conditions found would then be medically treated, rather than simply passing out harmful and addictive psychotropic drugs, as is the more usual practice. We need to reinforce this expectation with our contacts, calls and letters to the Missouri DMH.

If you have professional expertise for helping to develop such guidelines, please volunteer your efforts to the Missouri Department of Mental Health.

If you would like to read the California Medical Evaluation Field Manual, you may download it from the CCHR St. Louis website.