Psychiatric Drug Facts via breggin.com :

“Most psychiatric drugs can cause withdrawal reactions, sometimes including life-threatening emotional and physical withdrawal problems… Withdrawal from psychiatric drugs should be done carefully under experienced clinical supervision.” Dr. Peter Breggin
Showing posts with label John A. Chiles. Show all posts
Showing posts with label John A. Chiles. Show all posts

Nov 19, 2012

Who advocates for kids who are told their injuries are diseases?

Bridge of Sighs
Mothers are the necessity of invention.
Bill Watterson

I am faced with the reality that my son has been a victim of Crimes Against Humanity, the most likely outcome is that his health will continue to decline... I write my blogs and share our story in the hope that doing so may prevent another child from experiencing the same horrific mis-treatment. It is a duty that is painfully difficult. What was done to my son has had a traumatic impact on all of us. There are times I feel like I don't want to meet anyone else; I have met enough people to last me a lifetime already. 



My traumatized child was repeatedly re-traumatized by mental health professionals with seeming impunity. The greatest risks he faces today are the risks posed by mental health and social service "professionals" and their "medical instruments." These systems have no accountability; no interest in holding employees and contracted providers accountable for harm done, even if they commit crimes. This is the system that placed him in what they knew to be a "bad" foster home, and years later allowed him to be used without Informed Consent, in spite of my protests in Federally Funded neuroleptic drug trials that were seeding trials conducted with the purpose of seeking FDA approval for pediatric use of the drugs trialed. 

In the interim, between being a victim of violent crime in foster care, and being used as a guinea pig in a state-run  psychiatric facility, he was a Risperdal victim.  His "treatment" broke State, Federal and International Laws, broke my son's spirit and broke my heart. The federally-funded researcher is still in a position of authority, still in a position to harm other children in the same way he harmed my son. The man wrote practice parameters for every diagnosis children in this state are prescribed drugs off label for, and all of them recommend using psychotropic drugs off label, i.e. experimentally.  Children and their parents are told the diagnoses are caused by a disease or genetic defect-- in spite of the fact no actual disease or defect has been identified in the diagnostic process. 

This is a story they are told to gain their cooperation to be 'treatment compliant.'  It's a ploy, a method used to coerce and to control. It is the very definition of fraud. Washington State has determined that instead of giving children the care, the understanding and the support they desperately need; we will tell them they have diseases, we will give them drugs that may cause diseases, may disable them, and that may ultimately take their lives. Washington State is dedicated to this mental health "care" model. The state adopted TMAP; and hired John Chiles, MD, who is the author of the schizophrenia portion of TMAP. Chiles was paid $151,284.73 by Janssen, a subsidiary of Johnson and Johnson, the makers of Risperdal and one of the companies involved in developing TMAP. Washington State hired Chiles after the nature of TMAP was known; after TMAP had been discredited. 


TMAP is a marketing scheme, not an Evidence-Based practice. 


1 Boring Old Man


I continue to write my blogs and do what I can to draw attention to the fraud and corruption behind psychotropic drugs in general, psychiatric abuse and what was done to my son; I am hoping it will prevent the same thing from being done to anyone else. The systemic flaws and public policies which allowed and even caused the horrific mistreatment my son, remain unchanged. The crimes in which my son was victimized have never been investigated by Law Enforcement; not a single one of the  perpetrators has been held legally responsible, or experienced any consequences for their conduct. I can't help but worry about the kids who are abused, neglected and traumatized who end up in state care needing help for dealing with the reality of what has happened to them. How can not having their needs met or being abused give a kid a disease? Compassion, kindness, unconditional love i.e. providing for physical, emotional and security needs consistently is therapeutic treatment. 



Who advocates for kids who are told their injuries are diseases?
MadMother

Oct 19, 2012

Washington State hired an architect of the TMAP fraud


update 11-21-2012
via PROPUBLICA Dollars for Docs:


       Chiles, John A. Tacoma Wash. Johnson & Johnson 2010 Q1-Q4 Speaking $7,150
Chiles, John A. Tacoma Wash. Johnson & Johnson 2010 Q1-Q4 Meals $262
Chiles, John A. Tacoma Wash. Johnson & Johnson 2010 Q1-Q4 Travel $742

Payments for speaking, travel and meals from 
Janssen Pharmaceuticals, Inc. (formerly OMJPI) a subsidiary of Johnson and Johnson


John A Chiles, M.D., one of the authors of the Texas Medication Algorithm Project, or TMAP, was hired by Washington State in 2008. This man is an one of the architects of a program that was an intrinsic component of one of the largest cases of Medicaid fraud in US history. Washington State gave him employment and placed him in multiple positions of authority years AFTER the State of Texas had joined in a whistleblower lawsuit in December of 2006, alleging, "TMAP was just one part of an elaborate marketing scheme to increase psychotropic drug sales." here

The authors of TMAP claimed that it was an evidence-based treatment protocol; with only the newest most expensive neuroleptic and other psychotropic drugs listed as preferred "first-line" treatments. These newer, much more expensive drugs became the only drugs Texas allowed Medicaid providers and State correctional facilities to prescribe patients. John A. Chiles, M.D. is the author of the schizophrenia algorithm used in the TMAP marketing plan; as such, he claimed that the newer neuroleptic drugs, or second-generation antipsychotics,  SGA drugs, were safer and more effective than the older inexpensive drugs used to treat schizophrenia.  


This news segment from KXAN in Austin Texas reports that John Chiles was paid $151,254.73 by Janssen the makers of Risperdal while working on the TMAP algorithms.


via Pharmalot: December 5, 2008 "The common distinction between first- and second-generation antipsychotics has no scientific basis and should be dropped, according to a paper in The Lancet. A meta-analysis of 150 double-blind studies found little evidence that newer, so-called atypical antipsychotics are more effective than older drugs for symptoms of schizophrenia, MedPage Today writes. "The researchers also found that, although newer drugs induced fewer extrapyramidal effects (including tremor, slurred speech, restlessness, movement disorders, among other things) than Haldol, which is also known as haloperidol, this did not occur when compared with low-potency first-generation agents. "In an accompanying editorial, two British researchers went further, calling the notion that newer agents are more effective or safer than older drugs “spurious.” “As a group they are no more efficacious, do not improve specific symptoms, have no clearly different side-effect profiles than the first-generation antipsychotics, and are less cost effective,” wrote Peter Tyrer of Imperial College in London and Tim Kendall of the National Collaborating Centre for Mental Health in London." here NOTE: the study published in the Lancet was funded by NIMH, conducted by US researchers, but was not published in the US, and no press release was issued by NIMH.
Why would Washington State choose to employ a psychiatrist who is so unethical as to willingly participate in an obviously criminal enterprise that laid the foundation and became the means by which billions of dollars in Medicaid fraud was perpetrated? TMAP itself was fraudulently marketed as an "Evidence-Based" method of treating mental illnesses and it was implemented in multiple states, Washington State included. The fact that after the secret is out, Washington State hired one of the criminal psychiatrists who authored it, is stunning.
 
It appears that Washington State actually hired John A. Chiles to do for us what he did for Texas: According to the Washington Community Mental Health Council Administrative Services Division in 2008, "Dr. Chiles is currently Clinical Professor of Psychiatry at the University of Washington and consults with a variety of organizations on the implementation of evidenced-based treatment. As a member of that school’s Division of Public Behavioral Health and Justice Policy, he is helping to design evidenced-based mental health treatment programs for state mental health and corrections programs."

It is standard practice for psychiatrists with questionable ethics to be given awards from their peers:

via Washington State Psychiatric Association:
The Merlin Johnson Award is a lifetime achievement award for recognition of distinguished teaching and exemplary efficiency in clinical administration. Merlin Johnson was an exceptional administrator who was known for his intellectual curiosity, warmth, and humor He played a major contributory role in the development of the department of psychiatry at the Seattle Veteran's Administration; one of the largest and most innovative residency training programs in the nation. The Merlin Johnson award is given annually to an exemplary community psychiatrist in our state in honor of Dr. Johnson's leadership and dedication to WSPA and APA.  The 2010 Merlin Johnson Award was given to John Chiles, MD. here via the Washington Community Mental Health Council Administrative Services Division 2008 Fall Conference brochure: Special Thanks to our Sponsors: Gallagher Benefits, Inc., and Janssen Pharmaceuticals ~ Speakers and Board Members ~ ◈ Dr. John Chiles is one of the architects of the Schizophrenia Module of the Texas Medication Algorithm Project (TMAP). As Professor of Psychiatry at the University of Texas Health Science Center in San Antonio and Chief of Psychiatry Services for the University Health System, he helped design, implement, and evaluate this program, the largest outcome/cost study of the effects of evidence-based treatment of major mental illnesses yet done. TMAP algorithms are now required in all public sector clinics in Texas, and the schizophrenia module of TMAP is being implemented in approximately 20 other states. Dr Chiles has written over 70 articles, book chapters,  and  books.  In  addition  to  his  work  with schizophrenia, he has written extensively on the management of suicidal behavior. Dr. Chiles is currently Clinical Professor of Psychiatry at the University of Washington and consults with a variety of organizations on the implementation of evidenced-based treatment. As a member of that school’s Division of Public Behavioral Health and Justice Policy, he is helping to design evidenced-based mental health treatment programs for state mental health and corrections programs. here
BIOGRAPHIC STATEMENT 
JOHN A CHILES MD 
Dr. Chiles obtained his medical degree from the University of Pennsylvania in 1966, and did his post graduate training at the University of Wisconsin.  There, he studied with Leonard Stein and others during the time the concepts of intensive community support for the seriously mentally ill were being developed.  Dr. Chiles stayed one year on the faculty at Wisconsin, and then moved to Seattle to join the Department of psychiatry at the University of Washington.  His career there spanned 17 years, during which time he held various positions including director of the University Hospital Psychiatric inpatient services, director of Harborview Community Mental Health Center, and Chief of Psychiatry at Harborview Medical Center.  In 1990, Dr. Chiles accepted a position as Professor of Psychiatry at the University of Texas Health Science Center in San Antonio and Chief of Psychiatry Services for the University Health System.  While in Texas, he helped design, implement, and evaluate the Texas Medication Algorithm Project, the largest outcome/cost study of the effects of evidence-based treatment of major mental illnesses yet done.  TMAP algorithms are now required in all public sector clinics in Texas, and the Schizophrenia module of TMAP is in wide use both nationally and internationally. Dr. Chiles retired from the University of Texas in 2000.  He and his wife Judith returned to Washington State and live in Port Townsend.  Together, they formed Sound Psychiatry Consulting and work with a variety of private and public mental health systems concerning the implementation of evidenced based treatments for mental illnesses.  Between 2006 and 2008, Dr. Chiles served as Chair of the Board of Western State Hospital.  In 2008, Dr. Chiles rejoined the faculty at the University of Washington as Professor of Psychiatry and Behavioral Science, and is currently on contract with Western State Hospital, were he serves as Medical Director and on site faculty for the Washington Institute for Mental Health Research and Training.  Dr Chiles has written over 70 articles, book chapters, and books.  In addition to his work on illness management and Schizophrenia, he has written extensively on the understanding and treatment of suicidal behavior. The Chiles’ are co-owners of Two Coyote Vineyards in the Yakima Valley. Both are avid bicyclists and sometime golfers.  here

Jul 15, 2011

"Nihil de nobis, sine nobis" not understood in Washington State by "consumer leaders"





The Office of Consumer Partnerships 2010 2011 Annual Operations Plan was written by a State of Washington DSHS DBHR employee who also is the Vice President of the NAMI Washington Board of Directors, and a self identified "consumer" of mental health services---and incredibly, does even more...


The cover of this plan says:


"The Partnership Values
            Partnership    Access   Recovery     Timeliness     Nonlinear    Ethics    Respect"

Office of Consumer Partnerships
Substance Abuse Mental Health Division
Health and Recovery Services
Department of Social and Health Services
Cherry Street Plaza/626‐8 th Ave SE, / Olympia, WA
Report created from input given by consumers across Washington State by Stephanie Lane MSW
lanesk@dshs.wa.gov
(360) 725‐1353


page 2 in it's entirety:

This plan is an annual outline of the programs, services and supports whether provided by or supported by the Office of Consumer Partnerships whose mission is to create a culture of recovery in Washington State. This is a year of transition and inclusion for people receiving services for mental health conditions and substance abuse conditions.

The mission of the Office of Consumer Partnerships is to promote recovery and resiliency for all people in the public mental health and chemical dependency systems.  The vision of the Office of Consumer Partnerships is a future where most mental health conditions, substance abuse and addiction can be prevented or cured.  Society will not stigmatize individuals and their families affected by substance abuse and mental health conditions but will embrace them for their strengths and unique contributions to their communities.


It is the Office of Consumer Partnerships mission to help stakeholders make the most of the opportunities presented during the integration of mental health and drug and alcohol services which is now named the Division of Behavioral Health and Recovery (DBHRS) also referred to in this report simply as the Division.  The Office of Consumer Partnerships is an integral part of the Health and Recovery Services Division within the Department of Social and Health Services who is a helping hand and lifeline for one out of every three Washington residents.   Each year, more than 2.1 million children, families, vulnerable adults and seniors come to the Department of Social and Health Services for protection, comfort, food assistance, financial aid, medical care and other services.  The Office of Consumer Partnerships is a small but important component in this large service and supports delivery system.  

As the Manager of the Office of Consumer Partnerships I would like to take the time to thank
everyone who participated in the drafting and content of this plan.  There is a lot more in here than
one person or one office can do but we support all the efforts and want to highlight all the efforts
that are being made every day in Washington State towards wellness. ~ Stephanie Lane MSW
Manager Office of Consumer Partnerships

“The long road of recovery starts with a single step”  

page 3
"All projects are identified by and/or approved by office chiefs only."



The last page has this dedication:
       
"The Office of Consumer Partnerships is dedicated to
helping people from all walks of life frame their own
future.  We believe in the motto “Nothing About Us.”"


Ethics are defined by: 
World English Dictionary
ethics  (ˈɛθɪks) 
— n
1.functioning as singular See also meta-ethics the philosophical 


study of the moral value of human conduct and of the rules and 
principles that ought to govern it; moral philosophy


2.functioning as plural a social, religious, or civil code of


 behaviour considered correct, esp that of a particular group,
profession, or individual

3.functioning as plural the moral fitness of a decision, course of 


action, 
etc: he doubted the ethics of their verdict 
ethics. (n.d.). Collins English Dictionary - Complete & Unabridged 10th Edition. Retrieved July 14, 2011, from Dictionary.com website: http://dictionary.reference.com/browse/ethics

What are the ethics which are applicable to this writer, who as an MSW, is a Social Worker?  The Code of Ethics of the National Association of Social Workers states, "The following broad ethical principles are based on social work’s core values of service, social justicedignity and worth of the person, importance of human relationships, integrity, and competence. These principles set forth ideals to which all social workers should aspire." emphasis mine




1.06 Conflicts of Interest
(a) Social workers should be alert to and avoid conflicts of interest that interfere with the exercise of professional discretion and impartial judgment. Social workers should inform clients when a real or potential conflict of interest arises and take reasonable steps to resolve the issue in a manner that makes the clients’ interests primary and protects clients’ interests to the greatest extent possible. In some cases, protecting clients’ interests may require termination of the professional relationship with proper referral of the client.
(b) Social workers should not take unfair advantage of any professional relationship or exploit others to further their personal, religious, political, or business interests. (emphasis mine)
(c) Social workers should not engage in dual or multiple relationships with clients or former clients in which there is a risk of exploitation or potential harm to the client. In instances when dual or multiple relationships are unavoidable, social workers should take steps to protect clients and are responsible for setting clear, appropriate, and culturally sensitive boundaries. (Dual or multiple relationships occur when social workers relate to clients in more than one relationship, whether professional, social, or business. Dual or multiple relationships can occur simultaneously or consecutively.)
(d) When social workers provide services to two or more people who have a relationship with each other (for example, couples, family members), social workers should clarify with all parties which individuals will be considered clients and the nature of social workers’ professional obligations to the various individuals who are receiving services. Social workers who anticipate a conflict of interest among the individuals receiving services or who anticipate having to perform in potentially conflicting roles (for example, when a social worker is asked to testify in a child custody dispute or divorce proceedings involving clients) should clarify their role with the parties involved and take appropriate action to minimize any conflict of interest."

Read the rest:  http://www.socialworkers.org/pubs/code/code.asp  


What is a Conflict of interest?  Well, I believe that being an employee for DSHS DBHR, the Vice President of an "advocacy" group which receives funding from the State of Washington and the pharmaceutical industry, and that regularly lobbies the State Legislature, and encourages it's membership to do the same thing--while being the "leader" of the State Youth group formed and funded with Federal grant funds, AND a founding member of the non-profit "Mental Health Action" whose members also are State employees, NAMI members and "consumers" who hope their "volunteer efforts" will lead to the benefit of receiving Grant funds from the State of Washington is a blatant Conflict of Interest.  Although on the front page of the Office of Consumer Partnerships Annual Operations Plan for 2010-2011, the writer's job as a paid public employee and her professional status are clearly listed, it was on the website for her a non-profit, Mental Health Action, Stephanie Lane co-founded that I found the, "The Office of Consumer Partnerships 2010 2011 Annual Operations Plan."  


The quote on page three is odd since the Mental Health Transformation, in every aspect, is supposed to be driven by those who will directly benefit from them, the people NAMI claims to be "advocating" for....yet it is, "office chiefs only" who will have any recognized authority to make decisions?!?


Washington State has a website for "consumers" that I joined to share my son's story---hoping (even though I have known for years that NAMI has a political action agenda and regularly lobbies the  Washington States Legislature.  NAMI is responsible for the passage of the ITA laws and for these laws being broadened and strengthened)  I know that NAMI does not ever, provide advocacy for those who are harmed, even crime victims, like my son---Nor does it ever advocate for those who have been disabled or killed by expensive and dangerous neuroleptic and other psychiatric drugs---NAMI relies on funding from the drug industry, as Senator Charles Grassley's (R) investigation into this "advocacy" group has discovered.  Not one person involved in the Mental Health Transformation in Washington State as a "peer" offered any support,  whatsoever to me or to my son.  



from The Examiner, a Portland Oregon newspaper:
"The National Alliance on Mental Illness (NAMI) has been “raising awareness” in a new way recently, with troubling new funding disclosures bringing conflict-of-interest issues to public attention.
Under pressure from Sen. Charles Grassley (R-Iowa), NAMI National has begun posting a list of major funding sources online. The group’s own figures show a clear dependence on money from psychiatric drug manufacturers. Millions in drug money flows to NAMI. In just the first three months of 2010 they accepted:
  • $210,000 from Pfizer, Inc. (Zoloft)
  • $205,000 from Bristol-Myers Squibb Co. (Abilify)
  • $200,000 from Shire (Vyvanse, Daytrana)
  • $50,000 from GlaxoSmithKline (Paxil)
  • $35,000 from Eli Lilly & Co. (Prozac, Cymbalta, Strattera, Zyprexa)"

http://www.namiwa.org/sites/default/files/NAMI-WA-TheVoice-Spring2010.pdf  this newsletter, the President of NAMI Washington, Barbara Bates, issues an appeal for people to, "Join me in making “The Voice of NAMI Washington” an important voice for the one in four whose lives are impacted by brain disorders."

The "motto" quoted on the back page, of the Office of Consumer Partnerships is incomplete: the slogan that I believe the writer was attempting to reference; is "Nothing About Us Without Us" which has been adopted historically, by marginalized groups.  From Wikipedia: "Nothing About Us Without Us!" (Latin: "Nihil de nobis, sine nobis") is a slogan used to communicate the idea that no policy should be decided by any representative without the full and direct participation of members the group(s) affected by that policy. This involves nationalethnicability-based, or other groups that are often thought to be marginalized from political, social, and economic opportunities. http://en.wikipedia.org/wiki/Nothing_About_Us_Without_Us

Here is My Voice:
"Brain Diseases" are treated by neurologists, not psychiatrists, and there is not any scientific validity to the claim that any psychiatric diagnoses is in fact caused by disease, defect, or a chemical imbalance.  It is  HYPOTHETICAL that any "mental illness" results from disease, defect, or chemical imbalance---and as yet despite decades of research these hypotheses have never been scientifically validated; so are not even theories, let alone medical certainties! 

NAMI tells desperate people seeking valid information that "mental illneses" are in fact "brain diseases!"  In spite of the lack of scientific evidence for this claim.  In spite of scientific evidence to support claims for any psychiatric drug's safety OR efficacy; psychiatric drugs are the first and sometimes the only "treatment" offered to people.  NAMI insists some people need to be FORCED under Court Order to take the drugs!  The brain damage, diabetes, obesity, Tardive Dyskinisia, and  heart disease (among other effects) that cause people to lose their ability to function normally, and cause people to lose their lives; may in fact be the reason they do not want to take them!  The fact the drugs DO NOT WORK for the vast majority of people with a psychiatric diagnosis may be the reason...just maybe.

I would like to say NAMI does not speak for me or my family, NAMI members and NAMI's Brain Collecting hero psychiatrist, E. Fuller Torrey have perpetrated a fraud on the American people.  NAMI gave this criminal psychiatrist, Torrey a HUMANITARIAN award!  Humanitarians do not collect people's brains.  Humanitarians do not advocate for drugging people into physical and cognitive disability.  Humanitarians do not drug people to death and call it "Medical Treatment!"  Humanitarians do not rob people of their dignity, and their Human Rights!  Humanitarians do not claim that coercion, and lying to patients and family members is necessary to gain "compliance."  Humanitarians do not conduct research on Human Beings while ignoring the laws of the United States, and the Nuremberg Code!

Washington State now employs one of the psychiatrists behind the TMAP fraudulent drug marketing scam  at the University of Washington as a professor and as the Medical Director of Western State Hospital John A. Chiles is also the on-site faculty for the Washington Institute for Mental Health Research and Training.  http://www.wapsychiatry.org/assets/documents/wspa_chiles_biographic_statement.pdf

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