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>

> http://www.sntp.net/null1.htm#prozac

 

 

>

> The Hidden Side of Psychiatry

> by Gary Null, Ph.D.

>

> Mental illness is at an all-time high, with 40

> million Americans affected, according to reports

> emanating from organized psychiatry. But just how

> accurate is this account? As you will see, people

> seeking help from the mental health industry are

> often misdiagnosed, wrongfully treated, and abused.

> Others are deceptively lured to psychiatric

> facilities, or even kidnapped. No matter how they

> arrive, though, once they are there, inmates lose

> all freedoms and are forced to undergo dangerous but

> sanctioned procedures, such as electroconvulsive

> therapy and treatment with powerful drugs, that can

> leave them emotionally, mentally, and physically

> marked for life. Some psychiatric patients are

> physically and sexually abused. Millions more are

> told that they need harmful medications, such as

> Prozac and Ritalin, but are not told of the

> seriously damaging side effects of these.

> Add to all this a mammoth insurance fraud -

> which we all pay for - and what we have, in sum, is

> the dark side of psychiatry. Millions of individuals

> are being grievously harmed by the mental health

> profession, and it's time that we as a society faced

> this.

>

> Section Index:

>

>

> Fraudulent Practices in Mental Health

> Insurance Scams

> Patient Brokering

> Bogus and Nonexistent Treatments

> Abusive Treatments

> Your Taxes Pay for This

> Psychiatric Research

> Inhumane Treatment

> Involuntary Commitment

> Electroconvulsive Therapy

> Deep Sleep Therapy

> Sexual Abuse Exploitation of Minorities

> Abuse of Senior Citizens

> Prozac: A Second Opinion

> Worthless Clinical Trials

> The Medical Industrial Complex

> Side Effects of Prozac

> Tardive Dystonia and Tardive Dyskinesia

> Sexual Dysfunction

> Biochemical Imbalance

> Dependency

> Overcoming Depression Without Drugs

>

> Fraudulent Practices in Mental Health

> Fraud in the mental health industry goes

> beyond being a problem; it's more like an

> all-pervasive condition. By way of introductory

> illustration, let's look at the recent legal

> problems of a company that owned several chains of

> psychiatric hospitals, National Medical Enterprises

> (NME). As author Joe Sharkey reported in his book

> Bedlam1,2 in 1993 the FBI completed its

> investigation of fraud in NME's psychiatric

> hospitals and raided several NME facilities, in

> Texas, Colorado, Indiana, Arizona, Missouri,

> California, Wisconsin, and Minnesota. Sharkey

> described the extent of the morass into which this

> enterprise had sunk:

> " An estimated 130 lawsuits were filed against

> NME's psychiatric hospitals by patients. Between

> 1992 and early 1993, three major suits were filed by

> insurance companies against NME for insurance fraud.

> These suits identified more than $1 billion in

> claims paid to NME's psychiatric hospitals. One

> month after the FBI raids, NME agreed to pay $125

> million to settle two of the large insurance company

> lawsuits. Soon after, they settled the third suit -

> bringing the total costs in legal fees and

> settlements to about $315 million....

>

> " In April 1994, NME paid almost $375 million

> in fines to the US Department of Justice for

> violations of Federal law. NME had announced that it

> would completely divest itself of its psychiatric

> hospitals and reserved $237 million to cover the

> write-offs for selling them. All told, NME's

> settlements and fines have totaled $927 million. "

>

> Insurance Scams

> The wrongdoings of NME are not the exception;

> indeed, insurance fraud seems to be the bread and

> butter of the mental health industry. Scams occur

> whenever a psychiatrist or a psychiatric institution

> bills Medicare, Medicaid, or private insurance

> companies for work they didn't do, for unnecessary

> or bogus treatments, or for patients confined

> against their will. Here are a few examples.

> Patient Brokering

> Consider this story, carried by the Los

> Angeles Times in 19943:

> " Michael quickly realized that A Place For Us

> wasn't a place for him. Overweight and suffering

> from stress, the New Yorker had flown cross country

> to attend what was advertised as a weight loss

> clinic in southern California. The airfare was free

> and the treatment, he was told, was fully covered by

> his Blue Cross plan. But when Michael reached Los

> Angeles, he was shocked to see himself booked into a

> psychiatric hospital in a rundown section of [town]

> where he was diagnosed as suffering from psychotic

> depression and bulimia, conditions he denies ever

> having. Then he was told he couldn't leave. Michael

> is one of many stories emerging from federal and

> state lawsuits in Los Angeles in which insurers

> accuse A Place For Us of enlisting doctors and

> hospital staff to falsify diagnosis and medical

> records in order to obtain payment for treatment

> that, whatever its value to patients, was not

> covered by their health plans. "

>

> Michael's story is not an isolated incident.

> Overweight people are frequent targets of insurance

> scams. Patient brokers fraudulently advertise 1-800

> numbers on television, and people call in thinking

> that they are talking to health spa representatives.

> In actuality, they are speaking to sales agents of

> psychiatric facilities whose only motive is to

> determine whether or not potential clients have

> insurance, since the size of their commission

> depends upon how many patients they can get into the

> hospital and how long they can keep them there.

>

> It's hard to believe that this is going on in

> America, but the reality is that, as a result of

> gross deception by sales agents, people are

> frequently unaware of the fact that they are about

> to enter psychiatric institutions. If an

> unsuspecting party has coverage, the person is flown

> free to a facility, usually located in Florida or

> California. A limo awaits at the airport, and the

> place seems very accommodating until the person

> actually arrives at the facility and is locked up

> against his or her will. Once the person realizes

> what is going on, it's too late. People who become

> upset and attempt to leave can be threatened or

> diagnosed as combative.

>

> Civil litigation attorney Randy Lakel works

> pro bono to represent patients who were voluntarily

> committed to psychiatric facilities by deceptive

> patient brokers. He describes a case involving two

> men from eastern Pennsylvania who were approached by

> people in the crowd at an Overeaters Anonymous

> meeting and taken aside.4 The brokers suggested to

> them that maybe they needed a little extra help,

> which could be offered by professionals at

> overeaters' clinics. The men were lured to the

> institution under false pretenses and then locked

> up.

>

> Lakel believes that the problem has reached

> huge proportions: " ...There are federal grand juries

> investigating this. I've also spoken to general

> counsel from very large insurance companies that

> have called me up to inquire whether their insurance

> company was involved in any of my investigations....

> The general impression I got from the mention of a

> grand jury investigation and the general counsel

> from a large insurance company was that it was not

> an isolated incident that I was dealing with. "

>

> The broken world of patient brokering

> encompasses more than fat farm fraud; it affects

> people who might need help with all types of

> problems. A nine-month investigation of deceptive

> brokering practices conducted by Florida's St.

> Petersburg Times was enlightening - and upsetting.5

> It was found that patient brokers sometimes share

> their finder's fees with school counselors who help

> provide likely young candidates for the brokers'

> institutions, or with public health workers, union

> representatives, or police and probation officers

> who steer prospective patients their way. Finder's

> fees can be as high as $3000 per patient. Another

> investigation finding was that patients are

> sometimes given false diagnoses, for insurance

> purposes. This is not surprising. The trouble is (on

> a personal level, and letting alone the issue of

> massive fraud!) these false diagnoses of mental

> illness can return to haunt patients throughout

> their lives. Indeed, according to Randy Lakel, the

> worst part of the problem is having a psychiatric

> record for life:

>

> " Once people are committed, it goes on their

> insurance record. These people...are appalled that

> they now have a psychiatric record for the rest of

> their lives. It can interfere with any kind of

> employment opportunity. One of the people I talked

> to was a professional in the medical field. In her

> application, she was afraid that they were going to

> ask her if she ever had psychiatric commitment. How

> do you get that off the record? That, from a legal

> point of view, is clearly a damage. " 4

>

> A disturbing aspect of patient brokers and

> referral services is that they are largely

> unregulated. As the St. Petersburg Times reported,5

> in Florida and other states, referral personnel do

> not need licenses or special training before they

> can deal with the sick and the troubled. So people

> with criminal records are among the brokers, many of

> whom will do whatever it takes to get one more body

> into a treatment center.

>

> Says Paul McDevitt, a licensed Massachusetts

> mental health counselors: " These people have no

> ethics at all. They're morally bankrupt. They're

> like the grave robbers in old England who provided

> cadavers for the medical schools. The grave robbers

> of today are taking the bodies of those so confused

> as to be dead and shipping them out to treatment

> centers where they never get well. And the doctors

> who are the pillars of society are still reaping the

> benefits and still never asking where the bodies

> come from. "

>

> Bogus and Nonexistent Treatments

> Psychiatric facilities consistently charge

> consumers for nontherapeutic treatments or services

> not performed. Adolescent facilities are common

> perpetrators of this abuse. One Texas hospital, for

> example, billed insurance companies $40 a day for

> relaxation therapy. This treatment, which simply

> consisted of turning on Muzac while teenagers were

> getting undressed, was actually far more exorbitant

> when you consider that each patient's insurance

> company was billed that price for one person turning

> on the Muzac one time.

> Bruce Wiseman is president of the Citizens

> Commission on Human Rights, an organization that

> champions mental health consumer protection.6 He can

> provide a plethora of examples of how psychiatrists

> rip off the system. Wiseman tells of a Texas

> psychiatrist who was known for his hundred-dollar

> handshake. All he would do was walk by the beds of

> various patients, shake hands with them, and then

> bill each person's insurance company a hundred

> dollars. Another investigation discovered that

> charges for nutritional counseling were to cover the

> person going to lunch. Insurance companies are also

> charged for individual therapy when a group of

> people are placed in a room together and told to

> scream at each other for a couple of hours. These

> would be a little bit funny if they weren't so

> devastating in terms of what they do to insurance

> premiums and our taxes. " 7

>

> Wiseman states that psychiatrists collect

> $600,000 to 900,000 a year on bogus or nonexistent

> treatments. " We have plenty of cases where they just

> bill the insurance company or the government for

> treatment that was never given. They don't even see

> the patient and they send the bills in. " 7

>

> Abusive Treatments

> The scenario worsens when you consider that

> economic exploitation is often coupled with physical

> abuse. Wiseman tells how an adolescent facility in

> Reno tormented a 15 year-old boy and then billed his

> parents' insurance company $400,000:

> " They would drug this kid with Haldol, a

> so-called antipsychotic drug, until he was in a

> stupor, and then tie him in four-point restraints.

> They would tie his hands and feet to the bed, and

> then tickle him until he was hysterical. For that

> " treatment " this child's parents' insurance company

> was billed $400,000, and the insurance company paid

> it! If anyone else does to a child what the

> psychiatrist does, it is called child abuse. But

> here the insurance company pays almost half a

> million dollars for it. This is the kind of

> treatment and insurance fraud that exists.

>

> This is not an isolated incident, Wiseman

> explains, but typical of what goes on: " In the Reno

> facility, children are subject to frequent

> take-downs. If a kid 'smarts off' or jumps the

> guards, he or she is physically abused. One patient

> in a Texas hospital had her legs strapped to a chair

> for four hours because she was moving her legs. They

> called it purposeful exercise, which she was not

> supposed to do. Kids are made to stand and look at a

> wall for 16 hours a day for months on end. There is

> also sexual abuse regularly going on in these

> hospitals. " 8

>

> Nickie Saizon, who regrettably placed her son

> in a psychiatric facility, says that routine

> punishments were called treatment. Her insurance

> company was billed exorbitant amounts for these

> procedures:

>

> " If they punished them with a time out, they

> had to sit in a chair in the hallway all day without

> moving. They charged $37.50 for that. When the kids

> would get mad and angry, they would have a nurse and

> counselors surround the kids and tell them, 'Get

> mad, get it out, have your fit.' They would keep on

> until they got mad and really started having a big

> fit. Then they put them down on the floor, held them

> there, and cut their shirt off. For that they

> charged $45. Then they put them in a room which they

> call a think tank. The room is bare and empty. There

> is no carpet, no chairs, nothing. They have to go in

> there and think over how they should have handled

> the problem.... They charged $87.50 for this room.

> Every time you turned around there were hidden

> costs.9

>

> Wiseman believes that people would be outraged

> to learn what really goes on in these institutions:

> " The general public isn't aware of it, but one would

> be hard pressed to walk into any psychiatric

> hospital and not weep at the 'treatment' that occurs

> in these places. " 8

>

> Your Taxes Pay for This

> In the final analysis, fraudulent insurance

> practices hurt taxpayers since the maintenance of

> moderate insurance rates becomes virtually

> impossible. Consider these figures. The American

> public is swindled out of $42 billion a year. That's

> $3 billion a month, $800 million a week, $116

> million a day, $4 million an hour, $80,000 a minute,

> and $1300 a second.

> The federal government and the insurance

> industry are finally waking up to the problem and

> starting to fight back. In 1993, seven of the

> largest insurance companies sued one of the largest

> psychiatric hospital chains, National Medical

> Enterprises, for $750 million. In addition, every

> attorney general now has an assistant attorney

> general to oversee health care fraud prosecutions.

> As a result, some progress has been made. Wiseman

> states:

>

> " Psychiatrists make up 8% of doctors, but 18%

> of those health care practitioners that have been

> kicked out of the Medicare system for fraud. Last

> year, $411 million was paid to the government in

> fines and penalties for health care fraud and 90% of

> that was paid by psychiatrists or psychiatric

> institutions. " 7

>

> Although this is a start, it is Wiseman's

> belief that to truly resolve the problem the public

> must become more informed about what's going on, and

> insist on putting an end to the corruption.

>

> Psychiatric Research

> Each year, hundreds of millions of tax dollars

> are wasted on pointless research conducted by the

> National Institutes of Mental Health (NIMH). For

> instance, these are examples of the types of studies

> they are funding under the guise of learning more

> about sexual behavior: a four-year study of horses

> masturbating, an eight-year study of castrated

> quail, a four-year study on the nasal cavities of

> hamsters during intercourse, a two-year study on the

> sexual preference and behavior of prairie moles, an

> 11-year study in which female pigeon genitals were

> stimulated to measure how hormones affect sexual

> behavior, a 9-year study of maternal licking of the

> genital region of male versus female ferret babies,

> a 9-year study on the sexual behavior of lizards, a

> 23-year study of sexual odors and social factors

> that affect male Asian monkeys, and a 23-year study

> on the sexual behavior of male rats as a biological

> basis for human behavior.

> To study the effects of drugs, a 13-year study

> was undertaken in which rats were given

> hallucinogens, such as LSD,

>

>

>

> for entire article:

> http://www.sntp.net/null1.htm#prozac

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