Thursday, July 10, 2008

It's better to be "mad" than be medicated, some say

Now that "MAD Pride" seems to be gaining momentum, some leaders of the movement are trying to steer people away from anti-psychotic drugs.

Chuck Areford, described by the organization "Mind Freedom International"- an organization that opposes the heavy prescription of medication to treat mental illness - as someone who has worked in the public health system for years, says a new class of drugs, such as Clozaril, Zyprexa and Risperdal, have largely replaced older medications such as Thorazine, Haldol and Prolixin.

But research and advertising sponsored by the pharmaceutical industry, he says, have led to the widespread belief that the newer medications were indisputably safer, more effective and well worth additional billions of dollars in taxpayer money.

"Since then, the life expectancy of those treated in community mental health centers has plunged to an appalling 25 years less than average," he said. "Life expectancy may have fallen by as much as 15 years since 1986. Indications are that the death rate continues to accelerate in what must be ranked as one of the worst public health disasters in U.S. history."

He said people who need mental health services already suffer from high rates of cigarette smoking, lack of exercise, substance abuse, poor nutrition, homelessness and poor access to health care. Adding medications "pours gasoline on a fire," he said, and the "lethal" combination is almost certainly driving the spiraling death rate.

"Advances in brain imaging techniques show that antipsychotic medications cause brain damage," he says. "Animal and human studies link the drugs to shrinkage of the cerebral cortex, home to the higher functions."

1 comment:

Anonymous said...

Few consider mortality and morbidity among persons coping with serious mental illnesses. It was found that seventy-four percent of persons with a SMI have one comorbid medical condition and fifty percent have two or more (1). Ohio tracked 20,018 patients admitted to one of its state mental hospitals and found that the average "Years of Potential Life Lost" was thirty two (2). It is important to note that Ohio is a Recovery & Wellness state and was led during the study period by Dr. Hogan who was chair of the President's New Freedom Commission on Mental Health.

It would be nice to believe that the health issues faced by mental health consumers are being actively addressed but this would border on fantasy. It is estimated that less than 10% of patients are being monitored metabolic syndrome in accordance with ADA/APA guidelines (3). It has been years since State mental health systems began representing that mental health care is predicated on the principles Recovery & Wellness (4,5). Tragically, many mental health consumers will not live long enough to experience either in the Potemkin Village which words alone have created.

(1) http://psychservices.psychiatryonline.org/cgi/content/full/55/11/1250
(2) http://psychservices.psychiatryonline.org/cgi/content/full/57/10/1482
(3) http://pn.psychiatryonline.org/cgi/content/full/41/13/1-a
(4) http://mentalhealth.samhsa.gov/publications/allpubs/sma05-4129/
(5) In New Jersey from "The Wellness and Recovery Transformation Action Plan", pg. 9, "Illness Management and Recovery now implemented in all [actually bold and underlined in the original document] of our State Hospitals and a growing number of community agencies." http://www.state.nj.us/humanservices/dmhs/Welln_Recov_action_plan_jan2008_Dec2010.pdf