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                | Category: Childrens Health | 
                Date published: July 29, 
                  2005 |   
             
            
              
              
                Here's another gross distortion of the truth by 
                  TeenScreen. On its web site, in response to the question, is 
                  TeenScreen related to TMAP, the Texas Medication Algorithm 
                  Project? It says: "No. ... Some Web postings inappropriately 
                  and inaccurately claim that TeenScreen is a bridge to 
                  medication and hence the TMAP program. This is entirely 
                  false." 
  "There is absolutely no relationship between 
                  TeenScreen and TMAP. ... TeenScreen does not endorse any 
                  particularly mental health treatment or medication." 
                  
  "TMAP ... is a medication formulary for seriously 
                  mentally ill adults in Texas. The adults served by this 
                  program are cared for in public programs. TeenScreen and TMAP 
                  have nothing to do with one another." 
  That's what 
                  TeenScreen says. Now lets look at the truth. 
  Simply 
                  put, a TMAP (aka, algorithm) is a list of drugs that doctors 
                  are required to use in treating persons with specific 
                  illnesses who receive medication funded by the government with 
                  tax dollars. 
  Contrary to what TeenScreen claims, this 
                  list is not limited to mentally ill adults in Texas. In fact, 
                  Texas has a children's version that apes the adult version and 
                  is used for kids in hospitals, foster care institutions, 
                  prisons, juvenile programs and every other public program that 
                  is funded with tax dollars in Texas. 
  It all started in 
                  the mid-90s while Bush was governor. TMAP was developed by 
                  what's referred to as an "expert consensus" made up of a group 
                  of "experts" already known to have favorable opinions of 
                  certain drugs, chosen by drug company sponsors, Janssen 
                  Pharmaceutica, Johnson & Johnson, Eli Lilly, Astrazeneca, 
                  Pfizer, Novartis, Janssen-Ortho-McNeil, GlaxoSmithKline, 
                  Abbott, Bristol-Myers-Squibb, Wyeth-Ayerst and Forrest 
                  Laboratories. 
  In 1997-98, with pharma funding, a panel 
                  was assembled to determine which drugs would be used in 
                  treating children and decided that the same drugs used on 
                  adults could be used on kids. There were no studies conducted 
                  to test the safety of giving the TMAP drugs to kids and most 
                  had never been FDA approved for use by children. 
                  
  Experts are speaking out against these lists. 
                  According Dr Grace Jackson, author of the new book, Rethinking 
                  Psychiatric Drugs : A Guide for Informed Consent, "Outside of 
                  emergency & trauma medicine, where algorithms can and do 
                  save lives, the use of medical flowcharts and guidelines must 
                  be evaluated carefully and critically. This is because the 
                  algorithms have arisen from "Evidence Based Medicine" -- a 
                  statistically based approach to studying treatment effects in 
                  populations, rather than a reality based approach to 
                  discerning treatment effectiveness in each unique individual." 
                  
  The TMAP is still being used to push drugs on kids in 
                  Texas, according to an article by the Associated Press on 
                  February 09, 2005, "As lawmakers work to revamp Texas' foster 
                  care system, they also are reviewing the use of mind-altering 
                  drugs by foster children." 
  In October, 2004, the Texas 
                  inspector general for the Health and Human Services Commission 
                  said his office interviewed staff at three state licensed 
                  wilderness camps, which provide care for foster children, and 
                  found that the average child arrives on four or five 
                  psychotropic drugs. 
  After investigating the issue of 
                  drug use with foster kids, in an April, 2004 report, Texas 
                  Comptroller, Carole Keeton Strayhorn, blasted the agency for 
                  giving children drugs so ``doctors and drug companies can make 
                  a buck." 
  An update on Texas, comes from noted author 
                  Dr John Breeding who reports, "We are fighting off a swarm of 
                  efforts to codify New Freedom language into Texas law. Driven 
                  by Big Pharma and psychiatry, Texas is a focal point as the 
                  Texas Medication Algorithm Project started it all, the same 
                  folks were behind the New Freedom Commission, and the end 
                  result is more and more folks on drugs," said Breeding. 
                  
  TeenScreen's underlying motive is to recruit customers 
                  to funnel money to pharma by drugging kids and a TMAP model, 
                  under whatever name it goes by in each state, is the list of 
                  the drugs that the new customers will be given. In fact to 
                  push the overall scheme along, the Bush appointed New Freedom 
                  Commission (NFC) has recommended that TMAP be used in all 50 
                  states. 
  And it is spreading to other states. In Ohio, 
                  the list is called "OMAP" and includes all the high-priced 
                  psychotropics such as Paxil, Zyprexa, Adderall, Zoloft, 
                  Risperdal, Seroqual, Depakote, Prozac, Wellbutron, Zyban, 
                  Remeron, Serzone, and Effexor. 
  But first things first, 
                  they have to get TeenScreen in schools and this is where the 
                  NFC comes in. Its recommendations include, "Early detection of 
                  mental health problems in children and adults - through 
                  routine and comprehensive testing and screening - will be an 
                  expected and typical occurrence." "Both children and adults 
                  will be screened for mental illnesses during their routine 
                  physical exams." 
  Citing recommendations by the NFC, 
                  TeenScreen's Executive Director, Laurie Flynn, reports the 
                  Bush plan, "to launch a nationwide mental illness screening 
                  program in government institutions, including the public 
                  school system, for all students from kindergarten up to the 
                  12th grade." 
  While testifying before the committee on 
                  March 2, 2004, Flynn praised the NFC for recommending 
                  TeenScreen. "I am especially pleased to report that the 
                  commission named the ... TeenScreen Program a model program 
                  for early intervention." 
  Flynn's testimony discussing 
                  TeenScreen's goal of finding students to "link them with 
                  treatment:" 
  "In 2003, we were able to screen 
                  approximately 14,200 teens at these sites; among those 
                  students, we were able to identify approximately 3,500 youth 
                  with mental health problems and link them with treatment. This 
                  year, we believe we will be able to identify close to 10,000 
                  teens in need, a 300 percent increase over last year." 
                  
  Make no mistake, the lists are being used to drug 
                  children and any new recruits will end up on drugs. 
                  
  For instance, according to a report in the April 25, 
                  2005, Columbus Dispatch, as of July, 2004, nearly 40,000 Ohio 
                  children on Medicaid were already on psychiatric drugs. After 
                  concerns were raised nationally about the number of kids being 
                  medicated, a reporter for the Dispatch investigated 
                  prescriptions records paid for by the Ohio Medicaid program 
                  and discovered that 31% of children ages 6 to 18 in foster and 
                  group homes, were on mental-health drugs. And 22% of kids in 
                  detention were on psychiatric drugs as of January, 2005, with 
                  many on five or more. 
  These drugs have never been 
                  approved for kids and they have been found to cause suicide 
                  and violence. Nearly all the children involved in violent 
                  rampages in recent years have been on the antidepressants 
                  known as SSRIs. 
  Christopher Pittman, the 12-year-old 
                  who shot and killed his grandparents while they slept, and 
                  then burned down the house, was on Zoloft. In describing the 
                  event, Christopher said it was like he was watching a show on 
                  television and that he could see everything happening but 
                  there was no way to stop it. 
  One of the country's 
                  leading experts on SSRIs, Dr Ann Tracey, explains that people 
                  on these drugs, like Christopher, will appear as if they are 
                  wide awake, when in fact they are half asleep walking around 
                  in a dream-like state. 
  Despite the testimony of two 
                  highly qualified psychiatrists that Christopher was 
                  "involuntarily intoxicated" on Zoloft that night, the jury 
                  found him guilty, and barring a miracle, this poor child will 
                  sit in prison for the next 30 years because a negligent doctor 
                  placed him on a lethal medication. 
  Dr Grace Jackson is 
                  against giving kids drugs. "It would be difficult to engage in 
                  a form of medical experimentation more potentially hazardous 
                  than child psychopharmacology. With increasing frequency, 
                  researchers have demonstrated how and why the psychiatric 
                  drugs are powerful neuroendocrine disruptors which exert 
                  negative effects upon cognition, growth, metabolism, and 
                  reproductive functioning," she explained. 
  According to 
                  Jackson, "The question should not be whether or not American 
                  children are being "overdrugged" -- rather, the question 
                  should be: what evidence justifies the drugging of even one 
                  child ?" 
  State Officials Compromised By TMAP 
                  
  Allan Jones was an Investigator in the Pennsylvania 
                  Office of Inspector General, when the PennMap scheme was set 
                  up in Pennsylvania. According to Jones, "TMAP and the NFC 
                  represent the deceptive marketing of fraudulent science 
                  through the corruption of our governmental safeguards at all 
                  levels." 
  When charged with examining the receipt of 
                  drug company funds by state employees, Jones said, "I began to 
                  look at the overall issue of Pharma marketing and immediately 
                  became alarmed that the tactics used in marketing to the 
                  private sector were being replicated with public employees. 
                  Trips, perks, travel, honorariums, consultant fees etc." 
                  
  "The most shady aspects of the program emerged 
                  quickly," he said, "the recommended drugs were exclusively 
                  new, patented and expensive and were selected by persons with 
                  financial ties to Pharma; and the claims of increased efficacy 
                  and safety made by the drug companies and State employees, 
                  were contradicted by the available science," Jones discovered. 
                  
  "The pharmaceutical industry purchased the "opinions" 
                  of a few key doctors and the endorsement of a few key state 
                  administrators, and in exchange they illicitly opened the 
                  market for billions of tax dollars spent on dubious and 
                  dangerous drugs," Jones said. 
  Pharma giant, Janssen, 
                  took the lead in exerting influence over state officials by 
                  creating "Advisory Boards" made up of State Mental Health 
                  Directors who were regularly treated to all expense paid trips 
                  and conferences. By influencing 50 key officials, the company 
                  knew that it would have a good shot at getting a TMAP list 
                  adopted in every state. 
  For example, Ohio Mental 
                  Health Director, Michael Hogan, and California Director, 
                  Stephen Mayberg, are New Freedom Commission members who 
                  control mental health services in their respective states, and 
                  both are members of a Janssen advisory board. 
  Hogan 
                  has proven to be so useful that Eli Lilly has given him a 
                  "Lifetime Achievement Award." In granting the award it was 
                  noted that Hogan had given over 75 presentations at 
                  conferences since he accepted the position on Bush's New 
                  Freedom Commission. 
  According to my ace records 
                  researcher, Sue Weibert, every conference that she was able to 
                  track down that featured Hogan, was sponsored by drug 
                  companies, and the group that organized the conference 
                  solicited money from pharma to pay the key note speaker. 
                  
  Hogan is also on TeenScreen's Advisory Board. 
                  
  In Florida, Flynn has Jim McDonough, the Director of 
                  the Florida Office of Drug Control, in her back pocket. 
                  
  In a March 22, 2004 email to McDonough she griped 
                  about paying the Florida gang $120,000 a year and not getting 
                  enough in return. "We've been working with David Shern and USF 
                  for 18 months or so and still haven't got a program going," 
                  she said, "At this point I'm inclined to re-think the use of 
                  our resources. We're sending about $120k to USF annually. ... 
                  but ultimately we're not achieving our goals in the 
                  community," she wrote. 
  Flynn went on to tell McDonough 
                  that she had to find kids to screen and said, "I'm looking for 
                  a horse to ride here!" 
  At this point, the NFC, TMAP, 
                  and TeenScreen, working together, have managed to weave 
                  together a web of key government officials who control funding 
                  for the nation's mental health services in states all across 
                  the country. 
  By using TeenScreen, pharma has hopes of 
                  roping in 7-12 million new customers, according to Flynn's 
                  March 2002 testimony: 
  "The need for increased ... 
                  screening is evidenced by the fact that close to 750,000 teens 
                  are depressed at any one time, and an estimated 7-12 million 
                  youth suffer from mental illness. While treatments are 
                  available for these severely disabling disorders, sadly, most 
                  children do not receive the treatment they need. Among teens 
                  that are depressed, 60-80 percent go untreated." 
  State 
                  Officials Starting To Get Busted 
  As it turns out, 
                  bribing state officials is really not uncommon. In 
                  Pennsylvania, Allen Jones discovered that Janssen and Pfizer 
                  had both been courting the same guy, Steve Fiorello, the State 
                  Pharmacist. Each company had paid Fiorello as a consultant, 
                  treated him to travel accommodations, and provided him with 
                  educational grants to promote PennMap. 
  Fiorello was in 
                  a unique position. He was paid about $82,000 to oversee 
                  pharmacy operations at Pennsylvania's mental health hospitals, 
                  and he was also a member of the committee that determined 
                  which drugs would be on the PennMap list for doctors to 
                  prescribe at those hospitals. 
  When finally busted, the 
                  ethics commission charged that he "played both sides; he 
                  participated with Pfizer ... as to its drug-selling 
                  strategies, and he participated on the committee as to 
                  selecting drugs for the state formulary." 
  A 101-page 
                  report said Fiorello had earned money from Pfizer while 
                  serving on a panel that chose what drugs would be used and 
                  that he improperly took money from Janssen and Duquesne 
                  University. The Commission fined him $27,000. 
  An April 
                  2002 company publication showed that Janssen knew exactly what 
                  it was paying for. Under Faculty Bio, Janssen described 
                  Fiorello as being "responsible for the formulation of policies 
                  and procedures for drug use for ten state hospitals and 
                  facilities including the development and implementation of the 
                  PENNMAP project." 
  Flynn & Hogan - Expert Consensus 
                  
  So where does TeenScreen fit in here? After all, it 
                  insists on its web site that it is absolutely not involved 
                  with this list business. 
  Well low and behold, that's 
                  not quite true. Just look what my talented records researcher, 
                  Sue Weibert, discovered in "The Journal of Clinical 
                  Psychiatry," Vol 60, 1999 Supplement 11: under Expert 
                  Consensus Guideline Series: Treatment of Schizophrenia 1999. 
                  
  Here we have none other than Laurie Flynn listed as an 
                  "expert" who took part in creating the list. She surely must 
                  have forgotten about this. 
  Flynn and her band of 
                  pushers from the National Alliance for the Mentally Ill (NAMI) 
                  must be geniuses when it comes to picking drugs because 39 
                  members of NAMI got to cast votes in determining which drugs 
                  could be on this list. The only group with more votes than 
                  NAMI was academic experts with 42 votes. 
  Another 
                  "expert" who took part in this "expert consensus" process was 
                  Flynn's good buddy, Mr Mike Hogan. 
  On its web site, 
                  TeenScreen claims that it does not endorse any specific drugs. 
                  Well the author obviously did not check with its Executive 
                  Director because she sure does. 
  Surprise, surprise! 
                  "Experts" Flynn and Hogan recommended the most expensive drugs 
                  on the market for the treatment of schizophrenia: Risperdal, 
                  Seroquel, and Zyprexa. 
  No affiliation with drug 
                  companies either huh? According to the report, "This project 
                  was supported by unrestricted educational grants from Eli 
                  Lilly and Co; Janssen Pharmaceutica, Inc; Novartis 
                  Pharmaceuticals Corporation; Ortho-McNeil Pharmaceutical; 
                  Pfizer, Inc; Zeneca Pharmaceuticals." 
  The truth is, 
                  NAMI is pharma's main front group and is used to implement 
                  every marketing scheme the industry dreams up. As its former 
                  Executive Director, Flynn was its top pusher for 16 years. The 
                  group even admits that its goal is to help pharma "grow the 
                  market," in an excerpt from the its 2000 990 entitled, 
                  "Guidelines for the Relationship between NAMI and the 
                  Campaign's Founding Sponsors." 
  Providers, health 
                  plans, and pharmaceutical companies want to grow their markets 
                  and to increase their share of the market. A. NAMI will 
                  cooperate with these entities to grow the market by making 
                  persons aware of the issues involving severe brain disorders, 
                  by giving professionals and providers the NAMI perspective, by 
                  bringing into treatment persons who are not being served, and 
                  by helping persons to adhere to their treatment plans. (2000 
                  990 is available at Guidestar.com). 
  On March 2, 2004, 
                  Flynn testified at a congressional hearing that in the 
                  screening process, "youth complete a 10-minute 
                  self-administered questionnaire that screens for social 
                  phobia, panic disorder, generalized anxiety disorder, major 
                  depression, alcohol and substance abuse. 
  This is 
                  amazing, if Flynn is right, all it takes is ten minutes and a 
                  paper and pencil to unearth any one of 30 deep-seeded mental 
                  illnesses. I'm surprised they haven't figured out a way to cut 
                  out the middle-man doctor and set up a drive through for kids 
                  to go pick up their pills at Walgreens without a prescription. 
                  That's probably in the works. 
  Experts warn that 
                  TeenScreen will do more harm than good. "It is impossible, on 
                  cursory examination, or on the basis of the Program's brief 
                  written screening test, to detect suicidality or "mental 
                  illness," however we define it. Indeed, the fears evoked by 
                  the process of seeking out mental illness can create 
                  psychiatric symptoms," according to Dr Nathaniel Lehrman, MD, 
                  former Clinical Director, Kingsboro Psychiatric Center, 
                  Brooklyn NY; former Assistant Clinical Professor of 
                  Psychiatry, Albert Einstein and SUNY Downstate Colleges of 
                  Medicine. 
  "Searching out those "illnesses," rather 
                  than relying on the troubled to seek help for themselves, 
                  violates the privacy of those in whom these "illnesses" are 
                  sought," Lehrman warns, "for those youngsters whose screenings 
                  supposedly reveal such "mental illness," the major treatment 
                  will then be drugs." 
  "Aren't eight million kids on 
                  ritalin enough?" Dr Lehrman wants to know. 
  TeenScreen 
                  is always bragging that its screening tools are free. 
                  Apparently that was also a scam to convince schools to adopt 
                  the program. According to a September 27, 2004, email to Jim 
                  McDonough, schools will have to pay a fee beginning in 2006: 
                  
  "The DPS (the 19 minute computer administered 
                  screening tool) that TeenScreen offers has been sold to Mental 
                  Health Systems ... Sites can continue using the DPS, but 
                  starting Jan 2006, they will have to pay a few hundred 
                  dollars. (The exact prices is yet to be decided) ... The DPS 
                  will still be offered by TeenScreen, it will just not be free 
                  anymore." 
  On December 4, 2002, Flynn spoke to the NFC, 
                  and explained the cost of setting up one TeenScreen program: 
                  "Implementation in just one school district often requires 
                  piecing together over a dozen funding streams from the 
                  education and mental health fields." 
  Think about that 
                  for a minute, "piecing together over a dozen funding streams." 
                  So how much are local tax payers going to end up paying for 
                  school employees to set up a TeenScreen program in every 
                  school? 
  Something is very wrong here. This is pharma's 
                  marketing scheme, yet tax payers are paying to set it up, 
                  paying school employees to administer the survey, paying for 
                  "clinicians" and "case managers," and in 2006, the use of the 
                  survey itself will cost money. 
  On top of all that, 
                  mark my word, tax payers are going end up paying for shrinks 
                  for students without insurance and Medicaid programs will end 
                  up funding at least three-fourths of the drugs prescribed. 
                  
  As I've said before, this has got to be the most 
                  brilliant scheme that I have come across in my 2 years of 
                  investigating the pharmaceutical industry. Its all profit - 
                  tax dollars funneled through kids directly into pharma 
                  coffers. Brilliant. 
  No Laughing Matter 
  The 
                  pharmaceutical industry is taking over the world right before 
                  our very eyes. The harmful effects of the drug-makers' 
                  take-over is well-documented in Bob Whitaker's book, "Mad In 
                  America." 
  Right now pharma has over a 100 NAMI type 
                  marketing front groups in place all over the globe. It has 
                  succeeded in greasing enough palms to compromise the few 
                  government officials necessary to control the Federal and 
                  State funding allocated for prescription drug programs, and it 
                  has doctors in every field of medicine writing out 
                  prescriptions for expensive psychiatric drugs as if they were 
                  the cure-all for everything under the sun. 
  Its gotten 
                  so bad, that Dr Lehrman notes a need for public awareness of 
                  the extent to which the American medical profession is being 
                  prostituted by the drug companies, "In no other medical 
                  specialty has that prostitution reached the depths it has in 
                  my specialty, psychiatry," he added. 
  Pharma has 
                  infiltrated the staff responsible for prescribing drugs in the 
                  country's health care facilities, to boost profits by 
                  overmedicating patients, with most of the funding coming from 
                  tax dollars, causing state Medicaid programs to go broke left 
                  and right. 
  In addition, it controls the media with 
                  billions of advertising dollars so that when it does get 
                  busted for hiding harmful effects of drugs that kill people or 
                  paying doctors to push drugs for ailments they were never 
                  approved for, or shooting poisonous vaccines into infants for 
                  profit, or any of the other 1000 money-making schemes that its 
                  got going on any given day, the story might make front page 
                  headlines for a day or two at most. 
  It took hold of 
                  the nation's regulatory agencies by making sure to get the 
                  majority of government researchers and scientists on their 
                  payrolls so that they will readily approve new drugs and then 
                  allow companies to make a killing off selling new drugs by 
                  hiding their adverse effects until people start dropping over 
                  dead. 
  But most importantly, Pharma has gained a 
                  stronghold on every branch of government by funneling a steady 
                  stream of campaign cash to politicians to make sure that 
                  favorable legislation is passed and investigations of industry 
                  crimes are shut down. 
  Last, but certainly not least, 
                  it now appears more and more likely every day that pharma is 
                  going to have its way with the nation's children via the 
                  public school system. God help us. 
  Evelyn Pringle epringle05@yahoo.com 
  (Evelyn Pringle 
                  is a columnist for Independent Media TV and an investigative 
                  journalist focused on exposing government corruption) 
                  
  (Records researchers, Sue Weibert and Ken Kramer 
                  contributed to this report) 
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