Archive for the ‘Big Muddy River Newsletter’ Category

Texas Foster Children Health Care News

Sunday, July 27th, 2014

Texas Foster Children Health Care News

Legislation signed by the Governor of Texas and effective starting 9/1/2013 provides expanded safeguards for foster children in Texas regarding their health care.

HB 915 (House Bill 915) should be taken strongly to heart by all state legislatures.

Here are some of the important points safeguarding foster children from dangerous psychotropic drugs. We have paraphrased the legalese to make it easier to read. The actual bill text can be found here.

Duties required by a guardian ad litem appointed for a child include reviewing the medical care provided to the child, and in a developmentally appropriate manner, elicit the child’s opinion on the medical care provided. For a child at least 16 years of age, advise the child of the child’s right to request the court to authorize the child to consent to the child’s own medical care.

For a child receiving psychotropic medication, determine whether the child has been provided appropriate psychosocial therapies, behavior strategies, and other non-pharmacological intervention, and has been seen by the prescribing physician, physician assistant, or advanced practice nurse at least once every 90 days.

For a youth taking prescription medication, the department shall ensure that the youth’s transition plan includes provisions to assist the youth in managing the use of the medication and in managing the child’s long-term physical and mental health needs after leaving foster care, including provisions that inform the youth about the use of the medication, the resources that are available to assist the youth in managing the use of the medication, and informed consent and the provision of medical care.

A person may not be authorized to consent to medical care provided to a foster child unless the person has completed a department-approved training program related to informed consent. The training required must include training related to informed consent for the administration of psychotropic medication and the appropriate use of psychosocial therapies, behavior strategies, and other non-pharmacological interventions that should be considered before or concurrently with the administration of psychotropic medications.

Consent to the administration of a psychotropic medication is  valid only if the consent is given voluntarily and without undue influence, and the person authorized by law to consent for the foster child receives verbally or in writing information that describes the specific condition to be treated, the beneficial effects on that condition expected from the medication, the probable health and mental health consequences of not consenting to the medication, the probable clinically significant side effects and risks associated with the medication, and the generally accepted alternative medications and non-pharmacological interventions to the medication, if any, and the reasons for the proposed course of treatment.

The department shall notify the child’s parents of the initial prescription of a psychotropic medication to a foster child and of any change in dosage of the psychotropic medication at the first scheduled meeting between the parents and the child’s caseworker after the date the psychotropic medication is prescribed or the dosage is changed.

The person authorized to consent to medical treatment for a foster child prescribed a psychotropic medication shall ensure that the child has been seen by the prescribing physician, physician assistant, or advanced practice nurse at least once every 90 days to allow the physician, physician assistant, or advanced practice nurse to appropriately monitor the side effects of the medication, and determine whether the medication is helping the child achieve the treatment goals, and continued use of the medication is appropriate.

Note the emphasis on Informed Consent. Click here for more information about Informed Consent.

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.

Contact your own state legislators and suggest that they review this Texas legislation and additional information about Informed Consent so that they may compare it to existing state laws on the matter and provide needed protections for children under state care. In Missouri, visit here to find your legislators.


Psychiatric drug ER trips approach 90,000 a year

Saturday, July 19th, 2014

Psychiatric drug ER trips approach 90,000 a year

“Bad reactions to psychiatric drugs result in nearly 90,000 emergency room visits each year by U.S. adults, with anti-anxiety medicines and sedatives among the most common culprits.

“A drug used in some popular sleeping pills was among the most commonly involved sedatives, especially in adults aged 65 and older.

“Most of the visits were for troublesome side effects or accidental overdoses and almost 1 in 5 resulted in hospitalization.

“The results come from an analysis of 2009-2011 medical records from 63 hospitals that participate in a nationally representative government surveillance project. The study was published [July 9, 2014] in JAMA Psychiatry.

“Overall, the sedative zolpidem tartrate, contained in Ambien and some other sleeping pills, was involved in almost 12 percent of all ER visits and in 1 out of 5 visits for older adults.”

Read the full MSN News article here.

An unexpected finding of the study was that rates of antipsychotic, sedative, anti-anxiety, and antidepressant adverse drug event emergency room visits were highest among adults aged 19 to 44 years.

We expect that most people do not realize that Ambien is a psychiatric drug, since it is usually prescribed as a sedative for insomnia. In fact, drugs of this nature are variously called “anti-anxiety drugs” or “minor tranquilizers” or “sedative hypnotics.”

Today, at least 20 million people worldwide are prescribed these “minor tranquilizers.”

Daily use of therapeutic doses is associated with physical dependence. Addiction can occur after 14 days of regular use. Of the 72 different reported adverse reactions, some are anxiety, hostility, aggression, depression, sleep-walking, sleep-driving, and suicide. The typical consequences of withdrawal are anxiety, depression, sweating, cramps, nausea, psychotic reactions and seizures. Elderly people taking these drugs for anxiety or insomnia are at increased risk for motor vehicle crashes. There is also a “rebound effect” where the individual experiences even worse symptoms than they started with as a result of chemical dependency; medical experts point out that this is the drug effect, not a “mental illness.”

Courts have determined that informed consent for people who receive prescriptions for psychotropic (mood-altering) drugs must include the doctor providing information about possible side effects and benefits, ways to treat side effects, and risks of other conditions, as well as information about alternative treatments. Yet very often, psychiatrists ignore these requirements.

All patients should first see a non-psychiatric medical doctor, especially one who is familiar with nutritional needs, who should obtain and review a thorough medical history and conduct a complete physical exam, ruling out all the possible problems that might cause the person’s symptoms.

There are far too many effective options to list them all here. Psychiatrists, on the other hand, insist there are no such options and fight to keep it that way. Patients and physicians must urge their local, state and federal government representatives to endorse and fund non-drug health care options instead of dangerous psychiatric drugs.

The Hard Truth #2

Wednesday, July 9th, 2014

The Hard Truth #2

In our May 5th newsletter we introduced The Hard Truth Magazine. We are delighted to recommend issue number 2 just released.

Here is a brief quote from this latest issue:

“In China, the Falun Gong (a pacifistic religious sect whose politically menacing motto is ‘Truthfulness, Compassion and Tolerance’) came to the attention of the Chinese Ministry of State Security because of its rapid growth. The state teamed with resident psychiatrists and developed a new mental disorder specifically for the Falun Gong: Evil cult-related mental disorder. … There are now thousands of Falun Gong practitioners in mental hospitals in the People’s Republic of China undergoing unspeakable torture. When they renounce Falun Gong, they are cured.”

Religions are facing an insidious assault that is not only sapping their spiritual and material strength, but in some cases threatening their very survival.

In the late 1800′s psychiatrists sought to replace religion with their “soulless science.” In 1940, psychiatry openly declared its plans when British psychiatrist John Rawling Rees, a co–founder of the World Federation for Mental Health, addressed a National Council of Mental Hygiene stating: “…since the last world war we have done much to infiltrate the various social organizations throughout the country … we have made a useful attack upon a number of professions. The two easiest of them naturally are the teaching profession and the Church … .”

The consequences have been devastating for both society and religion. Until recently, it was religion that provided man with the moral and spiritual markers necessary for him to create and maintain civilizations of which he could be proud. Religion provides the inspiration needed for a life of higher meaning and purpose. In this crisis, it falls upon religious leaders to take the decisive steps. Men of the cloth need to shake off the yoke of soulless materialism spawned by psychology and psychiatry and put religion back into the hands of the religious and out of the hands of psychiatry.

Subscribe to The Hard Truth Magazine at

Find out more about psychiatry’s war against religion here.

Parents can get refunds for some anti-depressant drugs given to kids

Sunday, July 6th, 2014

Parents can get refunds for some anti-depressant drugs given to kids

St. Louis Post-Dispatch, July 5, 2014
by Blythe Bernhard

“Thousands of Missouri parents are entitled to refunds for antidepressants prescribed to children because the drugs were unapproved for use in that age group, a federal judge has ruled.

“Forest Laboratories and its subsidiary Forest Pharmaceuticals, which is based in Earth City, agreed to pay up to $10.4 million in refunds for misleading parents into giving the drugs Celexa and Lexapro to children and teenagers, according to a recent settlement of a class action lawsuit.

“A judge in the case ruled that under the Missouri Merchandising Practices Act, “parents have the right to be fully informed about the potential efficacy of a drug,” said Brent Wisner, a Los Angeles-based attorney for the plaintiffs.

“Anyone who bought Celexa for someone under 18 from 1998 to 2013 or Lexapro from 2002 to 2013 is eligible for partial to full refunds, or $50 if the total amount spent on the drugs cannot be proven.”

Click here to read the full article. Send a note to the author and let her know what you think.

Click here for some of the legal stuff.

We might remind you that the devastating side effects of Celexa and Lexapro can be found here.

Psychiatric drugs are only the symptom. 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. Click here to find out more about this.

Criminalization of Mental Health Care

Wednesday, July 2nd, 2014

Prisons: America’s New Asylums

Reference: “The Treatment of Persons with Mental Illness in Prisons and Jails: A State Survey”, 8 April 2014, Treatment Advocacy Center.

Although the Treatment Advocacy Center (TAC) is motivated primarily by psychiatric treatment and psychiatric drugs, they do present some interesting facts and viewpoints on mental health care in prisons and jails.

A major part of the treatment for prison inmates (used less for rehabilitation than for managing and disciplining inmates) is a regimen of powerful psychiatric drugs, despite numerous studies showing that aggression, violence and suicide are tied to their use. One study in California reported that 73 percent of prison suicides had a history of mental health treatment (meaning psychotropic drugs.)

The TAC report, of course, does not mention the violence and suicidal side effects of psychotropic drugs, preferring to push psych treatment and psych drugs instead.

Prisons and jails have become America’s new mental asylums. The number of individuals with serious mental symptoms in prisons and jails now exceeds the number of patients in state psychiatric hospitals tenfold. The cost of maintaining these inmates in prison skyrockets when psychiatric drugs are being used.

Notice we said “mental symptoms” instead of the popular press phrase “mental illness.” This is because, while people can indeed have debilitating mental trauma, this is not in fact a “mental illness”; it is a set of symptoms indicating some root cause which has not yet been found and handled. More than likely it is a legitimate medical problem that has not been diagnosed and treated, or it is the end result of illiteracy, or it is a side effect of taking drugs — legal or otherwise.

From 1770 to 1820 in the U.S., mentally traumatized persons were routinely confined in prisons and jails. This practice was inhumane, and it was replaced by housing such persons in hospitals until 1970. Since 1970 the earlier practice of routinely confining such persons in prisons and jails has resumed. So it has been known for almost 200 years that confining persons with mental trauma in prison is inhumane, yet this is now the current state of affairs.

In 2012, approximately 356 thousand inmates with mental health issues were confined in prisons and jails. On the other hand, only 35 thousand were in state psychiatric hospitals. In Missouri, it is estimated that 20 percent of the prison population has mental health issues, and this figure has apparently been steadily increasing.

TAC, in lockstep with the psycho-pharmaceutical industry, believes that providing appropriate treatment for inmates with mental health issues is the administration of psychiatric drugs.

Unfortunately, in TAC’s view, a prisoner can object to treatment with psychiatric drugs. Thus, the primary purpose of the referenced paper is to examine how psychiatric drugs can be forced on prison inmates without their permission. They call it “treatment over objection,” and it has its own mental diagnosis as justification.

This diagnosis is called “anosognosia,” from the Greek a + nosos + gnosis, meaning not + disease + knowing. In English terms, it means “ignorance of the presence of disease.” In other words, a person who refuses treatment (in this case a prison inmate refusing psychiatric drugs) is diagnosed with anosognosia as a justification for forcing treatment on the person against their will, since they are obviously ignorant of their own diseased condition.

In 1990, the U.S. Supreme Court (Washington v. Harper) held that an inmate with mental trauma need not be imminently dangerous before being medicated against his or her will, and that such an authorization may occur by administrative hearing rather than a judicial one. Thirty-one states, including Missouri, implement prison policies that allow an administrative (not a court) proceeding to force an inmate to take psychiatric drugs.

The Missouri Department of Corrections allows non-emergency involuntary administration of psychiatric drugs in cases where no immediate danger exists but the inmate poses a future likelihood of harm to self or others without treatment. The committee that authorizes this is composed of a psychiatrist, the associate superintendent, and the regional manager of mental health services. County jails may also use the same process.

The responsibility for helping people with mental trauma has gone to prisons and jails. Their primary method of treatment is psychotropic drugs known to cause violence and suicide — both when taking the drugs and when withdrawing from them. Prison violence and suicide are increasing; prison costs are increasing as more drugs are used; coercive measures are used to increase the prison population taking psychotropic drugs.

Does anyone see a problem with this trend?


Antidepressant use and suicidal behavior

Thursday, June 26th, 2014

Antidepressant use and suicidal behavior

Reference: “Changes in antidepressant use by young people and suicidal behavior after FDA warnings and media coverage” BMJ 2014;348:g3596.

A research paper published 18 June 2014 in the British Medical Journal investigates “if the widely publicized warnings in 2003 from the US Food and Drug Administration about a possible increased risk of suicidality with antidepressant use in young people were associated with changes in antidepressant use, suicide attempts, and completed suicides among young people.”

The paper concludes that “Safety warnings about antidepressants and widespread media coverage decreased antidepressant use, and there were simultaneous increases in suicide attempts among young people.”

Some interesting statistics are cited: “In the United States in 2007, suicide was the third leading cause of death among people aged 15 to 24. Nearly 8% of high school students reported attempting suicide in 2011 and 2.4% made an attempt that required medical attention. There has been considerable concern that suicidal behavior is a potential adverse outcome of prescription drug use, including antidepressant and anticonvulsant agents.”

Additionally, “In adolescents and young adults, initiation of antidepressant treatment may precipitate short term increases in suicidal ideation and behavior.”

Expanding on the conclusion, “After the FDA warnings, antidepressant use decreased substantially in all age groups and there were simultaneous, small increases in psychotropic drug poisonings, a validated measure of suicide attempts, among adolescents and young adults; these results were consistent across 11 geographically diverse US study sites.”

How might suicides be increasing while antidepressant use was decreasing?

We can think of two related facts.

1) Suicidal thoughts and attempts are a side effect of psychotropic drugs, particularly antidepressants. The side effects of psychotropic drugs being used don’t go away just because there are less prescriptions written.

2) There are a lot more psychotropic drugs with this side effect than just antidepressants, which are not accounted for in this study.

The real problem is that psychiatrists fraudulently diagnose life’s problems as an “illness”, and stigmatize unwanted behavior or study problems as “diseases,” and then prescribe harmful and addictive, suicide-causing drugs to children. Psychiatry’s stigmatizing labels, programs and treatments are harmful junk science; their diagnoses of “mental disorders” are a hoax – unscientific, fraudulent and harmful.

Find Out! Fight Back!

More About Elliot Rodger and Xanax

Tuesday, June 10th, 2014

More About Elliot Rodger and Xanax

Based on interviews with Elliot’s parents, Peter and Li Chen, the Santa Barbara Sheriff’s Department is being told that he was likely addicted to Xanax (generic name alprazolam), an anti-anxiety drug known to cause psychosis, rage, hostility, and suicide.

Rodger on May 23 killed six people and then himself, in the college town of Isla Vista, California, adjacent to the University of California Santa Barbara campus.

Daily use of therapeutic doses is associated with physical dependence. Addiction can occur after 14 days of regular use. The typical consequences of withdrawal are anxiety, depression, sweating, cramps, nausea, psychotic reactions and seizures. There is also a “rebound effect” where the individual experiences even worse symptoms than they started with as a result of chemical dependency.

Drug experts say that Xanax is more addictive than most illegal drugs, including cocaine or heroin, and once someone is hooked, getting off it can be a tortuous and deadly experience.

Email the Santa Barbara County Sheriff and request that they investigate the role of psychiatric drugs such as Xanax in the violence and suicide of Elliot Rodger.

For more information about violence and suicide caused by psychiatric drugs, download and read the free CCHR booklet Psychiatric Drugs Create Violence and Suicide.

Our MO State Government at Work

Saturday, June 7th, 2014

Our MO State Government at Work

We thought you should know that the Governor of Missouri just signed a new law into effect in the area of mental health care.

HB1064 (House Bill 1064) removes references to the phrases “mentally retarded” and “mental retardation” from statute and replaces them with “intellectually disabled” and “intellectual disability”, respectively.

Unfortunately they did not enact any budget cuts to the Department of Mental Health. In fact, they raised the DMH budget from $1.6 billion last year to $1.8 billion this year. But our Missouri legislators have made sure that they are politically correct about it.

Raise your hand if you would like the DMH to show positive results for their $1.8 billion.

By positive results, we mean outcomes that are important to the patient, the patient’s family, and the social and work environments of the patient. We do not mean outcomes that are important for maintaining the budget and status quo of psychiatrists, psychiatric institutions, or the Department of Mental Health.

An example of a positive result (what we might call an Ideal Scene) would be: patients recovering and being sent, sane, back into society as productive individuals.

People in desperate circumstances must be provided proper and effective medical care. Medical care, not psychiatric “care”, attention, good nutrition, a healthy, safe environment and activity that promotes confidence will do far more than the brutality of psychiatry’s drug treatments. Housing and work will do more for the homeless than the life-debilitating effects of psychiatric drugs and other psychiatric treatments that destroy responsibility.

Now is the time to visit, call, write, email and otherwise contact your federal, state and local officials and let them know that they must start insisting on actual positive outcomes in exchange for their mental health budgets. Or lose their budgets. Call them out to show their results. And we don’t mean meaningless statistics like the number of prescriptions written or the number of patients involuntarily committed, or the number of gun permits issued or revoked; we mean the number of patients who have recovered from their mental trauma and are now home as productive members of society.

Do it now, please. And let us know the responses you get.

Will Lawmakers Investigate Elliot Rodger’s Psychiatric Drug Use or Ignore it?

Sunday, June 1st, 2014

Will Lawmakers Investigate Elliot Rodger’s Psychiatric Drug Use or Ignore it?

by Kelly Patricia O’Meara

[Santa Barbara spree killer Elliot Rodger opened fire in Isla Vista, Calif. on the night of May 23 near the University of California, Santa Barbara campus. Seven were killed, including Elliot, and 13 more injured.]

There are 22 international drug regulatory agency warnings of psychiatric drugs causing violence—including mania, psychosis, depersonalization, aggression and even homicidal ideation. 33 school shootings and/or school-related acts of violence have been committed by those taking or withdrawing from psychiatric drugs, six of which were stabbings, resulting in 177 wounded and 83 killed. After reading the rambling manifesto, aptly titled “My Twisted World,” written by Elliot Rodger, one thing becomes abundantly clear—mental health “treatment” was a major theme throughout his life and this included being prescribed psychiatric drugs.

The 22-year old explained in his manifesto that he had psychiatric drugs and made them part of his plan in ending his own life. On page 133 of the manifesto, Rodger explains that he’ll shoot himself in the head and “I will quickly swallow all of the Xanax and Vicodin pills I have left….” He explains that if the bullets don’t kill him, the mixture of pills will.

Additionally, based on Santa Barbara County Sheriff’s statement that, “He, obviously, had been treated for quite some time by mental health care professionals… he had been prescribed medication,” and “he had a severe underlying mental illness,” there seems little doubt, once again, that psychiatric mind-altering drugs are implicated in another mass murder.

And it is quite possible that Rodger was withdrawing from a psychiatric drug, which would also explain his violent behavior. Many people who have taken psychiatric drugs have found out the withdrawal effects of the drugs can persist for months, even years, after the drugs are stopped. Patients are frequently not warned about this, and are often told that it is simply symptoms of their “mental disorder” returning—yet studies have confirmed that after patients stop taking certain psychiatric drugs, the withdrawal effects may last several months to years afterwards.

Read the full article here.

Email the Santa Barbara County Sheriff and request that they investigate the role of psychiatric drugs in the violence and suicide of Elliot Rodger.

For more information about violence and suicide caused by psychiatric drugs, download and read the free CCHR booklet Psychiatric Drugs Create Violence and Suicide.

Missouri Legislative Report

Thursday, May 29th, 2014

Missouri Legislative Report

Missouri’s legislative session runs from January to mid-May per the Missouri constitution. At the end of the session, many failing bills get attached as amendments to bills that are going through, so it isn’t possible to know what was really passed and really killed until the session is over. We have now gone through summaries of all the bills passed this year to find the legislation relevant to CCHR. We had some good results, with one VERY GOOD anti-psych bill passed, and a number of dangerous pro-psych bills killed.

The scoreboard:
Anti-psych bills passed = 2
Pro-psych bills killed = 19

CCHR STL has visited the Capitol each year early in the legislative session with displays on mental health issues which are visited by various legislators. We also visit each legislator’s office delivering an information packet that includes the latest CCHR DVD. We also keep our friends and allies who are actively lobbying at the Capitol informed on mental health (Eagle Forum, Concerned Women for America, Missouri Family Network). We also had one of our volunteers testify at an Appropriations Committee hearing about the lack of result for dollars spent on mental health.

Your charitable donations and your volunteer time given to CCHR St. Louis allow us to achieve these results. Thank you for your support!


SB 716 – Public health

This bill is a conglomeration of many provisions relating to public health, but has sections that are very good anti-psych legislation:

• Requires an investigation of reported abuse or neglect of a patient, resident, or client to be initiated within 24 hours and completed within 60 days.
• The guardian of such patient, resident, or client is to be notified of the investigation and given an opportunity to provide information to the investigators, and shall be notified of the results of the investigation and decision of the department of mental health within five working days of its completion.
• The department of mental health shall obtain two independent reviews of all patient, resident, or client deaths that it investigates.
• Requires the department of mental health to develop guidelines for screening and assessment of persons receiving mental health services that address the interaction between physical and mental health, to ensure all potential causes of changes in behavior or mental status caused by or associated with a medical condition are assessed.

SB 532 – Educational and medical consent by relative caregivers

• Allows an adult caregiver with whom a child is living to sign educational and medical consent if the parent is not available. Although not directly psych related, this is an important protection as it prevents consent for medical treatment, including psych treatment, from defaulting to the state if the parent is not available.


HB 1070 & HB 2059 – Family Intervention Orders
• Establishes family intervention orders for the treatment of persons who abuse chemical substances.

HB 1173 & SB 589 – Statutory cause of action
• Creates a statutory cause of action for damages against health care providers, replacing the common law cause of action for injury or death, and requires finding that the “health care provider failed to use that degree of skill and learning ordinarily used under the same or similar circumstances by similarly situated health care providers and that such failure proximately caused injury or death.”

HB 1083 – Statute of limitations for mental health
• Establishes a two-year statute of limitations for actions against a mental health professional for malpractice, negligence, error, or mistake

SB 583 – Evidentiary standard for noneconomic damages
• Changes the evidentiary standard for noneconomic damages in medical malpractice cases, which would include mental health.
• Changes standard from “preponderance of evidence” to “clear and convincing,” which is a higher, more stringent standard of evidence. This is related to such damages as pain and suffering etc.

HJR 45 & SJR 25 – Limitations on non-economic damages
• Proposes a constitutional amendment granting the General Assembly the power to limit by statute jury awards of noneconomic damages, including against health care providers, which would include mental health.

HB 1130 – Prohibits denial of mental health treatment
• Prohibits the denial of mental health care and treatment for children who are alleged victims of abuse or neglect and requires guardians ad litem to have training in child abuse and neglect.

HB 1399 – Firearms and ammunition sales tax for mental health
• Imposes a sales tax upon every retail sale of any handgun or ammunition, at the rate of one cent per transaction, for providing funds for mental health services
Died in committee.

HB 1493 & SB 769 – Coverage for eating disorders
• Requires all health insurance carriers and health benefit plans to provide coverage for the diagnosis and treatment of eating disorders. Includes psych treatment.

HB 1605 – Mental Health Month
• Designates the month of May as “Mental Health Awareness Month” and the first full week of May as “Bipolar Disorder Awareness Week” in Missouri

HB 1694 – County Youth Initiative Fund
• Allows counties to pass a sales tax for a County Youth Initiative fund, which “may be expended for the purchase of the following services: (1) Juvenile delinquency prevention and rehabilitation programs; (2) Programs that provide opportunities for at-risk children and youth who are affected by adverse community dynamics; and (3) Programs that attempt to address the tenuous social infrastructure that often leads to crime, welfare dependency, drug and alcohol abuse, high school dropouts, and extended unemployment.”  These would be mental health programs.

HB 1901 – Multiple provisions on health care, several relating to mental health
• Mandates assessments and treatment if substance abuse contributed to a crime (Sect. 208.186.1. and 2.).
• Encourages school based clinics in rural areas (Sect. 208.661.1.). (Would include mental health.)
• Expands Medicaid for “medically frail,” including disabling mental disorders and chronic substance use. (Sect. 208.991.1.(7) etc.).

HB 2058 – Mental health for crime victims
• Adds board certified psychiatric-mental health clinical nurse specialists to the list of medical professionals from whom treatment costs may be compensated by the crime victim reimbursement fund.

HB 2223 – School-based psych clinic for trauma victims
• Requires the Department of Elementary and Secondary Education to establish a comprehensive school-based mental health program for students dealing with trauma and violence.

SB 739 – MO HealthNet provisions, some relating to mental health
• Drugs/alcohol assessment when these are judged to be contributing factors in a crime or child abuse or neglect, and treatment may be required before family reunification (Sect. 208.186).
• Health clinics encouraged to co-locate on school premises, with prohibitions on abortions and contraceptives, and parental consent required (Sect. 208.661). (This will include mental health.)

SB 937 – Money for involuntary commitments
• Provides for the county counselor of Boone County to receive state money for performing duties related to mental health and mental health facilities.