Michael F. Hogan, PhD, Unanimously Confirmed as OMH Commissioner: Why?
Devorah Zealot Soodak, nee Deborah Ellen Soodak, aka Debbie Soodak, says: Hi! She hopes it won't be for the last time. She's getting pretty sick.
I have to be out of the toxic waste dump called the Taffy Motel on Friday. I'm too sick to pack. I'm too sick to care.
I have choice. I can take the meds and be nonfunctional or I can not take the meds and seize and be nonfunctional. I don't think that's much of a choice.
I have no social support because Jewish Family Service have a monopoly on that. So I am sick and on my own. My doctor saw me have a seizure, but AtlantiCare, part of the Jewish Family Service Cartel, would rather see me dead than continue to have me as a thorn in their side. At least that's the way it seems by the way they mistreat me.
So Friday, I'll be out with no prospects. I'm too stupid from the meds to make phone calls. Oh, but she can write, you say. You have no idea how long this took and how many times I threw out what I did and started over. It is excruciatingly difficult. I feel as though I am writing my epitaph.
So back to New York State Office of Mental Health Commissioner Michael F. Hogan. A prince of a man. It's a real Google search to which I added most of the pictures.
The pictures are links. Please don't forget to click on them. You'll miss half the fun if you do.
Screen reader users, click here to turn off Google Instant.About 81,500 results (0.19 seconds)Search Results
New York State Office of Mental Health
New York State Office of Mental Health News
Mike Hogan, Ph.D., Commissioner of the New York State Office of Mental ...Talk Therapy TV - NYS OMH Commissioner Michael Hogan Recommends ...
Nov 16, 2010 ... Concentrating on the Borough of Queens in New York City...and the ... Talk Therapy TV - NYS OMH Commissioner Michael Hogan Recommends ...
davidmquintana.blogspot.com/.../talk-therapy-tv-nys-omh-commissioner.html - CachedVideos for nys omh commissioner hogan
NYS OMH CommissionerMichael HoganRecommends ...
1 min - Apr 8, 2010
Uploaded by TalkTherapyTV
youtube.com
NYS Commissioner of Mental Health Michael Hogan
29 min - Apr 24, 2010
metacafe.comDJ Jaffe: Fire NYS Office of Mental Health Commissioner Michael Hogan
Dec 12, 2009 ... It's time to fire New York State Office of Mental Health (OMH)Commissioner Michael Hogan. He has totally, intentionally, unapologetically, ...
www.huffingtonpost.com/.../fire-nys-office-of-mental_b_389940.html - CachedTalk Therapy TV – NYS OMH Commissioner Michael Hogan Recommends ...
Talk Therapy TV – NYS OMH Commissioner Michael Hogan Recommends Watching Talk Therapy TV – YouTube. November 17th, 2010 | by David M. Quintana Local News ...
blogs.city.com/.../talk-therapy-tv-nys-omh-commissioner-michael-hogan-recommends-watching-talk-therapy-tv-youtube/ - CachedOctober 21, 2010 Dr. Michael Hogan, PhD Commissioner NYS Office of ...
File Format: PDF/Adobe Acrobat - Quick View
Oct 21, 2010 ... Commissioner. NYS Office of Mental Health. 44 Holland Ave. Albany, NY 12229-0001. Re: Report 2010-F-30. Dear Dr. Hogan: ...
www.osc.state.ny.us/audits/allaudits/093011/10f30.pdfMental Health Recovery: Practice, Services, and Research
File Format: PDF/Adobe Acrobat - Quick View
Commissioner Michael Hogan, NYS OMH;. Mary Jane Alexander, NKI;. Joshua Koerner, CHOICE of New Rochelle. 11:30-11:45 Charge to Workshops & Roundtables: ...
www.nyu.edu/socialwork/pdf/continuing.education/RecoveryBrochure.pdf
via www.google.com
OK. So that's their propaganda. Their PR pap. What they want you to know so that the New York State Office of Mental Health Police can manipulate what you think.
I was trying to dig up some dirt when I ran this search. I found my own muckraking. That wasn't too much of a surprise.
Please keep reading. I dug up some dirt on the Thought Police. Not just in New York State. The blog I found is from Alaska.
Screen reader users, click here to turn off Google Instant.4 results (0.23 seconds)Search Results
PSYCH OUT! Escape From the Lunacy Of the New York State Office Of ...
Muckety: take note. Devorah Zealot Soodak is stuck in the muck. A New York Girl getting sucked into the quagmire of New Jersey. Bogged down in the fens. ...
psychout.typepad.com/blog/2010/09/index.html - CachedDevorah Zealot Soodak Says: Knock It Off! To the NYS OMH and NJ ...
Sep 10, 2010 ... Muckety: take note. Devorah Zealot Soodak is stuck in the muck. A New York Girl getting sucked into the quagmire of New Jersey. ...
psychout.typepad.com/.../employment-opportunities-at-new-york-state-office-of-mental-health-jun-9-2010-the-new-york-state-office-of-mental-... - CachedPSYCH OUT! Escape From the Lunacy Of the New York State Office Of ...
New York State Office of Mental Health (OMH) Promoting the mental health of all ... nys scene · Office of Mental Health. Commissioner Michael F. Hogan, ...
psychout.typepad.com/blog/employment-jobs/ - CachedPsychiatry, It's A Killing.: February 2009
Feb 28, 2009 ... 2009: news.muckety.com links Pinnacle West Capital to Williams and .....The New York State Senate unanimously confirmed Michael F. Hogan, ...
psychroaches.blogspot.com/2009_02_01_archive.html - CachedIn order to show you the most relevant results, we have omitted some entries very similar to the 4 already displayed.
If you like, you can repeat the search with the omitted results included.
via www.google.com
I was just getting really discouraged when I found an archived version of this (number four on the list). I haven't vetted them because my head hurts to much. What I did see looks encouraging.
Psychiatry, It's A Killing.
Anti Psychiatry. Pro Freedom.
Monday, November 29, 2010
Akathisia: Risperdal v Haldol In Antipsychotic 1st Timers: Risperdal LOSES
Dr. Yolanda Lucire writes:
"Robert Whitaker wrote about “the Madman of our Nightmares” who was not a schizophrenic but an akathisiac, having just taken, or taken himself off, prescribed medication."
Whitaker Robert: Mad In America. Perseus
Publishing. 2002.
Neurologic Side Effects In Neuroleptic Naive Patients Treated With Haloperidol Or Risperidone
Patricia L Rosebush, MD, FRCP(C); and Michael F. Mazurek, MD, FRCP(C)
Article abstract-Objective: To compare the side effect profile of risperidone with that of oral haloperidol in patients with no previous exposure to antipsychotic drugs (APDs). Background: Early studies suggested that the APD risperidone may have a side effect profile comparable with that of placebo. These early studies involved patients with chronic schizophrenia and a long history of APD use. Very little information is available regarding the neurologic side effects of risperidone patients without previous APD exposure-
Methods: The authors prospectively studied 350 consecutive neuroleptic naive patients admitted to their acute-care psychiatry service; 34 of these were treated with risperidone (mean dose, 3.2 mg/d) and 212 were treated with low-dose haloperidol (mean dose 3.7 mg/d). All patients were assessed on admission and twice weekly thereafter using rating scales for dystonia, parkinsonism, akathisia, and dyskinesia.
Results: The incidence and severity of dystonic reactions, akathisia, parkinsonism, and dyskinesia were comparable in the risperidone- and haloperidol-treated groups.
Conclusions: The neurologic side effect profile of low-dose risperidone is comparable with that of haloperidol in patients receiving APDS for the first time. Risperidone may not be a useful alternative to typical APDs for patients with PD and psychosis.
Received June 30th 1998. Accepted in final form Nov 20th, 1998.
There Were other variables in this study such as SSRIs, TCAs, Benzos et al. but generally speaking they’re close enough to fulfill the non-significance the authors write of when set against the similarly “non-significant” portion of Extremely Significant Akathisia which erupts in Suicide/Homicide.
pg 3 has this quick reference table. The numbers in parentheses are the affected Percentages of the two patient groups.
Akathisia______Risperdal______Haldol
Not present_____17_(50)________126_(61)
Mild___________5_(14)_________42_(20)
Moderate_______8_(24)_________29_(14)
Severe_________ 4_(12)_________11__(5)
Parkinsonism
Not Present_____14_(41)________95_(48)
Mild__________13_(38)________ 57_(28)
Moderate_______7_(21)_________39_(19)
Severe_________0__(0)_________11_(5)
While a test of only 34 patients on Risperdal may seem too small to draw definites from, the eye catcher –After the much larger Haldol group exhibited 22% Less Akathisia – is in the Moderate & Severe categories. Risperdal showed vastly increased percentiles of Moderate Akathisia: 24% to Haldol’s 14% and the Severe Akathisiac response was 12% to Haldol’s 5%.
Moderate Akathisia_____ 58.3% More from Risperdal than Haldol
Severe Akathisia_______ 120% More from Risperdal than Haldol
With numbers like that it’s no wonder Risperdal’s Severe Parkinsonism read 0%. Akathisia’s fevered motions could distract Scorers looking for the tinier tremors of Parkinsons into searching the Haystack – while it’s on a Pogo Stick - for the Needle. And as for the 50% who Didn’t score Akathisia, ….. just because they weren’t doing jumping jacks doesn’t mean they weren’t thinking about it.
Haldol, $15 a month.
Risperdal, $475 an month.
31.67 Times more money, for, ….. ?
This study was not only Low Dose, but it was with Neuroleptic Naïve subjects, so what you see is what you get. The raters were not being misled by the effects of previous neuroleptic Brain Damage or any residuum of Behavioral Toxicity which is the hallmark of Detoxifying from previous neuroleptics: as non-attested on numerous FDA label end runs:
“Suicide attempt was associated with discontinuation in 1.2% of RISPERDAL®-treated patients compared to 0.6% of placebo patients, but, given the almost 40-fold greater exposure time inRISPERDAL® compared to placebo patients, it is unlikely that suicide attempt is a RISPERDAL®-related adverse event, ….. “
(Excuse Us but in Which pig’s ear is it 'Unlikely'?)
We’d be tempted to have wished for a larger Risperdal patient population to cement the percentages, but only a ghoul would wish Akathisia on anyone.
And should you need further reproach of Atypicals we refer you to thecelebrated Geddes (2000) overview which also concluded that the atypicals proved no better than the 1st generation people eaters.
The Rosebush/Mazurek study per se is not one we want repeated, but since we’re already drowning under these damnable neurotoxins and their ‘Investigators’ anyway, we must see at least Rosebush/Mazurek’s Focus made a Priority if we’re ever to even Start cleaning this mess up.
So what does Akathisia actually Feel like?
Robert Whitaker knows.
Buy his book, & Please Notice that on Amazon where the Price is determined by Consumer demand, the Price remains the Same for either New OR Used copies, Unlike Psychiatric Junk Science like Dr. Nancy Andreasen's "Broken Brain" which had at one point plummeted to 1 cent. Because, as Thomas Jefferson observed, "It is Error alone which needs the support of Government. The Truth can Stand by itself."
Mad In America, …. Bad Science, Bad Medicine, and the Enduring Mistreatment of the Mentally Ill, … Mr. Whitaker writes;
The Madman of our Nightmares
Supersensitive psychosis was evidence that dampening down the dopamine system could produce paradoxical effects. Neuroleptics temporarily dimmed psychosis but over the long run made patients more biologically prone to it. A second paradoxical effect, one that cropped up with the more potent neuroleptics, particularly Prolixin and Haldol, was a side effect called akathisia. Neuroleptics were supposed to tranquilize patients, but the more powerful drugs often triggered extreme inner anxiety and restlessness. Patients would endlessly pace, fidget in their chairs, and wring their hands – actions that reflected an inner torment. This side effect was linked to assaultive, violent behavior.
Although the public may think that “crazy” people are likely to behave in violent ways, this was not true of mental patients prior to the introduction of neuroleptics. Before 1955, four studies found that patients discharged from mental hospitals committed crimes at either the same or a lower rate than the general population. However, eight studies conducted from 1965 to 1979 determined that discharged patients were being arrested at rates that exceeded the general population. And while there may have been many social causes for this change in relative arrest rates (homelessness among the mentally ill is an obvious cause), akathisia was also clearly a contributing factor.
In his book In The Belly Of The Beast, Jack Henry Abbot described how akathisia could turn one inside out:
These drugs, in this family, do not calm or sedate the nerves. They attack. They attack from so deep inside you, you cannot locate the source of the pain … The muscles of your jawbone go berserk, so that you bite the inside of your mouth and your jaw locks and the pain throbs. For hours every day this will occur. Your spinal column stiffens so that you can hardly move your head or your neck and sometimes your back bends like a bow and you cannot stand up. The pain grinds into you fiber … you ache with restlessness, so you feel you have to walk, to pace. And then as soon as you start pacing, the opposite occurs to you; you must sit and rest. Back and forth, up and down you go in pain and you cannot locate, in such wretched anxiety you are overwhelmed, because you cannot get relief even in breathing.
Akathisia was given little attention by psychiatric researchers for nearly twenty years. Patients usually perceived the restless behavior as a sign that the patient was about to relapse and would increase the dosage of the offending drug. But when investigators finally studied it, patients gave them an earful. They told of pain so great they wanted to “jump out of their skins,” of“anxiety of annihilating proportions.” One woman banged her head against the wall and cried, “I just want to get rid of this whole body!” Case studies detailed how patients, seeking to escape from this misery, had jumped from buildings, hung themselves, and stabbed themselves. In one study, 79 percent of mentally ill patients who had tried to kill themselves suffered from akathisia. Another study documented thirty cases of akathisia-linked suicides. “They made many requests or demands that something be done to relieve their tensions,” the researchers said. “They appeared driven to find some kind of relief.” One who killed himself for this reason was a thirty-six year old Hispanic man who’d come to a hospital because he couldn’t sleep and was overly nervous. He was given an injection of long-acting fluphenazine, and then, over the next several weeks he repeatedly returned to hospital emergency rooms in an extremely agitated state and “begged for help.” Something had to be done about the extreme physical misery he was in, but nothing was, and finally, “he killed himself without warning by jumping in front of a subway train.” UCLA Psychiatrist Theodore Van Putten determined that 75 percent of patients treated with a Haldol injection experienced akathisia.
Various investigators found that this side effect regularly made patients more prone to violence. A 1990 study determined that 50 percent of all fights on a psychiatric ward could be tied to akathisia. Yet another concluded that moderate-to-high doses of haloperidol made half of the patients markedly more aggressive. Patients described “violent urges to assault anyone near” and wanting to kill “the motherf**kers” tormenting them in this way. A few case reports linked akathisia to bizarre murders. One thirty-nine-year-old white man, after a haloperidol injection made him feel like he was “falling apart, … that all the bones in his body were broken – bludgeoned his mother with a hammer, an act he later found incomprehensible. Another thirty-five year old man, asked why he had stabbed a grocer he had known for some time, said he did it to get the drug induced pain out of his head: “The only reason I knifed the guy was Haldol messed me up. Prolixin makes me want to kill, too.” The murderous explosion of a twenty-three-year-old man, detailed in the Journal Of Forensic Psychiatry, was perhaps the most chilling example of all. After his wife left him, he became distraught and was brought to an Emergency Room by the police. He had been briefly hospitalized before, and he warned the staff that he reacted badly to haloperidol. In spite of his protest, he was injected with the drug, and he quickly exploded in rage. He ran from the emergency room, tore off his clothes in a nearby park, and started attacking everyone he saw. Over the course of forty-five minutes, he tried to rape a woman walking in the park, broke into a house and beat an eighty-one-year-old woman to a pulp, fought with a policeman and then escaped, stabbed two more women, and was then at last subdued by a gang of eight cops.
Such case reports led researchers to conclude that haloperidol could produce a “marked increase in violent behavior,” even among those without any history of assault. They dubbed this side effect of neuroleptics a “behavioral toxicity.” Little could the public have suspected that the madman of its nightmares, who kills without warning and for no apparent reason, was not always driven by an evil within but by a popular medication.
50% Akathisia is one Hell of an Interesting Definition of "Safe and Effective".
But then we Are talking about Psychiatry here.
Saturday, November 27, 2010
Antipsychotic Drugs For Children: Dr. John Breeding Reads The Riot Act
psychrights.org makes available the following letter from John Breeding Ph.D. to the Texas Legislature.
John Breeding, PhD
5306 Fort Clark Dr.
Austin, Texas 78745
(512) 326-8326
Re HB 2163 study 2-9-10
Kelly Hancock, HHSC
P.O. Box 13247
Mail Code BH-4100
Austin, TX 78711
Dear Mr. Hancock and all people at HHSC,
I am writing in response to the request for information pertinent to the HB 2163 mandated study on the use of antipsychotic drugs with Medicaid children under age 16. I am an Austin psychologist and founding director of a citizens group called Texans For Safe Education. I testified on House Bill 2163 when it was being debated in the Texas legislature last session as astrong supporter of the original intention to put serious controls on the use of antipsychotic drugs for young children in the Texas Medicaid system. I did so because the drugs are extremely damaging to children and they are not truly helpful to children in any way. I prefer a ban.
The Exponential Trend
As all involved in this affair are well aware, Sylvester Turner’s proposed legislation was in response to a perfect storm for Medicaid children in Texas. This chart shows the dramatic increase in Texas from 2003-2007.
The trend with Texas children is reflective of nationwide practice with all Americans.
The Motive
This is simple. As Evelyn Pringle (2009) reports, it is only necessary to follow the money: In 2008, the atypical antipsychotics took over the slot as the top revenue earners in the US, and include Seroquel by AstraZeneca; Risperdal and Invega marketed by Janssen, a division of J&J; Geodon by Pfizer; Abilify from Bristol-Myers Squibb; Novartis' Clozaril and Eli Lilly's Zyprexa. The average price on these drugs for 100 pills at DrugStore.com is about $1,000. Lilly also sells Symbyax, a drug with Zyprexa and Prozac combined, at a cost $1,564 for 90 capsules at DrugStore.com in May 2009.
The briefing material submitted to an FDA advisory panel in April 2009 reported that an estimated 25.9 million patients worldwide had been exposed to Seroquel since its launch in 1997 through July 31, 2007, in the US, and the second quarter of 2007 for countries outside the US. Of that number, an estimated nearly 15.9 million took Seroquel in the US, compared to only ten million patients in the rest of the world. In 2008, the US accounted for roughly $3 billion of Seroquel's $4.5 billion in worldwide sales.
For the full-year of 2008, Eli Lilly reported worldwide Zyprexa sales of about $4.7 billion, with US sales of $2.2 billion and only $2.5 billion for the rest of the world.
In Texas lies an epicenter of cause for this trend of more and more antipsychotic drugs for our nation’s citizens---the Texas Medication Algorithm Project, known as TMAP. As Austin investigative reporter Nanci Wilson exposed in her award winning KEYE TV series in 2004-5 on the subject, there was (and is) a strong connection between drug company contributions to the state and the placement of their most profitable drug products in the resultant formulary mandated for state use. TDMHMR medical director Steven Shon was forced to resign his position due to his own conflicts of interests in this project. Several other prominent doctors inthe University of Texas system—John Rush, Lynn Crismon, Graham Emslie and Karen Wagner to name just a few—have been shown to have severe financial conflicts of interest from monies received via Big Pharma. The state attorney general is continuing to investigate, and has a pending lawsuit against Johnson & Johnson, the makers of Risperdal. There are literally dozens of such lawsuits going on around the country.
Here is just one of numerous instances of findings against the makers of antipsychotic drugs. On January 15, 2009, Eli Lilly pled guilty to charges that it had illegally marketed its blockbuster drug Zyprexa for unapproved uses to children and the elderly, two populations especially vulnerable to its dangerous side effect. Lilly plead guilty to a misdemeanor charge and agreed to pay $1.42 billion, which included $615 million to end the criminal investigation and approximately $800 million to settle the civil case. The investigations of U.S. Senator Charles Grassley have revealed some of the sordid details of unethical conflicts of interest of psychiatric researchers and spokespersons in taking drug company money. Many prominent researchers andindustry spokespersons are now fighting for their professional lives as the hidden monies they received from Big Pharma are revealed. Psychiatry department chairs Charles Nemeroff ($1 million from GlaxoSmithKline alone) of Emory University, Martin Keller of Brown University (associated with a severely compromised drug trial), and Alan Shatzberg of Stanford (who was principal investigator on a drug developed by a company in which he owned $6 million of stock) have all recently resigned their positions as a result of Grassley's investigation. Joseph Biederman of Harvard (largely responsible for the explosive 4000% increase in the number of children diagnosed and treated as "bipolar," usually with the most damaging of all psychiatric drugs, the antipsychotics) received at least $1.6 million from Big Pharma in the first several years of this 21st century.
Federal prosecutors have subpoenaed Biederman and two of his Harvard colleagues. His work is particularly relevant as the 4000% increase in the diagnosis of childhood bipolar between 1994 and 2003 is largely attributable to his influence in defining and publicizing the notion of childhood bipolar disorder and recommended treatment of antipsychotic drugs (Moreno, C., et al. (2007).
This “treatment” generally happens as a matter of course: Moreno and colleagues found that 90.6% were receiving psychiatric medications, including 60.3% on mood stabilizers like Depakote and 47.7% on antipsychotics like Risperdal and Zyprexa, with most on combinations.Tragically, the study found that more children were being given the most toxic psychiatric drugs, the so-called antipsychotic drugs, than a similar group of adults labeled bipolar—even though the drugs are not approved for these purposes in children.
Another important trend we have noticed, one that should be addressed in your study, is that many of the children who are labeled bipolar and/or psychotic and given antipsychotic drugs were originally prescribed stimulants for so-called ADHD—the symptoms called Bipolar are actually iatrogenic effects of the drugs already prescribed. A quick perusal of the effects profilefor drugs like Ritalin and Adderall reveals that virtually all the diagnostic symptoms of Bipolar are also listed as drug effects of stimulants—irritation, restlessness, insomnia, mania, and psychosis on the one hand; listlessness and depression on the other. Tragically, a deranged state is induced by the drugs, then attributed to another “mental illness,” leading to more powerful anddangerous drugs.
The Lack of Science on Childhood “Mental Illness”
My comments here can be very brief. Simply put, there is absolutely no scientific evidence of specific physical or chemical abnormalities that connote a biologically based mental illness in children. As astounding as it may seem to some, it is an incontrovertible fact that no problem routinely seen by child psychiatrists has been scientifically demonstrated to be of biological orgenetic origin. The so-called “chemical imbalance” theory that justifies the use of psychotropic drugs with children is just that—a theory. There is no objective test or indicator for any of the child psychiatric diagnoses, from ADHD to Bipolar to Schizophrenia. What Joanna Moncrief and David Cohen present in their 2006 article about drug treatment of depression is equally true for other diagnoses that are said to warrant the use of antipsychotics.
I will cite here just one more thorough review of the literature with adults that shows a dearth of scientific evidence that antipsychotics can even beat placebo in the short-term. In the long-term, the evidence is damning. First, when a drug is effective in temporarily curbing a symptom, it very often actually exacerbates the symptom in the long-run! Furthermore, it is often the case that the higher the dose, the greater the probability of relapse. And in general, exposure to antipsychotic drugs increases probability of relapse (Whitaker, 2007). This is with adults. What it means for children is that the state of Texas, rather than promoting our children’s well-being, is contributing to their becoming lifelong chronic mental patients and disabled dependents on the state.
These are some of the reasons why I and Texans For Safe Education are so saddened and angry that Texas is giving our children these drugs. The biggest factor is that they are incredibly toxic and damaging.
The Damage Caused by Antipsychotic Drugs
The dangers of antipsychotic drugs have been documented since their advent around 1950; in fact, as Peter Breggin points out in his book Toxic Psychiatry, the neuroleptic drugs are responsible for the largest epidemic of neurological disease in the history of the world. Literally millions of people are suffering from permanent neurological damage as a result of variousexpressions of Tardive Dyskinesia cause by antipsychotic drugs. It is estimated that people become permanently damaged at the rate of about 5% per year. The effect is cumulative and giving these poisonous substances to our children is a disgrace. As psychiatrist George Ayana (1999) stated, standard antipsychotics “have adverse side effect profiles that can affect every physiological system.”
Lest one attempt to justify drugging our children with so-called atypical antipsychotics like Risperdal and Zyprexa, a brief look at the compromised, biased drug trials behind these drugs shows there is no strong evidence they are more effective or better tolerated (Geddes et al, 2000).
Even if there were slightly fewer permanent Tardive Dyskinesia cases resulting from the atypicals, this is more than compensated by the fact that drugs like Zyprexa, Risperdal and Seroquel have proven to be pure poison to the endocrine system. Class action lawsuits abound with very large payouts to individuals now suffering from permanent metabolic damage,Diabetes, as a result of taking atypical antipsychotics.
Leonard Roy Frank (2005) summarized some of the extant data on Zyprexa:
FDA reviewers found there was an average weight gain of almost one pound a week during the six-week trial period and 26 pounds over a year-long period for the Zyprexa subjects who remained for the extension trial. Other drug effects included shaking, spasms, sedation, diabetic complications, rapid heartbeat, restlessness, constipation,seizures, liver problems, white blood cell disorders, and decreased blood pressure.In addition, there were 20 deaths, including 12 suicides, in the Zyprexa group. Shockingly, these deaths went unreported in the scientific literature. The death cover-ups also took place in reporting trial results of several other atypicals during the 1990s.
Information concerning these deaths was obtained from FDA documents through the Freedom of Information Act by science writer Robert Whitaker, who wrote that one in every 145 subjects who entered the trials for Zyprexa, Risperdal, Seroquel, and Serdolect had died. [See Mad in America: Bad Science, Bad Medicine, and the Enduring Mistreatment of the Mentally Ill, by Robert Whitaker.]
Here is just a small sampling of other studies on the atypical antipsychotics.
A government sponsored study (Sikich et al, 2008) comparing an old and two most prescribed new antipsychotics in children aged 8 to 19, confirms that widely promoted second generation neuroleptic drugs--Zyprexa and Risperdal--pose even higher risks of harm for children's health than the old neuroleptic (Molindone).
The authors report in the American Journal of Psychiatry:
"Risperidone and olanzapine did not demonstrate superior efficacy over molindone for treating early-onset schizophrenia and schizoaffective disorder. Olanzapine and Risperidone were associated with significantly greater weight gain. Olanzapine showed the greatest risk of weight gain and significant increases in fasting cholesterol, low density lipoprotein, insulin, and livertransaminase levels. Molindone led to more self-reports of akathisia."
Ten lawsuits in the Philadelphia court are charging that Risperdal causes breast enlargement in young males who take it. This from the Risperdal website confirms: “RISPERDAL ® and similar medications can raise the blood levels of a hormone known as prolactin, causing a condition known as hyperprolactinemia. Blood levels of prolactin remain elevated with continued use. Some side effects seen with these medications include the absence of a menstrual period; breasts producing milk; the development of breasts by males; and the inability to achieve an erection. The connection between prolactin levels and side effects is unknown.”
(http://www.risperdal.com/)
A study in the New England Journal of Medicine, comparing the intelligence quotient (IQ) levels of children whose epileptic mothers were prescribed one of several antiepileptic drugs during pregnancy, confirms that Depakote (valproate) significantly lowers children's IQ, regardless of the mother's intelligent quotient (Meador et al, 2009).
The list could go on and on. The bottom line is permanent neurological and/or metabolic damage for a very large percentage of individuals who take antipsychotic drugs, as well as host of other severely damaging effects. These facts are sadly related to the data that Marilyn Elias reported in 2007; American adults in the United States public mental health system die on average 25 years younger than the general population.
A Trauma Sensitive Perspective
The reality of our state’s way of responding to Medicaid children, largely in foster care, is that a high percentage of the children who enter come out in worse shape than when they entered. They come out with more labels and more drugs in their system. We are hurting the children. Many are already traumatized, and they are all traumatized further by separation from family. Why does a trauma-sensitive perspective not guide us? Why instead do we label the children themselves as defective and drug them? There is no evidence of disease. There is vast evidence of trauma.
The good news is we know how to help with trauma. We know what children really need to heal from trauma and be well. It is not a great mystery. I could help with this, and so could many others. That help will be limited severely, however, until we agree to stop poisoning them.
A Solution
I have one solution:
1) Ban all antipsychotic drugs for children in state care. It is tragically harmful to unnecessarily damage the developing bodies and minds of our young children.
Palliative Recommendations
1) Institute a tracking and reporting system to be very clear and specific about which children are placed on what drugs. Look for patterns of variability by area and section, and by physician. Most definitely include a mechanism for reporting and red flagging any activity of so-called polypharmacy as it is especially grievous and dangerous to be placing our precious children on multiple psychotropic drugs. At the very least, any incidence of a child being placed on 3 or more psychotropic drugs should be red flagged, reported to the medical examining board, and investigated.
2) Follow children right from the start. Look closely at diagnoses and prescriptions. Look very closely at the effects caused by the drugs themselves. The pattern of iatrogenic worsening needs to recognized, interrupted and stopped.
3) Hire a knowledgeable doctor to systematically be available and help to facilitate dose reduction and withdrawal for children on antipsychotic drugs. It is dangerous to abruptly stop when one has been taking the drugs for more than a couple of weeks. It is also vital to recognize and interrupt the tendency to misinterpret drug withdrawal reactions as evidence on “mental illness.”
4) Institute an external monitoring and enforcement system. Those who have created this tragedy and who continue to defend and resist reform are not capable of ensuring these changes will happen. External monitoring and auditing is vital to success, in large part due to conflicts of interest and perverse financial incentives to label and drug our children.
5) Institute training on at least two items: a) the facts about psychiatric diagnoses and drugs, and b) the nature of psychological trauma and recovery, especially emphasizing issues of separation, and the nature of and necessary conditions for psychological healing.
A Legal Warning and Final Recommendation
One final warning for HHSC in its study on antipsychotic drug use with Texas Medicaid children is to take a good hard look at the legal ramifications of using poisonous drugs with well-known extremely severe damaging effects on children. And look hard at the fact that the vast preponderance of such drug use is “off-label,” unapproved in the medical compendia for such use with children. It is the opinion of many lawyers that this is illegal and grounds for litigation.
The following was provided by attorney James Gottstein, is from paragraph 22 of his Law Project for Psychiatric Rights Complaint in PsychRights v. Alaska
22. It is unlawful to for the State to use Medicaid to pay for outpatient drug prescriptions except when medically necessary and for indications approved by the Food and Drug Administration (FDA) or included in the following compendia:
(a) American Hospital Formulary Service Drug Information,(b) UnitedStates Pharmacopeia-Drug Information (or its successor publications), or (c) DRUGDEX Information System.[1]
_________________
[1] Ex Rel Franklin v Parke Davis, 147 F.Supp.2d 39 (DMass2001).
The relevant recommendation, of course, is to stop using antipsychotic drugs with children in the care of the state of Texas.
I am happy to respond to any questions. Thank you.
Respectfully Yours,
/s/
John Breeding, PhD
Cc Representative Sylvester Turner
Representative Lois Kolkhorst
References
Ayana, G. (1999) “An overview of side effects caused by typical antipsychotics (quotation is from discussion section.) Psychiatric Annals, 29, 657-660.
Elias, M. (3/5/2007) USA Today. “Mentally ill die 25 years earlier, on average.”
http://www.usatoday.com/news/health/2007-05-03-mental-illness_N.htm
Frank, L.R. “Zyprexa: a Prescription for Diabetes, Disease and Early Death”Street Spirit, August 2005. (http://www.thestreetspirit.org/August2005/zyprexa.htm)
Geddes J, Freemantle N, Harrison P, Bebbington P. “Atypical antipsychotics in the treatment of schizophrenia: systematic overview and meta-regression analysis.” British Medical Journal, 2000 Dec 2; 321(7273):1371-6.
Meador, K., Baker, G., Browning, N., Clayton-Smith, J., Combs-Cantrell, D., Cohen, M., Kalayjian, L., Kanner, A., Liporace, D., Pennell, P., Privitera, M., Loring, D., for the NEAD Study Group, “Cognitive Function at 3 Years of Age after Fetal Exposure to Antiepileptic Drugs” New England Journal Of Medicine, 360:1597-1605 April 16, 2009.
Moncrief, J. & Cohen, D. “Do Antidepressants Cure or Create Abnormal Brain States?”
(http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.0030240)
Moreno, C., et al. (2007). “National trends in the outpatient diagnosis and treatment of bipolar disorder in youth.” Archives of General Psychiatry, 64, 1032-1039.
Pringle, E. “U.S. Kids Represent Psychiatric Goldmine”; December 12, 2009;
http://www.truthout.org/1213091)
Sikich, L., Frazier, J., McClellan, J., Findling, R., Vitiello, B., Ritz, L., Ambler, D., Puglia, M., Maloney, A., Michael, E., De Jong, S., Slifka, K., Noyes, N., Hlastala, S., Pierson, L., McNamara, N., Delporto-Bedoya, D., Anderson, R., Hamer, R., and Lieberman, J. “Double-Blind Comparison of First- and Second-Generation Antipsychotics in Early-Onset Schizophreniaand Schizo-affective Disorder: Findings From the Treatment of Early-Onset Schizophrenia Spectrum Disorders (TEOSS) Study” Am J Psychiatry2008; 165:1420-1431.
Whitaker, R. “Reality check: what science has to tell us about psychiatric drugs and their longterm effects.” Journal of College Student Psychotherapy, 21, 3/4, 2007, pp 97-123.
Thank you Very much Dr. Breeding & psychrights.org
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I have personally experienced akithesia. It is not just a side effect of drugs. It is a neurological condition with many possible causes, seizures being one of them. It constitutes cruel and unusual pushishment and should be unconstitutional!
I've had it. I don't know what the technical term for feeling like your brains are going to explode is, but it's almost as unpleasant as akithesia. Please pray for me.
Baruch Hashem. Hoshia na.
Devorah Zealot Soodak, née Deborah Ellen Soodak, aka Debbie Soodak
PSYCH OUT! Escape From the Lunacy Of the New York State Office Of Mental Health NYS OMH www.psychout.typepad.com/ 
P.S. Devorah/Zealot says: Hello! to her friends at OMH www.omh.state.ny.us/ and NJ DMHS www.state.nj.us/humanservices/dmhs/ and Jewish Family Service www.jfsatlantic.org/
P.P.S. Maybe the people at the Chilling Effects Clearinghouse could tell the demented epileptic lunatic zealot what's going on with her posts desaparecidos?
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s nys logo nys scene nys scene nys scene nys scene Office of Mental Health Commissioner Michael F. Hogan, PhD Governor David A. Paterson Other Languages: العربية | 中文 | PyCCКИЙ | Español Home News Publications Resources Employment A-Z Site Map About OMH| Initiatives| Contact OMH News| Advisories| Web Casts| Current Job Openings A-Z Listing| By Topic| Statistics and Reports| Forms Children, Teens & Families| Adults| Geriatrics| Military Personnel & Families| Providers| Educators| Government Partners Mental Health Resources Resources Find a Program Contact OMH Children, Teens & Families Adults Geriatrics Military Personnel & Families Providers Educators Government Partners Promoting the mental health of all New Yorkers with a particular focus on facilitating hope and recovery for adults with serious mental illness and children with serious emotional disturbances. Find a Mental Health Program in Your Community Search for all licensed and unlicensed mental health programs throughout New York State. New York State Office of Mental Health 44 Holland Avenue Albany, New York 12229 1-800-597-8481 (A toll free resource for questions or complaints about mental health services in New York State.) Central Office Personnel Directory Office of Mental Health Facilities Directory Office of Mental Health Field Offices County Mental Health Agencies Directory Leaving OMH site Make a Freedom of Information Request What's New? News OMH Newsletter Advisories Webcasts Job Openings OMH PAR Webpage Enhanced (November 4, 2010) Updated Medicare D Information Now Available (November 2, 2010) County Profiles Now Available on OMH Website (October 27, 2010) OMH Announces RFP for Supported Housing For Adult Home Residents (October 13, 2010) More News… OMH News is published monthly for people served by, working, involved or interested in New York State's mental health programs. Read the Current Issue or check out our Past Issues. Subscribe to the Newsletter Announcement list to receive email alerts whenever a new issue is posted to the OMH website. More Newsletters… Increased Risk of Heat Illness to Persons Taking Antipsychotic Medications (May 18, 2010) OMH Releases Guidance Memo on the Use of PRN Medications (May 5, 2010) OMH Issues Practice Advisory Addressing the use of ECT for Individuals under Age 18 (July 13, 2009) OMH Letter to Families on the Use of Antidepressants in Children and Adolescents (February 24, 2009) More Advisories… Watch Date Time Title A link to the webcast will be here during the event. February 4, 2011 10:00 am Mental Health Services Council Project Review Committee A link to the webcast will be here during the event. April 8, 2011 10:00 am Mental Health Services Council Project Review Committee A link to the webcast will be here during the event. June 10, 2011 10:00 am Mental Health Services Council Project Review Committee More Webcasts… The New York State Office of Mental Health has job openings in locations throughout the State in a wide range of occupational areas. Candidates may visit our employment opportunities home page, or view job openings either by geographic location using our facilities list , or by the following occupational categories: Nurses Psychiatrists Pharmacists Teachers Psychologists Social Workers Clerical Information Technology Other Jobs In Demand All OMH Openings Citizen Contact Billboard Office of Taxpayer Accountability Child and Family Clinic Plus logo graphic Engage logo graphic The Children's Plan New York First Straight Talk from the Taxpayer s Message From Commissioner Hogan simple graphic Highlights About OMH Clinic and Ambulatory Restructuring New Survey Process Standards of Care for Adults Standards of Care for Children Clinic and Ambulatory Restructuring Buy OMH Procurement Lobbying Act Guidelines RFPs Qualified Personal Service Contract Doing Business With OMH FAQ FMAP Reductions Forensics Online Print Shop Forms Guidance Documents Mental Health Acronyms Mental Health Links Office of Consumer Affairs OMH Facilities PAR Application Planning Resources PSYCKES Regulations Statistics & Reports Suicide Prevention If you are in crisis, call 1-800-273-TALK (8255) TTY: 1-800-4TTY (4889) Home | News | Publications | Resources | Employment | A-Z Site Map Privacy Policy | Accessibility | Disclaimer | Contact OMH Send questions or comments regarding this site to the Web Site Administrator Last Modified: 11/18/2010 Security statement: Users shall not interrupt or disrupt the operation of this site nor restrict or inhibit any user's ability to access the site. Unauthorized attempts to upload information to the site or change information on the site or to interrupt or disrupt operation of the site are strictly prohibited and may subject the perpetrator to both civil and criminal penalties under Federal and/or State law.
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s nys logo nys scene nys scene nys scene nys scene Office of Mental Health Commissioner Michael F. Hogan, PhD Governor David A. Paterson Other Languages: العربية | 中文 | PyCCКИЙ | Español Home News Publications Resources Employment A-Z Site Map About OMH| Initiatives| Contact OMH News| Advisories| Web Casts| Current Job Openings A-Z Listing| By Topic| Statistics and Reports| Forms Children, Teens & Families| Adults| Geriatrics| Military Personnel & Families| Providers| Educators| Government Partners printer icon Forensic MH Services (Home) | Flow Chart | Police | Jail | Courts | Diversion & Probation | Prison | Parole | Release Bureau of Forensic Services and Criminal Procedures | Forensic Psychiatric Centers Forensic Links | Populations Served in OMH Forensic Facilities | Training Announcements Police New York State Commission of Correction The Police-Mental Health Coordination Project is an interagency program co-administered by the New York State Office of Mental Health, Bureau of Forensic Services (NYSOMHBFS) and the New York State Division of Criminal Justice Services Leaving OMH site , Office of Public Safety (NYSDCJSOPS). Its major goals are to establish appropriate program linkages between the law enforcement and mental health systems in New York State and to provide police officers with training which will facilitate their safe handling of calls or incidents involving persons who are emotionally disturbed. Overview Project components include: A two-day mental health training curriculum to meet the NYS requirements for recruit level police officers. The training program is designed to enable police officers to identify the indicators of emotional disturbance, to understand the causes of emotional disturbance, to appreciate the experience of mental illness, to utilize the NYS Mental Hygiene Law, to make effective assessments and interventions, and to appropriately document their actions. Role play is a critical component of this training. A one-day in-service curriculum entitled “Responding to Situations Involving Emotionally Disturbed People”. This program includes: more advanced content regarding mental illness, suicide assessment and intervention, and response to people with acute symptoms of mental illness a review of the NYS Mental Hygiene Law an opportunity for participants to hear from recipients of mental health services, either via video or in person. These programs were developed with the active assistance of expert committees comprised of a variety of mental health professionals, police training directors, and recipient organizations. Program Development The recruit training program was originally supported and strengthened by activities designed to enhance coordination between local police and mental health crisis service providers including: The presentation of police-mental health executive development programs to facilitate service coordination among the police chiefs, county mental health directors and mental health crisis program facility directors in NYS. The funding of fifteen county-specific police-mental health linkage projects in the areas of procedure development and in-service training. Project Components The Police-Mental Health Coordination Project includes the following training materials: Police Recruit Training Materials: Police Mental Health Recruit Trainer's Manual (2006) which contains all instructional content and role play formats for the 14-hour police-mental health recruit training. The manual also includes an Instructor's Role Play Guide to assist the instructor in utilizing required role play as a training tool and a CD-ROM containing a powerpoint presentation. Video in DVD format to accompany the curriculum. The DVD content includes an introduction designed to capture the trainee's attention through a collage of real-life police-mental health crisis situations, followed by segments which interact with the Trainer's Manual content to assist trainees in identifying emotionally disturbed people, developing empathy for people with mental illness, identifying and responding to suicidal people, and documenting situations accurately. Video in DVD format to assist the instructor in utilizing role play in the training. The video presents a step-by-step discussion and illustration of the role play technique. With the Instructor's Role Play Guide included in the Trainer's Manual, this video provides a structured guide for the instructor's development and practice of role play. An Officer's Guide which summarizes the essential content from the curriculum for the trainee's future reference. Police In-service Training Materials: In-service instructor's manual entitled “Responding to Situations Involving Emotionally Disturbed People”. This manual contains a CD-ROM with powerpoint presentation. Video in DVD format. Video includes enacted scenes of police responding to people who are emotionally disturbed and a segment of recipients of mental health services and their families discussing their experiences with mental illness and with police contacts. An Officer's Guide which summarizes the essential content from the curriculum. Utilization of Training Components The materials discussed above are designed to present an integrated Police Mental Health Training Program for recruit and experienced officers. The components are designed to be used as a continuum of training and to coordinate with even more advanced mental health training and crisis response programs being offered by the NYS Division of Criminal Justice Services Office of Public Safety and the NYS Office of Mental Health Division of Forensic Services. For additional information about the materials and for information about obtaining the materials contact: Wendy M. Vogel, MPA New York State Office of Mental Health Division of Forensic Services Diversion, Re-entry & Community Education Unit 44 Holland Avenue Albany, New York 12229 Telephone: (518) 474-3632 Fax: (518) 486-6436 James Hogencamp, Supervisor of General Policing Unit Office of Public Safety NYS Division of Criminal Justice Services 4 Tower Place Albany, New York 12203 (518) 485-1417 Home | News | Publications | Resources | Employment | A-Z Site Map Privacy Policy | Accessibility | Disclaimer | Contact OMH Send questions or comments regarding this site to the Web Site Administrator Last Modified: 4/13/2010 Security statement: Users shall not interrupt or disrupt the operation of this site nor restrict or inhibit any user's ability to access the site. Unauthorized attempts to upload information to the site or change information on the site or to interrupt or disrupt operation of the site are strictly prohibited and may subject the perpetrator to both civil and criminal penalties under Federal and/or State law.
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s nys logo nys scene nys scene nys scene nys scene Office of Mental Health Commissioner Michael F. Hogan, PhD Governor David A. Paterson Other Languages: العربية | 中文 | PyCCКИЙ | Español Home News Publications Resources Employment A-Z Site Map About OMH| Initiatives| Contact OMH News| Advisories| Web Casts| Current Job Openings A-Z Listing| By Topic| Statistics and Reports| Forms Children, Teens & Families| Adults| Geriatrics| Military Personnel & Families| Providers| Educators| Government Partners printer icon Forensic MH Services (Home) | Flow Chart | Police | Jail | Courts | Diversion & Probation | Prison | Parole | Release Bureau of Forensic Services and Criminal Procedures | Forensic Psychiatric Centers Forensic Links | Populations Served in OMH Forensic Facilities | Training Announcements New York State Office of Mental Health (OMH) Bureau of Forensic Services and Criminal Procedures Richard P. Miraglia, CSW, Director (518) 474-7219 The Bureau of Forensic Services is the Administrative Unit within the Division of State Psychiatric Center Management which is responsible for coordinating the delivery of mental health services to individuals involved with New York State's criminal justice system. Beginning with the opening of Mid-Hudson Psychiatric Center in 1973, New York State's Forensic Mental Health Services have grown into a system of care which includes three JCAHO accredited maximum security forensic psychiatric centers, one maximum security regional forensic unit, a network of mental health outpatient satellite units located within the NYS Department of Correctional Services facilities and an array of community-based training and technical assistance services which enable local governmental units to better serve forensic mental health populations. Under the direction of Richard Miraglia, Director of Forensic Services, the Bureau coordinates the placement of persons and oversees the delivery of inpatient services to individuals committed to the custody of the Commissioner pursuant to various sections of the Criminal Procedure Law (CPL) and Correction Laws (CL). In addition, State Psychiatric Center Management staff provide administrative, fiscal and programmatic direction to forensic facility and forensic unit directors. Populations served by forensic facilities include: Felony defendants found incompetent to stand trial pursuant to CPL § 730. Defendants found Not Responsible for Criminal Conduct due to Mental Disease or Defect pursuant to CPL § 330.20. Pre-trial detainees in local correctional facilities in need of inpatient care pursuant to CL § 508. Inmates sentenced to State and local correctional facilities in need of inpatient care pursuant to CL § 402. OMH forensic facilities, with a total bed capacity of 695, serving these populations include Mid-Hudson Forensic Psychiatric Center, bed capacity 264, Kirby Forensic Psychiatric Center, bed capacity 168, Central New York Psychiatric Center, bed capacity 206, Rochester Regional Forensic Unit located within Rochester Psychiatric Center, bed capacity 55 and Northeast Regional Forensic Unit located within Central New York Psychiatric Center, bed capacity 17. Within State correctional facilities the OMH operates 19 satellite mental health units with residential capacity of 151 crisis beds. In conjunction with the Department of Corrections, OMH operates Intermediate Care Programs for seriously mentally ill inmates (bed capacity 565). Home | News | Publications | Resources | Employment | A-Z Site Map Privacy Policy | Accessibility | Disclaimer | Contact OMH Send questions or comments regarding this site to the Web Site Administrator Last Modified: 5/5/2010 Security statement: Users shall not interrupt or disrupt the operation of this site nor restrict or inhibit any user's ability to access the site. Unauthorized attempts to upload information to the site or change information on the site or to interrupt or disrupt operation of the site are strictly prohibited and may subject the perpetrator to both civil and criminal penalties under Federal and/or State law.
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s nys logo nys scene nys scene nys scene nys scene Office of Mental Health Commissioner Michael F. Hogan, PhD Governor David A. Paterson Other Languages: العربية | 中文 | PyCCКИЙ | Español Home News Publications Resources Employment A-Z Site Map About OMH| Initiatives| Contact OMH News| Advisories| Web Casts| Current Job Openings A-Z Listing| By Topic| Statistics and Reports| Forms Children, Teens & Families| Adults| Geriatrics| Military Personnel & Families| Providers| Educators| Government Partners printer icon Regulations Notice and Disclaimer While the New York State Office of Mental Health makes every effort to post accurate and reliable information, it does not guarantee or warrant that the regulations posted on this web site are complete, accurate or up-to-date. This posting is not intended to replace official publication of regulations in the New York State Register, published by the New York State Department of State. The New York State Office of Mental Health assumes no responsibility for the use or application of any regulations posted here. This web site is intended solely for the purpose of electronically providing the public with convenient access to data resources. The New York State Office of Mental Health assumes no responsibility for any error, omissions or other discrepancies between the electronic and printed versions of documents. Furthermore, the New York State Office of Mental Health cannot provide individual legal advice or counseling. If you are seeking specific legal advice in relation to these regulations, you should contact a licensed attorney in your local community. The New York State Department of State provides free access to all New York State regulations online at http://www.dos.state.ny.us/info/nycrr.html Leaving OMH site. OMH's regulations are included in Title 14 of the New York Codes, Rules and Regulations. Please note that these online regulations are an unofficial version and are provided for informational purposes only. No representation is made as to its accuracy, nor may it be read into evidence in New York State courts. Due to the timing of the posting process, the regulations posted on the Department of State website may not reflect the most current version of OMH regulations. For more information, please contact OMH's Bureau of Policy, Regulation and Legislation at (518) 473-6945. Part 501 of Title 14 NYCRR grants the Commissioner the ability to waive regulatory requirements for purposes of testing innovative programs that may increase the efficiency and effectiveness of operations or providing additional flexibility to better meet local service needs while maintaining program quality and integrity. Instructions | Waiver Request Form To view or print PDF files, Adobe Acrobat Reader must be installed on your computer. Download Adobe Acrobat Reader. Proposed | Emergency | Adoption Proposed The regulations in this section have been proposed through publication of a notice in the State Register. They are currently undergoing the public review process. After OMH has received and considered public comment on the proposed rules, a Notice of Adoption must be filed with the Department of State before they are effective. Part 574 - Standards Pertaining to Payment for Hospitals Licensed by the Office of Mental Health (OMH Text | State Register Notice Leaving OMH site ) This consensus rule will amend Part 574 of Title 14 NYCRR by making minor, technical amendments, including eliminating references to a Part which has been repealed, correcting inaccurate references to a State agency, and using "person-first" language. A Notice of Proposed Rule Making was published in the State Register on November 17, 2010. Public comment will be accepted until January 3, 2011. Part 578 - Medical Assistance Rates of Payment for Residential Treatment Facilities for Children and Youth (OMH Text | State Register Notice Leaving OMH site) This consensus rule will amend Part 578 of Title 14 NYCRR by carving out eligible costs of psychiatric medications from the rate setting methodology. This carve out of allowable pharmaceutical costs included in the NYS Medicaid formulary will enable RTF providers to access medically necessary medications directly from the fee-for-service billing pharmacy. A Public Notice was published in the State Register which explained that OMH is proposing to amend New York’s Medicaid State Plan (SPA) to reflect this drug carve-out. This regulatory change is contingent upon approval by the Centers for Medicare and Medicaid Services. A Notice of Proposed Rulemaking was published in the State Register on November 10, 2010. Public comment will be accepted until December 27, 2010. Part 595 - Operation of Residential Programs for Adults (OMH Text | State Register Notice Leaving OMH site ) This consensus rule will amend Part 595 of Title 14 NYCRR by clarifying the due process protections of non-discharge ready residents who are no longer eligible for services. A Notice of Proposed Rulemaking was published in the State Register on November 10, 2010. Public comment will be accepted until December 27, 2010. Emergency This section includes amendments that have been adopted as Emergency Regulations. Emergency rules are effective on the date they are filed, based on a finding by OMH that immediate adoption of the rule is necessary for the preservation of the public health, safety or general welfare and that compliance with the requirements of the Notice of Proposed Rulemaking process would be contrary to the public interest. Adoption The regulations in this section have undergone the public review process and have been adopted as permanent rules. Adopted regulations will be available on this site for one year from the date they were adopted as permanent rules. Once removed from this list, an unofficial version of all permanent OMH regulations can be accessed through the Department of State website at http://www.dos.state.ny.us/info/nycrr.html Leaving OMH site. Part 505 - Requirements Regarding Testing, Confidentiality and Precautions Concerning the Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) (OMH Text | State Register Notice Leaving OMH site ) This consensus rule amended 14 NYCRR Part 505 by correcting the name of a State agency (specifically the Commission on Quality of Care and Advocacy for Persons with Disabilities). The rule was adopted as final on November 10, 2010. Part 510 - Public Access to Records of the Office of Mental Health (OMH Text | State Register Notice Leaving OMH site ) This consensus rule amended 14 NYCRR Part 510 by correcting the address of the Department of State. The rule was adopted as final on November 10, 2010. Part 501 - Mental Health Services - General Provisions; Part 507 - Community Based Service System for Children; Part 587 - Operation of Outpatient Programs (OMH Text | State Register Notice Leaving OMH site ) This consensus rule amended Parts 507 and 587 of Title 14 NYCRR by clarifying the definition of "serious emotional disturbance" and added the same definition to Part 501. The rule provides consistency across Chapter XIII of Title 14. The rule was adopted as final on October 27, 2010. Part 551 - Prior Approval Review for Quality and Appropriateness (OMH Text | State Register Notice Leaving OMH site ) This consensus rule amended 14 NYCRR Part 551 by clarifying the intent of the existing regulation regarding the Prior Approval Review process. The rule was adopted as final on September 8, 2010. Part 580 - Operation of Psychiatric Inpatient Units of General Hospitals and Part 582 - Operation of Hospitals for the Mentally Ill (OMH Text | State Register Notice Leaving OMH site ) This rule amended 14 NYCRR Parts 580 and 582 by providing greater accuracy and clarity to providers of mental health services with respect to the standards under which they are expected to operate. The amendments update provisions that reflect outdated statutory references, nomenclature, practices and principles. The rule was adopted as final on August 4, 2010. Part 584 - Operation of Residential Treatment Facilities for Children and Youth (OMH Text | State Register Notice Leaving OMH site ) This consensus rule amended 14 NYCRR Part 584 by extending the expiration date to September 30, 2013, for the temporary increase in capacity of certain facilities. This rule continues the existing capacity of residential treatment facilities (RTF) serving children and youth who are residents of New York City and who have a diagnosis of serious emotional disturbance. The rule was adopted as final on August 4, 2010. Part 501 - Mental Health Services - General Provisions (OMH Text | State Register Notice Leaving OMH site ) This consensus rule amended 14 NYCRR Part 501 by providing a definition of "case record, clinical record, medical record, or patient record". The rule clarifies OMH's position regarding the use of electronic medical records, which is in conformance with State and Federal law. The rule was adopted as final on July 7, 2010. Part 599 - Clinic Treatment Programs (OMH Text | State Register Notice Leaving OMH site | Complete Assessment of Public Comment ) This rule adds a new Part 599 to Title 14 NYCRR and establishes standards for the certification, operation and reimbursement of clinic treatment programs serving adults and children. The rule is effective October 1, 2010. Part 577 Rates of Reimbursement - Hospitals Licensed by the Office of Mental Health. (OMH Text | State Register Notice Leaving OMH site ) This rule amended 14 NYCRR Part 577 by eliminating the 2010 trend factor of 2.5 percent in the development of the 2010 per diem Medicaid rates for Article 31 private psychiatric hospitals. The rule was adopted as final on June 23, 2010. Part 595 - Operation of Residential Programs for Adults. (OMH Text | State Register Notice Leaving OMH site ) This consensus rule amended 14 NYCRR Part 595 by correcting an inaccurate reference to the Mental Hygiene Law. The rule was adopted as final on March 17, 2010. Part 543 - Certificate of Relief from Disabilities Related to Firearms Possession. (OMH Text | State Register Notice Leaving OMH site ) This rule added a new Part 543 to Title 14 NYCRR by establishing an administrative "certificate of relief from disabilities process" to allow persons who have been or may be disqualified pursuant to an adjudication under New York State law, as articulated in Mental Hygiene Law Section 7.09(j), from possessing a firearm, to petition for relief from that disability. The rule was adopted as final on March 10, 2010. Part 593 - Medical Assistance Payments for Community Rehabilitation Services Within Residential Programs for Adults and Children and Adolescents. (OMH Text | State Register Notice Leaving OMH site ) This consensus rule amended 14 NYCRR Part 593 by clarifying service authorization and treatment planning requirements. The rule also clarifies requirements regarding renewal authorizations and the development of a resident's service plan. Finally, the rule makes minor technical corrections to fix inaccurate references within the regulation. The rule was adopted as final on February 24, 2010 Part 512 - Personalized Recovery Oriented Services. (OMH Text | State Register Notice Leaving OMH site ) This rule amended 14 NYCRR Part 512 by making changes to registration processes, documentation requirements and program standards relating to PROS. In addition, the newly adopted regulation provides the methodology for calculating capital add-on funding associated with certain hospitals, and includes a COLA, which was effective April 1, 2008. The rule clarifies staffing requirements for groups receiving Community Rehabilitation and Support (CRS) Services and Intensive Rehabilitation Services, as well as specifications for CRS group sizes. Clarification is also provided regarding signature requirements appearing on the Service Addition form of the Individualized Recovery Plan. The rule was adopted as final on January 27, 2010. Part 578 - Medical Assistance Rates of Payment for Residential Treatment Facilities (RTF) for Children and Youth. (OMH Text | State Register Notice Leaving OMH site ) This rulemaking amended 14 NYCRR Part 578 by eliminating the Medicaid trend factor for 2009-2010 for RTFs for children and youth regulated by OMH, effective July 1, 2009. The rule was adopted as final on December 23, 2009. Part 588 - Medical Assistance Payment for Outpatient Programs. (OMH Text | State Register Notice Leaving OMH site ) This rulemaking amended 14 NYCRR Part 588 by adjusting the methodology for reimbursing Continuing Day Treatment (CDT) programs for services provided on or after April 1, 2009. It also restored the funding for CDT programs licensed solely under Article 31 to the December 31, 2008 level, effective April 1, 2009. The rule was adopted as final on December 23, 2009. Home | News | Publications | Resources | Employment | A-Z Site Map Privacy Policy | Accessibility | Disclaimer | Contact OMH Send questions or comments regarding this site to the Web Site Administrator Last Modified: 11/17/2010 Security statement: Users shall not interrupt or disrupt the operation of this site nor restrict or inhibit any user's ability to access the site. Unauthorized attempts to upload information to the site or change information on the site or to interrupt or disrupt operation of the site are strictly prohibited and may subject the perpetrator to both civil and criminal penalties under Federal and/or State law.
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Posted by: Devorah Zealot Soodak | Wednesday, 01 December 2010 at 03:36