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	<title>CCHR International &#187; nursing homes</title>
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		<title>Are Nursing Homes Over-Drugging Their Residents?</title>
		<link>http://www.cchrint.org/2011/10/26/are-nursing-homes-over-drugging-their-residents/</link>
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		<pubDate>Wed, 26 Oct 2011 19:21:29 +0000</pubDate>
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		<description><![CDATA[According to the San Francisco-based organization California Advocates for Nursing Home Reform (CANHR), more than 25,000 California nursing-home residents are being given anti-psychotic drugs. That's about a quarter of the state's nursing-home population, and according to CANHR and other elder-rights activists, it's a figure that's way too high -- particularly considering the negative side effects these medications can have.

"They're being sedated into zombie-hood," says CANHR staff lawyer Tony Chicotel.]]></description>
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<p>SF Weekly &#8211; October 26, 2011</p>
<p>by Peter Jamison</p>
<div id="attachment_12832" class="wp-caption alignleft" style="width: 310px"><a href="http://www.youtube.com/watch?v=P43Jj_8r0aM&amp;feature=channel_video_title"><img class="size-medium wp-image-12832" title="Mom" src="http://www.cchrint.org/wp-content/uploads/2011/10/Mom-300x164.jpg" alt="" width="300" height="164" /></a><p class="wp-caption-text">Click image to watch video: Psychiatric Abuse of the Elderly</p></div>
<p>According to the San Francisco-based organization California Advocates for Nursing Home Reform (CANHR), more than 25,000 California nursing-home residents are being given anti-psychotic drugs. That&#8217;s about a quarter of the state&#8217;s nursing-home population, and according to CANHR and other elder-rights activists, it&#8217;s a figure that&#8217;s way too high &#8212; particularly considering the negative side effects these medications can have.</p>
<p>&#8220;They&#8217;re being sedated into zombie-hood,&#8221; says CANHR staff lawyer Tony Chicotel. He adds that anti-psychotic medications <a href="http://www.canhr.org/stop-drugging/">increase the risk of death among seniors</a>, are prescribed in place of more effective non-drug methods for handling patients with dementia, and are often give without obtaining patients&#8217; consent.</p>
<p><a name="more"></a> &#8220;They&#8217;re very rarely asked whether they want to take the medication,&#8221; Chicotel says.</p>
<p><strong>For More information <a href="http://www.youtube.com/watch?v=P43Jj_8r0aM&amp;feature=channel_video_title">watch this video</a> or read all the facts <a href="http://www.cchrint.org/protectelderly/">here</a></strong></p>
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<h3  class="related_post_title">Related Posts</h3><ul class="related_post"><li><a href="http://www.cchrint.org/2011/08/15/two-high-ranking-senators-grassley-kohl-question-use-of-psych-drugs-in-nursing-homes/" title="Two High Ranking Senators &#8211; Grassley &#038; Kohl &#8211; Question Use of Psych Drugs in Nursing Homes">Two High Ranking Senators &#8211; Grassley &#038; Kohl &#8211; Question Use of Psych Drugs in Nursing Homes</a> (1)</li><li><a href="http://www.cchrint.org/2011/06/01/grassley-investigates-drugging-of-elderly-with-antipsychotics/" title="Grassley Investigates Drugging of Elderly with Antipsychotics">Grassley Investigates Drugging of Elderly with Antipsychotics</a> (0)</li><li><a href="http://www.cchrint.org/2011/03/01/senate-aging-panel-blows-whistle-on-over-drugging-dementia-patients/" title="Senate Aging Panel Blows Whistle on Over Drugging Dementia Patients  ">Senate Aging Panel Blows Whistle on Over Drugging Dementia Patients  </a> (0)</li><li><a href="http://www.cchrint.org/2011/01/04/now-this-is-the-kind-of-mental-therapy-we-can-get-behind%e2%80%94psychiatrist-tries-a-different-approach-with-dementia-patients/" title="Now this, is the kind of mental therapy we can get behind—&#8221;Psychiatrist tries a different approach with dementia patients&#8221;">Now this, is the kind of mental therapy we can get behind—&#8221;Psychiatrist tries a different approach with dementia patients&#8221;</a> (0)</li><li><a href="http://www.cchrint.org/2010/12/13/drugging-the-elderly-panel-tells-senate-forum-about-over-medication-of-dementia-patients-with-antipsychotics/" title="The Way Antipsychotics Are Used in Nursing Homes Called &#8220;A form of elder abuse&#8221; by Patient Advocates">The Way Antipsychotics Are Used in Nursing Homes Called &#8220;A form of elder abuse&#8221; by Patient Advocates</a> (0)</li></ul>]]></content:encoded>
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		<title>Two High Ranking Senators &#8211; Grassley &amp; Kohl &#8211; Question Use of Psych Drugs in Nursing Homes</title>
		<link>http://www.cchrint.org/2011/08/15/two-high-ranking-senators-grassley-kohl-question-use-of-psych-drugs-in-nursing-homes/</link>
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		<pubDate>Mon, 15 Aug 2011 21:59:15 +0000</pubDate>
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		<description><![CDATA[WASHINGTON -- Two high-ranking senators have urged the Centers for Medicare and Medicaid Services (CMS) to take a closer look at potential over-prescribing of atypical antipsychotics to nursing home residents.  Atypical antipsychotics are not approved to treat dementia, and must carry black box warnings that elderly people who take atypical antipsychotics have an increased risk of death, compared with those who take placebo pills for dementia. Still, it's clear that these drugs are being used in nursing homes to control behavioral problems related to dementia. A 2011 report from the Department of Health and Human Services Office of the Inspector General (OIG) found that 14% of all nursing home residents with Medicare had claims for antipsychotics and 88% of the atypical antipsychotics prescribed off-label were for dementia.

And in 2009 Elli Lilly, the makers of olanzapine (Zyprexa), pled guilty and paid $1.4 billion to the federal government for allegedly targeting doctors who worked in nursing homes and assisted living facilities to prescribe olanzapine off-label to elderly patients with dementia. In their letter, Sens. Charles Grassley (R-Iowa) and Herb Kohl (D-Wisc.), urged CMS administrator Donald Berwick, MD, to examine the issue of overuse of antipsychotics in nursing homes more closely. The letter is a follow-up to one the senators sent in May after the release of the OIG report, which the senators themselves requested.]]></description>
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<p>MedPage &#8211; August 15, 2011</p>
<p>Emily P. Walker</p>
<div>
<div id="attachment_11800" class="wp-caption alignleft" style="width: 284px"><a href="http://www.youtube.com/watch?v=P43Jj_8r0aM&amp;feature=channel_video_title"><img class="size-full wp-image-11800 " title="elderlyabuse" src="http://www.cchrint.org/wp-content/uploads/2011/08/elderlyabuse.jpeg" alt="" width="274" height="151" /></a><p class="wp-caption-text">Click image to watch video: Psychiatric Abuse of the Elderly</p></div>
<p>WASHINGTON &#8212; Two high-ranking senators have urged the Centers for Medicare and Medicaid Services (CMS) to take a closer look at potential over-prescribing of atypical antipsychotics to nursing home residents.</p>
<p>There are eight atypical antipsychotics approved by the FDA to treat schizophrenia and/or bipolar disorder, including clozapine (Clozaril), aripiprazole (Abilify), and quetiapine (Seroquel).</p>
<p>Atypical antipsychotics are not approved to treat dementia, and must carry black box warnings that elderly people who take atypical antipsychotics have an increased risk of death, compared with those who take placebo pills for dementia.</p>
<p>Still, it&#8217;s clear that these drugs are being used in nursing homes to control behavioral problems related to dementia. A 2011 report from the Department of Health and Human Services Office of the Inspector General (OIG) found that 14% of all nursing home residents with Medicare had claims for antipsychotics and 88% of the atypical antipsychotics prescribed off-label were for dementia.</p>
<p>And in 2009 Elli Lilly, the makers of olanzapine (Zyprexa), pled guilty and paid $1.4 billion to the federal government for allegedly targeting doctors who worked in nursing homes and assisted living facilities to prescribe olanzapine off-label to elderly patients with dementia.</p>
<p>In their letter, Sens. Charles Grassley (R-Iowa) and Herb Kohl (D-Wisc.), urged CMS administrator Donald Berwick, MD, to examine the issue of overuse of antipsychotics in nursing homes more closely. The letter is a follow-up to one the senators sent in May after the release of the OIG report, which the senators themselves requested.</p>
<p>The newest letter, sent Aug. 1, requests that CMS investigate what role pharmacy benefit managers &#8212; who manage prescription drug coverage for Medicare beneficiaries living in nursing homes &#8212; play in fueling the possible overuse of atypical antipsychotics in elderly people in long-term-care facilities.</p>
<p>Pharmacy benefits managers may receive rebates from drug companies for prescribing certain drugs, and CMS should look at their role in &#8220;unnecessarily increasing the use of antipsychotic drugs and to subsequently take action to address such practices and curb excess use.&#8221;</p>
<p>The letter also urges CMS to consider requiring that physicians, who off-label prescribe drugs with black box warnings to seniors, certify that a Part D provider will cover the drug.</p>
<p>If CMS followed the senators&#8217; advice, Medicare payments for antipsychotics that &#8220;lack a medically-accepted indication&#8221; should be drastically reduced, the senators said.</p>
<p>&#8220;Taking such proactive steps will create disincentives for entities that administer pharmacy benefits to allow these practices to flourish while also providing CMS with clearer means to recoup erroneous payments,&#8221; Grassley and Kohl wrote.</p>
<p>A recent study found that the prescription cost for a typical antipsychotic increased from $38 to $41 between 2004 and 2008, while the price tag for an atypical antipsychotic rose from $226 to $323, the researcher found. Overall, the cost of typical antipsychotics in the U.S. was $600 million in 2008, while the cost of atypical drugs reached $9.9 billion.</p>
<p>That same study concluded that atypical <a href="http://www.medpagetoday.com/Psychiatry/Schizophrenia/24250" target="_blank">antipsychotic use is growing</a>, especially among seniors, and the drugs are increasingly prescribed off-label, sometimes without convincing evidence to support that use.</p>
<p>In 2008, 91% of the prescriptions written for atypical antipsychotics were for circumstances where the evidence for the efficacy was uncertain, the researchers found.</p>
<p>However, a separate study found that after the FDA issued a black box warning about the risks of using the drugs to soothe behavioral problems in dementia patients, there was a <a href="http://www.medpagetoday.com/Geriatrics/Dementia/24765" target="_blank">decline in prescribing the drugs</a> to patients in the VA medical system.</p>
<p><a href="http://www.medpagetoday.com/Geriatrics/Dementia/28052">http://www.medpagetoday.com/Geriatrics/Dementia/28052</a></p>
<p>&nbsp;</p>
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<h3  class="related_post_title">Related Posts</h3><ul class="related_post"><li><a href="http://www.cchrint.org/2011/05/31/cause-for-alarm/" title="Cause for alarm: Antipsychotic drugs for nursing home patients">Cause for alarm: Antipsychotic drugs for nursing home patients</a> (0)</li><li><a href="http://www.cchrint.org/2011/06/01/grassley-investigates-drugging-of-elderly-with-antipsychotics/" title="Grassley Investigates Drugging of Elderly with Antipsychotics">Grassley Investigates Drugging of Elderly with Antipsychotics</a> (0)</li><li><a href="http://www.cchrint.org/2011/05/16/unregulated-prescription-of-antipsychotic-drugs-in-elder-care-facilities-on-the-rise/" title="Unregulated prescription of antipsychotic drugs in elder care facilities on the rise">Unregulated prescription of antipsychotic drugs in elder care facilities on the rise</a> (0)</li><li><a href="http://www.cchrint.org/2011/05/09/antipsychotic-drugs-called-hazardous-for-the-elderly/" title="Antipsychotic Drugs Called Hazardous for the Elderly">Antipsychotic Drugs Called Hazardous for the Elderly</a> (0)</li><li><a href="http://www.cchrint.org/2010/12/05/nursing-homes-are-seeking-to-end-the-psychiatric-drug-stupor/" title="Nursing homes are seeking to end the psychiatric drug stupor ">Nursing homes are seeking to end the psychiatric drug stupor </a> (2)</li></ul>]]></content:encoded>
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		<title>At annual convention, psychiatrists collaborate on mental disease mongering to boost profits</title>
		<link>http://www.cchrint.org/2011/06/08/at-annual-convention-psychiatrists-collaborate-on-mental-disease-mongering-to-boost-profits/</link>
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		<pubDate>Wed, 08 Jun 2011 11:55:07 +0000</pubDate>
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		<description><![CDATA[While sipping drinks from coconut shells, psychiatrists from around the world recently met in Honolulu to discuss more ways to capitalize on human behavior and promote drug dependency. The occasion was the annual meeting of the American Psychiatric Association (APA), held in a Hawaiian convention center lined with mental disorder displays and pharmaceutical booths.]]></description>
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<p>Natural News &#8211; June 8, 2011</p>
<p>by Monica G. Young</p>
<p><a href="http://www.cchrint.org/wp-content/uploads/2011/06/Pills_Money_459x3011.jpg"><img class="alignleft size-full wp-image-10637" title="Pills_Money_459x3011" src="http://www.cchrint.org/wp-content/uploads/2011/06/Pills_Money_459x3011.jpg" alt="" width="460" height="301" /></a>While sipping drinks from coconut shells, psychiatrists  from around the world recently met in Honolulu to discuss more ways to  capitalize on human behavior and promote drug dependency. The occasion  was the annual meeting of the American Psychiatric Association (APA),  held in a Hawaiian convention center lined with mental disorder displays  and pharmaceutical booths.</p>
<p>&#8220;Hot&#8221; topics (potential markets for social control and drug pushing) included:</p>
<p>1) Mental health issues during a woman&#8217;s reproductive cycle, such as &#8220;treating&#8221; <a href="http://www.naturalnews.com/pregnant_women.html">pregnant women</a> for bipolar &#8211; a <a href="http://www.naturalnews.com/disorder.html">disorder</a> said to cause unusual shifts in mood and <a href="http://www.naturalnews.com/energy.html">energy</a> levels. In speaking to Medscape News, an APA committee co-chair, Dr. Don Hilty, called this &#8220;a really nice-growing area.&#8221;</p>
<p>Yet most every woman experiences <a href="http://www.naturalnews.com/mood.html">mood</a> and energy shifts during <a href="http://www.naturalnews.com/pregnancy.html">pregnancy</a>. Despite this, it is not uncommon for pregnant <a href="http://www.naturalnews.com/women.html">women</a> to be diagnosed as bipolar and prescribed <a href="http://www.naturalnews.com/antipsychotics.html">antipsychotics</a>, some of the most powerful <a href="http://www.naturalnews.com/drugs.html">drugs</a> on the market. Even the FDA website alerts <a href="http://www.naturalnews.com/doctors.html">doctors</a> to &#8220;be aware of the effects of antipsychotic <a href="http://www.naturalnews.com/medications.html">medications</a> on newborns when the medications are used during pregnancy.&#8221; The site  warns of abnormal muscle movements and withdrawal symptoms, and the  FDA&#8217;s adverse effects reporting program (Medwatch) includes cerebral  hemorrhage, heart malformations and <a href="http://www.naturalnews.com/death.html">death</a> as documented reactions in <a href="http://www.naturalnews.com/newborns.html">newborns</a>. Similarly, studies show birth defects and other serious risks for infants whose mothers took antidepressants while pregnant.</p>
<p>2)  Childhood disorders were a particularly popular issue at the  convention. But they didn&#8217;t stop there &#8211; prenatal and newborn genetic  screening for mental <a href="http://www.naturalnews.com/illness.html">illness</a> has taken on new emphasis in the psychiatric world. &#8220;It&#8217;s also trying  to understand how genetics predict what medications can be used,&#8221; stated  APA&#8217;s Dr. Hilty.</p>
<p><a href="http://www.cchrint.org/wp-content/uploads/2011/06/695192_66399072.jpg"><img class="alignleft size-full wp-image-10638" title="695192_66399072" src="http://www.cchrint.org/wp-content/uploads/2011/06/695192_66399072.jpg" alt="" width="286" height="190" /></a>Having already labeled millions of kids  &#8220;abnormal&#8221; and drenched their brains in toxic substances &#8211; a  multi-billion dollar business &#8211; apparently they aren&#8217;t satisfied. They  aim to brand children as mental <a href="http://www.naturalnews.com/patients.html">patients</a> and destine them for drug-dependency before they&#8217;re even born.</p>
<p>The conference even touched upon electroconvulsive shock therapy (ECT) for <a href="http://www.naturalnews.com/children.html">children</a> &#8211; sending electric volts through their heads. That will teach &#8216;em to shut up and sit still! It will also cause permanent <a href="http://www.naturalnews.com/brain.html">brain</a> damage.</p>
<p>3) ADHD is usually promoted as a <a href="http://www.naturalnews.com/childhood.html">childhood</a> disorder but a team of <a href="http://www.naturalnews.com/psychiatrists.html">psychiatrists</a> proposed a new definition to make it easier to diagnose (and drug) older teens and <a href="http://www.naturalnews.com/adults.html">adults</a>. They claim people who tend to miss work deadlines and interrupt others deserve this label.</p>
<p>This  would surely lead to millions more on daily meds. Who doesn&#8217;t know  co-workers who miss deadlines or even friends who interrupt you? Not  emphasized however is that, per a study published in The Clinical  Neuropsychologist, one in four adults seeking an ADHD diagnosis fake it  to obtain stimulant drugs.</p>
<p>4) Capitalizing on America&#8217;s service  men and women was another hot one: diagnosing and drugging the military  for post-traumatic distress disorder, <a href="http://www.naturalnews.com/depression.html">depression</a> and anxiety.</p>
<p>Did they mention that 18 U.S. <a href="http://www.naturalnews.com/veterans.html">veterans</a> commit suicide daily, largely due to <a href="http://www.naturalnews.com/psychiatric_drugs.html">psychiatric drugs</a>? Not likely. As reported <a href="http://www.cchrint.org/wp-content/uploads/2011/06/Military-Blog-Image-2_459x3001.jpg"><img class="alignleft size-full wp-image-10643" title="Military-Blog-Image-2_459x3001" src="http://www.cchrint.org/wp-content/uploads/2011/06/Military-Blog-Image-2_459x3001.jpg" alt="" width="275" height="180" /></a>by Neev M. Arnell in <a href="http://www.naturalnews.com/NaturalNews.html">NaturalNews</a>,  &#8220;the increasingly high number of deaths among both veterans and active  duty soldiers-including suicides, accidental overdose, and lethal <a href="http://www.naturalnews.com/drug.html">drug</a> interactions-have now been linked to the exponential increase in the prescribing of drugs for post traumatic <a href="http://www.naturalnews.com/stress.html">stress</a> disorder, depression and other psychological illnesses.&#8221; (<a href="http://www.naturalnews.com/032598_veterans_suicide.html" target="_blank">http://www.naturalnews.com/032598_v&#8230;</a>)</p>
<p>5)  Anticipating the &#8220;silver tsunami&#8221; as the Baby Boomer generation moves  into the over-65 bracket, psychiatrists stressed the need for more  psychiatric services for the <a href="http://www.naturalnews.com/elderly.html">elderly</a>.</p>
<p>Not stressed, if mentioned at all, is the rampant over-use of psychiatric drugs in <a href="http://www.naturalnews.com/nursing_homes.html">nursing homes</a>.  Elderly patients&#8217; reactions to physical ailments are often squelched  with mind-altering drugs. And a recently released government audit shows  nearly one in seven elderly <a href="http://www.naturalnews.com/nursing_home.html">nursing home</a> residents are given antipsychotics &#8211; nearly all of them dementia  patients for whom the drugs can be lethal. Many lawsuits and settlements  have revealed that drug companies have falsely promoted these drugs to  doctors and nursing <a href="http://www.naturalnews.com/homes.html">homes</a> for years.</p>
<p>6) While not on the &#8220;hot&#8221; list, another issue that bit was bedbugs. A <a href="http://www.naturalnews.com/New_York.html">New York</a> psychiatrist and his colleagues presented a detailed study showing bedbugs can trigger <a href="http://www.naturalnews.com/anxiety.html">anxiety</a>.</p>
<p>What  a remarkable &#8211; and potentially profitable &#8211; discovery! Gee, with the  rise in bedbug infestation in New York City, maybe Bedbug Anxiety should  be included in the next edition of the DSM (psychiatry&#8217;s diagnostic and  billing bible).</p>
<h1>Father of psychiatry &#8211; the bloodletter</h1>
<p>The <a href="http://www.naturalnews.com/American_Psychiatric_Association.html">American Psychiatric Association</a> calls itself &#8220;the voice and conscience of modern psychiatry.&#8221;</p>
<p>Adorning  the convention hall was the APA logo which enshrines Dr. Benjamin Rush  (1746-1813) as the father of psychiatry. A very influential <a href="http://www.naturalnews.com/doctor.html">doctor</a>, teacher and statesman of his time, Rush propagated his theory that Blacks suffered from an inherited <a href="http://www.naturalnews.com/disease.html">disease</a> called &#8220;Negritude.&#8221; The only evidence of a <a href="http://www.naturalnews.com/cure.html">cure</a>,  he said, was the skin turning white. He warned, &#8220;whites should not  intermarry with them, for this would tend to infect posterity with the  &#8216;disorder.&#8217;&#8221; Whites, seeking not to be &#8220;infected,&#8221; used this fabled  disease to justify segregation.</p>
<p>Rush was also a chief proponent of bloodletting as a cure-all for mental and physical illnesses. Widespread in <a href="http://www.naturalnews.com/America.html">America</a> in those days, he made lots of money at it. One of Rush&#8217;s students  applied his teachings to a patient who complained of a sore throat: nine  pints of <a href="http://www.naturalnews.com/blood.html">blood</a> were  removed from the man&#8217;s body in twenty-four hours and he died. That  patient was George Washington, the first President of the United States.</p>
<p><strong>Sources for this <a href="http://www.naturalnews.com/article.html">article</a> include:</strong><br />
<a href="http://www.medscape.com/viewarticle/742585" target="_blank">http://www.medscape.com/viewarticle&#8230;</a></p>
<p><a href="http://www.medscape.com/viewarticle/742837" target="_blank">http://www.medscape.com/viewarticle&#8230;</a></p>
<p><a href="http://healthland.time.com/2011/05/17/a-proposed-new-definition-may-make-adhd-easier-to-spot-in-adults/#ixzz1OTMEdzD4" target="_blank">http://healthland.time.com/2011/05/&#8230;</a></p>
<p><a href="http://healthland.time.com/2011/04/28/faking-it-why-nearly-1-in-4-adults-who-seek-treatment-dont-have-adhd/" target="_blank">http://healthland.time.com/2011/04/&#8230;</a></p>
<p><a href="http://www.nytimes.com/2011/05/10/health/policy/10drug.html?_r=3" target="_blank">http://www.nytimes.com/2011/05/10/h&#8230;</a></p>
<p><a href="http://www.jstor.org/pss/985399" target="_blank">http://www.jstor.org/pss/985399</a></p>
<p><a href="http://www.websters-online-dictionary.org/definitions/Benjamin%20Rush?cx=partner-pub-0939450753529744%3Av0qd01-tdlq&amp;cof=FORID%3A9&amp;ie=UTF-8&amp;q=Benjamin%20Rush&amp;sa=Search#922" target="_blank">http://www.websters-online-dictiona&#8230;</a></p>
<p><a href="http://www.cchr.org/cchr-reports/creating-racism/introduction.html" target="_blank">http://www.cchr.org/cchr-reports/cr&#8230;</a></p>
<p><strong>About the author:</strong><br />
Monica  G. Young is a human rights investigator and educational writer with a  purpose to expose the truth about the pharmaceutical and psychiatric  industries and safeguard human liberty. She encourages non-drug  alternative approaches based on healthy lifestyles and human decency.  She supports the Citizens Commission on Human Rights and like-minded  groups.</p>
<div>Learn more:  <a href="http://www.naturalnews.com/032638_psychiatrists_disease_mongering.html#ixzz1OgRDAmhA">http://www.naturalnews.com/032638_psychiatrists_disease_mongering.html#ixzz1OgRDAmhA</a></div>
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<h3  class="related_post_title">Related Posts</h3><ul class="related_post"><li><a href="http://www.cchrint.org/2010/12/07/psychiatrist-asks-why-are-people-so-divided-when-it-comes-to-childrens-mental-health-weve-got-the-answer/" title="Psychiatrist Asks, &#8220;Why Are People So Divided When It Comes To Children&#8217;s Mental Health?&#8221; We&#8217;ve Got the Answer&#8230;">Psychiatrist Asks, &#8220;Why Are People So Divided When It Comes To Children&#8217;s Mental Health?&#8221; We&#8217;ve Got the Answer&#8230;</a> (0)</li><li><a href="http://www.cchrint.org/2010/06/27/the-total-failure-of-modern-psychiatry/" title="The Total Failure of Modern Psychiatry">The Total Failure of Modern Psychiatry</a> (0)</li><li><a href="http://www.cchrint.org/2012/01/06/7-reasons-americas-mental-health-industry-is-a-threat-to-our-sanity/" title="7 Reasons America&#8217;s Mental Health Industry Is a Threat to Our Sanity">7 Reasons America&#8217;s Mental Health Industry Is a Threat to Our Sanity</a> (0)</li><li><a href="http://www.cchrint.org/2011/07/26/america-conned-psycho-pharma-drug-pushing-empire-under-fire/" title="America conned: Psycho pharma drug pushing empire under fire ">America conned: Psycho pharma drug pushing empire under fire </a> (0)</li><li><a href="http://www.cchrint.org/2011/06/29/the-problem-with-the-dsm/" title="The problem with the DSM">The problem with the DSM</a> (0)</li></ul>]]></content:encoded>
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		<title>Grassley Investigates Drugging of Elderly with Antipsychotics</title>
		<link>http://www.cchrint.org/2011/06/01/grassley-investigates-drugging-of-elderly-with-antipsychotics/</link>
		<comments>http://www.cchrint.org/2011/06/01/grassley-investigates-drugging-of-elderly-with-antipsychotics/#comments</comments>
		<pubDate>Wed, 01 Jun 2011 17:37:35 +0000</pubDate>
		<dc:creator>cchrint</dc:creator>
				<category><![CDATA[News]]></category>
		<category><![CDATA[antipsychotic drugs]]></category>
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		<description><![CDATA[Sen. Charles Grassley recently sent a letter to the administrator of the U.S. Centers for Medicare and Medicaid Services. He wants some answers after a federal report Grassley requested found many nursing home residents with dementia are given antipsychotic drugs. These drugs are not approved to treat dementia. They can be lethal for those afflicted with it, and Medicare has been paying for them.]]></description>
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<p>DesMoines Register<br />
May 31, 2011</p>
<div>
<div>
<div>
<p><a href="http://www.cchrint.org/wp-content/uploads/2011/06/elderly-woman-face.jpg"><img class="alignleft size-full wp-image-10573" title="elderly-woman-face" src="http://www.cchrint.org/wp-content/uploads/2011/06/elderly-woman-face.jpg" alt="" width="326" height="235" /></a>Sen. Charles Grassley recently sent a letter to the administrator  of the U.S. Centers for Medicare and Medicaid Services. He wants some  answers after a federal report Grassley requested found many nursing  home residents with dementia are given antipsychotic drugs. These drugs  are not approved to treat dementia. They can be lethal for those  afflicted with it, and Medicare has been paying for them.</p>
<p>Grassley  is right to ask questions of the agency. But keeping seniors safe is a  responsibility that extends far beyond CMS &#8212; from the halls of Congress  to state legislatures to nursing home workers in rural Iowa.</p>
<p><strong>Washington</strong></p>
<p>Politicians talk out of both sides of their mouths. They say they  want to cut federal spending. They say there should be less government  regulation. Then when something goes wrong, they demand federal agencies  solve the problems or they take them to task for not doing what they  were supposed to do.</p>
<p>Drug safety, nursing home oversight, and  ferreting out problems in government programs like Medicare requires  staff and resources. That takes money &#8211; some of the same money lawmakers  propose cutting from the federal budget.</p>
<p><strong>State legislatures</strong></p>
<p>The &#8220;cut government but still expect it to keep everyone safe&#8221;  attitude is prevalent at the state level, too. Shortly after Gov. Terry  Branstad took office, one of his appointees cut positions for nursing  home inspectors. It underscored a lack of understanding about the  important and complicated work of making sure homes meet more than 150  regulatory standards.</p>
<p>In addition to observing care, talking to  staff, interviewing residents and other tasks, an inspection team  reviews medical records. It is frequently a registered nurse employed by  the state who finds problems with medications. Having too few state  inspectors puts seniors at risk.</p>
<p><strong>Nursing homes and staff</strong></p>
<p>Improving the quality of life for patients with dementia is difficult  &#8212; and there are too few drugs approved specifically to do so. Even if  doctors are aware of the risks, they may prescribe specific drugs to  make patients more comfortable or less agitated. Also, drug companies  benefit when more people take their drugs, and they want doctors to  prescribe their drugs to, well, as many people as possible. In fact,  several drug companies have faced criminal charges for promoting  antipsychotic drugs for unapproved uses.</p>
<p>It&#8217;s up to nursing home staff and physicians to ensure that drugs prescribed are safe for specific patients.</p>
<p>* * *</p>
<p>Every  day about 10,000 Americans become eligible for Medicare. An aging  population means more people will be diagnosed with dementia. More will  need care in facilities. Everyone &#8212; from doctors prescribing drugs to  the government paying for them &#8212; must do more to keep older people  safe.</p>
<p>Read article here:  <a href="http://www.desmoinesregister.com/article/20110601/OPINION03/106010328/-1/GETPUBLISHED03wp-rss2.php/More-need-help-protect-our-elderly" target="_blank">http://www.desmoinesregister.com/article/20110601/OPINION03/106010328/-1/GETPUBLISHED03wp-rss2.php/More-need-help-protect-our-elderly</a></p>
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<h3  class="related_post_title">Related Posts</h3><ul class="related_post"><li><a href="http://www.cchrint.org/2011/05/31/cause-for-alarm/" title="Cause for alarm: Antipsychotic drugs for nursing home patients">Cause for alarm: Antipsychotic drugs for nursing home patients</a> (0)</li><li><a href="http://www.cchrint.org/2011/08/15/two-high-ranking-senators-grassley-kohl-question-use-of-psych-drugs-in-nursing-homes/" title="Two High Ranking Senators &#8211; Grassley &#038; Kohl &#8211; Question Use of Psych Drugs in Nursing Homes">Two High Ranking Senators &#8211; Grassley &#038; Kohl &#8211; Question Use of Psych Drugs in Nursing Homes</a> (1)</li><li><a href="http://www.cchrint.org/2010/12/05/nursing-homes-are-seeking-to-end-the-psychiatric-drug-stupor/" title="Nursing homes are seeking to end the psychiatric drug stupor ">Nursing homes are seeking to end the psychiatric drug stupor </a> (2)</li><li><a href="http://www.cchrint.org/2010/10/25/top-prescribers-under-senates-microscope/" title="Top prescribers under Senate&#8217;s microscope">Top prescribers under Senate&#8217;s microscope</a> (0)</li><li><a href="http://www.cchrint.org/2011/05/16/unregulated-prescription-of-antipsychotic-drugs-in-elder-care-facilities-on-the-rise/" title="Unregulated prescription of antipsychotic drugs in elder care facilities on the rise">Unregulated prescription of antipsychotic drugs in elder care facilities on the rise</a> (0)</li></ul>]]></content:encoded>
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		<title>Cause for alarm: Antipsychotic drugs for nursing home patients</title>
		<link>http://www.cchrint.org/2011/05/31/cause-for-alarm/</link>
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		<pubDate>Tue, 31 May 2011 21:17:06 +0000</pubDate>
		<dc:creator>cchrint</dc:creator>
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		<description><![CDATA[When a loved one moves into a nursing home, the support of family and friends is particularly important. This is especially true when the nursing home patient has dementia and can't adequately advocate on his or her own behalf.

A newly released report from my office -- the Office of the Inspector General for the Department of Health and Human Services -- makes clear just how crucial it is for families to monitor and ask questions about medications that such patients receive. The report found that too often, elderly residents are prescribed antipsychotic drugs in ways that violate government standards for unnecessary drug use.]]></description>
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<p>CNN<br />
By <strong>Daniel R. Levinson</strong>, Special to CNN<br />
May 31, 2011</p>
<div id="attachment_10565" class="wp-caption alignleft" style="width: 224px"><a href="http://www.cchrint.org/wp-content/uploads/2011/05/levinson_daniel.antipsychotics.jpg"><img class="size-full wp-image-10565" title="levinson_daniel.antipsychotics" src="http://www.cchrint.org/wp-content/uploads/2011/05/levinson_daniel.antipsychotics.jpg" alt="" width="214" height="122" /></a><p class="wp-caption-text">Daniel Levinson, inspector general for the OIG in the Department of Health and Human Services. </p></div>
<p>When a loved one moves into a nursing home, the support of family and  friends is particularly important. This is especially true when the  nursing home patient has dementia and can&#8217;t adequately advocate on his  or her own behalf.</p>
<p>A <a href="http://oig.hhs.gov/oei/reports/oei-07-08-00150.asp" target="new">newly released report</a> from my office &#8212; the Office of the Inspector General for the  Department of Health and Human Services &#8212; makes clear just how crucial  it is for families to monitor and ask questions about medications that  such patients receive. The report found that too often, elderly  residents are prescribed antipsychotic drugs in ways that violate  government standards for unnecessary drug use.</p>
<p>Frequently, they  are prescribed in ways that don&#8217;t qualify as medically accepted for  Medicare coverage. In addition, the drugs were predominately prescribed  for uses that are not approved by the Food and Drug Administration.</p>
<p>But  the most potentially troubling finding of the study is this:  Researchers found that 88% of the time, these drugs were prescribed for  elderly people with dementia.</p>
<p>This is precisely the population that faces an increased risk of  death when using this class of drugs, according to the FDA. That&#8217;s why  the agency puts its strongest safety warning, called a &#8220;black box  warning&#8221; on these antipsychotic drugs, cautioning about the risk of  death when taken by elderly people with dementia.</p>
<p>The report  didn&#8217;t investigate why patients with dementia are prescribed  antipsychotic drugs so often. But a series of lawsuits and settlements  that my office helped bring about suggests that many pharmaceutical  companies have improperly promoted these drugs to doctors and nursing  homes for many years.</p>
<p><a href="http://www.cnn.com/2011/OPINION/05/31/carlat.nursing.home.drugs/index.html">Another view: In defense of antipsychotics for dementia</a></p>
<p>The  study began a few years ago, when a member of Congress questioned how  many nursing home residents received a class of antipsychotic drugs  introduced in the 1990s, among them risperidone and olanzapine. These  drugs are known as &#8220;atypical&#8221; or &#8220;second generation&#8221; antipsychotics.  They replaced the antipsychotic drugs introduced in the 1950s and 1960s  to treat schizophrenia &#8212; and, incidentially, are far costlier.</p>
<p>The  report found about 305,000 nursing home residents (about 14%) had  Medicare claims for atypical antipsychotic drugs. Of these, about one in  five residents was prescribed these antipsychotics in a way that  violated government standards for their use. For example, residents were  on a drug for too long, or at too high a dose.</p>
<p>Another finding: A  little more than half the antipsychotic drug claims for which Medicare  paid should not have been covered. Why? The claimed drugs were not used  for medically accepted reasons or there were no records the drugs were  actually provided.</p>
<p>To be clear: Most physicians and nursing homes  dispense antipsychotic drugs with the best interests of patients in  mind. Physicians can use their medical judgment to prescribe drugs for  uses unapproved by the FDA, and also to patients for whom the boxed  warning applies. Ideally, however, doctors who prescribe in such ways  first determine that the benefits outweigh the risks.</p>
<p>Yet it  remains a concern that so many elderly nursing home residents with  dementia are prescribed antipsychotics. And, unfortunately, examples  abound of companies&#8217; improper promotion of these drugs.</p>
<p>Government  investigations of Bristol-Myers Squibb, AstraZeneca and Pfizer found  that they improperly promoted their antipsychotic drugs for unapproved  uses.</p>
<p>Federal prosecution is pending against Johnson &amp;  Johnson for allegedly paying millions of dollars in kickbacks to induce  Omnicare, the nation&#8217;s largest long-term care pharmacy, to recommend the  use of Risperdal in treating nursing home patients, many of whom had  dementia.</p>
<p>And Eli Lilly pleaded guilty to criminal charges  associated with illegally marketing its drug Zyprexa, including to  doctors who treat elderly nursing home patients.</p>
<p>Pharmaceutical  companies have paid billions to resolve civil and criminal liabilities  under federal health and safety laws. But money can&#8217;t adequately  compensate for corporate campaigns that could put vulnerable, elderly  patients at risk.</p>
<p>How do we solve this problem? There&#8217;s plenty to do.</p>
<p>Family  members of nursing home residents must learn about their loved ones&#8217;  medications, the reasons for their use, proper dosages and possible side  effects.</p>
<p>Nursing homes and pharmacies that serve the elderly  must keep the best interests of the patient in mind when dispensing  pharmaceuticals and not base the decision on the improper influence of  drug companies.</p>
<p>Doctors, too, should rely on their best medical  judgments and engage in an especially careful analysis when prescribing  drugs for off-label use.</p>
<p>Government must combat illegal off-label  promotion of these powerful and potentially lethal drugs and uphold  nursing home safety standards.</p>
<p>And drug companies should follow  the laws, and refrain from promoting drugs for unapproved uses &#8212; or  paying kickbacks to influence doctors and institutions. About 46 million  people are enrolled in Medicare. That will only grow as the huge baby  boomer population retires. We cannot afford to leave unaddressed the  urgent problem of antipsychotic drug use among elderly nursing home  residents.</p>
<p><em>The opinions in this commentary are solely those of Daniel Levinson.</em></p>
<p>Read article here:  <a href="http://www.cnn.com/2011/OPINION/05/31/levinson.nursing.home.drugs/" target="_blank">http://www.cnn.com/2011/OPINION/05/31/levinson.nursing.home.drugs/</a></p>
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		<title>Unregulated prescription of antipsychotic drugs in elder care facilities on the rise</title>
		<link>http://www.cchrint.org/2011/05/16/unregulated-prescription-of-antipsychotic-drugs-in-elder-care-facilities-on-the-rise/</link>
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		<pubDate>Mon, 16 May 2011 17:00:06 +0000</pubDate>
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		<description><![CDATA[A recent study by the Office of the Inspector General of the United States indicates that residents of some nursing homes may be regularly given atypical antipsychotic drugs as a means of chemical restraint, sometimes to the detriment of their health, including death.]]></description>
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			<a href="http://api.tweetmeme.com/share?url=http%3A%2F%2Fwww.cchrint.org%2F2011%2F05%2F16%2Funregulated-prescription-of-antipsychotic-drugs-in-elder-care-facilities-on-the-rise%2F"><br />
				<img src="http://api.tweetmeme.com/imagebutton.gif?url=http%3A%2F%2Fwww.cchrint.org%2F2011%2F05%2F16%2Funregulated-prescription-of-antipsychotic-drugs-in-elder-care-facilities-on-the-rise%2F&amp;source=cchrint&amp;style=normal&amp;b=2" height="61" width="50" /><br />
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<p>Santa Cruz Sentinel -  May 15, 2011</p>
<p><strong><a href="http://www.cchrint.org/wp-content/uploads/2011/05/antipsychoticselderly1.jpg"><img class="alignleft size-full wp-image-10379" title="antipsychoticselderly" src="http://www.cchrint.org/wp-content/uploads/2011/05/antipsychoticselderly1.jpg" alt="" width="184" height="183" /></a>A recent study by the Office of the Inspector General of the United  States indicates that residents of some nursing homes may be regularly given  atypical antipsychotic drugs as a means of chemical restraint, sometimes to the  detriment of their health, including death. </strong></p>
<p>The report, published May 9, states: &#8220;For the period January 1  through June 30, 2007, we determined using medical record review that 51 percent  of Medicare claims for atypical antipsychotic drugs were  erroneous.&#8221;</p>
<p>A member of Congress requested the office evaluate the extent to  which nursing home residents receive atypical antipsychotic drugs and the  associated cost to Medicare. The member expressed concern with these drugs were  being prescribed for off-label conditions &#8212; i.e. conditions other than  schizophrenia and/or bipolar disorder &#8212; and/or in the presence of a condition  specified in the Food and Drug Administration&#8217;s boxed warning.</p>
<p>&#8220;We determined that 83 percent of Medicare claims for atypical antipsychotic  drugs for elderly nursing home residents were associated with off-label  conditions and that 88 percent were associated with the condition specified in  the FDA boxed warning,&#8221; the Office of the Inspector General found.</p>
<p>The California Advocates for Nursing Home Reform has been concerned about  this issue for some time. For more information, visit <a href="http://www.canhr.org/help.html" target="_blank">www.canhr.org/help.html</a></p>
<p><a href="http://www.santacruzsentinel.com/ci_18067580">http://www.santacruzsentinel.com/ci_18067580</a></p>
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		<title>Antipsychotic Drugs Deadly for Elderly Patients, Prescribed Anyway</title>
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		<pubDate>Thu, 12 May 2011 15:34:54 +0000</pubDate>
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		<description><![CDATA[Antipsychotic drugs prescribed to as many as one in seven patients with dementia at nursing homes increase the risk of death and are not approved for such uses, a government audit has found.

Drugs such as Risperdal, Zyprexa, Seroquel, Abilify and Geodon are "potentially lethal" to many of the patients getting them and in many cases, completely unnecessary and unneeded.]]></description>
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<p>ThirdAge.com</p>
<p>by Alex Heig<a href="http://www.thirdage.com/authors"><br />
</a></p>
<p><a href="http://www.cchrint.org/wp-content/uploads/2011/05/antipsychoticselderly.jpg"><img class="alignleft size-full wp-image-10344" title="antipsychoticselderly" src="http://www.cchrint.org/wp-content/uploads/2011/05/antipsychoticselderly.jpg" alt="" width="300" height="300" /></a>Antipsychotic drugs prescribed to as many as one in seven patients with  dementia at nursing homes increase the risk of death and are not  approved for such uses, a government audit has found.</p>
<p>Drugs such as Risperdal, Zyprexa, <a id="KonaLink0" href="http://www.thirdage.com/news/antipsychotic-drugs-deadly-for-elderly-patients-prescribed-anyway_05-10-2011#"><span style="color: blue;">Seroquel</span></a>,  Abilify and Geodon are &#8220;potentially lethal&#8221; to many of the patients  getting them and in many cases, completely unnecessary and unneeded.</p>
<p>The Centers for Medicare and Medicaid Services said that some of the  inappropriate use of antipsychotics can be attributed to drugmakers&#8217;  habit of paying kickbacks to nursing homes to increase prescriptions for  the <a id="KonaLink1" href="http://www.thirdage.com/news/antipsychotic-drugs-deadly-for-elderly-patients-prescribed-anyway_05-10-2011#"><span style="color: blue;">medicines</span></a>.</p>
<p>Medicare officials said that diagnosis information is for the most part  omitted from prescriptions so officials are unable to tell whether the  prescription is appropriate.</p>
<p>The Food and <a id="KonaLink2" href="http://www.thirdage.com/news/antipsychotic-drugs-deadly-for-elderly-patients-prescribed-anyway_05-10-2011#"><span style="color: blue;">Drug Administration</span></a> has warned doctors of the risk of using antipsychotic drugs in elderly  dementia patients, but doctors have continued the practice because of a  relative lack of other options.</p>
<p>Doctors want to maximize quality of life by treating <a id="KonaLink0" href="http://www.thirdage.com/news/antipsychotic-drugs-deadly-for-elderly-patients-prescribed-anyway_05-10-2011?page=1#"><span style="color: blue;">the patient&#8217;s</span></a> agitation even if that means the patient will die a bit sooner,&#8221; said  Dr. Daniel J. Carlat, editor-in-chief of The Carlat Psychiatry Report, a  <a id="KonaLink1" href="http://www.thirdage.com/news/antipsychotic-drugs-deadly-for-elderly-patients-prescribed-anyway_05-10-2011?page=1#"><span style="color: blue;">medical</span></a> education newsletter for psychiatrists.</p>
<p>The results of the government audit showed that during the first six months of 2007, 304,983 <a id="KonaLink2" href="http://www.thirdage.com/news/antipsychotic-drugs-deadly-for-elderly-patients-prescribed-anyway_05-10-2011?page=1#"><span style="color: blue;">elderly</span></a> patients in nursing homes (out of 2.1 million total) had at least one Medicare claim for an antipsychotic medicine.</p>
<p>Meanwhile, 83 percent of antipsychotic prescriptions for elderly nursing home residents were for uses not approved by federal <a id="KonaLink3" href="http://www.thirdage.com/news/antipsychotic-drugs-deadly-for-elderly-patients-prescribed-anyway_05-10-2011?page=1#"><span style="color: blue;">drug</span></a> regulators, and 88 percent were to treat patients with dementia, for whom the drugs can be lethal.</p>
<p>Federal regulations prohibit any drug paid for by the government from  being used for non-approved reasons. Auditors found that 51 percent of  claims for antipsychotic medication violated this rule.</p>
<p>Additionally, the government bans drugs used in excessive duration or  dose level, even for patients that qualify. Auditors found that 22  percent of claims failed to live up to this requirement.</p>
<p><a href="http://www.thirdage.com/news/antipsychotic-drugs-deadly-for-elderly-patients-prescribed-anyway_05-10-2011?page=1">http://www.thirdage.com/news/antipsychotic-drugs-deadly-for-elderly-patients-prescribed-anyway_05-10-2011?page=1</a></p>
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		<title>All Classes of Psychiatric Drugs Found Equally Dangerous for Nursing Home Residents</title>
		<link>http://www.cchrint.org/2011/03/28/all-classes-of-psychiatric-drugs-found-equally-dangerous-for-nursing-home-residents/</link>
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		<pubDate>Mon, 28 Mar 2011 18:55:02 +0000</pubDate>
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		<description><![CDATA[Conventional antipsychotics, antidepressants and benzodiazepines often administered to nursing home residents are no safer than atypical antipsychotics and may carry increased risks, according to an article in CMAJ (Canadian Medical Association Journal).

Psychotropic medications are often used to manage behavioral symptoms in seniors, particularly people with dementing illnesses, with up to two-thirds of dementia patients in nursing homes prescribed these medications. However, the effectiveness of these drugs in this indication is unclear and important safety concerns exist, especially related to antipsychotics. ]]></description>
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				<img src="http://api.tweetmeme.com/imagebutton.gif?url=http%3A%2F%2Fwww.cchrint.org%2F2011%2F03%2F28%2Fall-classes-of-psychiatric-drugs-found-equally-dangerous-for-nursing-home-residents%2F&amp;source=cchrint&amp;style=normal&amp;b=2" height="61" width="50" /><br />
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<p>MedicalNews Today March 28, 2011</p>
<p><a href="http://www.cchrint.org/wp-content/uploads/2011/03/dreamstime_10224620.jpg"><img class="alignleft size-full wp-image-9346" title="dreamstime_10224620" src="http://www.cchrint.org/wp-content/uploads/2011/03/dreamstime_10224620.jpg" alt="" width="372" height="480" /></a>Conventional antipsychotics, antidepressants and benzodiazepines often  administered to nursing home residents are no safer than atypical  antipsychotics and may carry increased risks, according to an article in  CMAJ (Canadian Medical Association Journal).</p>
<p>Psychotropic medications are often used to manage behavioral symptoms in  seniors, particularly people with dementing illnesses, with up to  two-thirds of <a title="What is Dementia? What Causes Dementia? Symptoms of Dementia" href="http://www.medicalnewstoday.com/articles/142214.php">dementia</a> patients in nursing homes prescribed these medications. However, the  effectiveness of these drugs in this indication is unclear and important  safety concerns exist, especially related to antipsychotics.</p>
<p>Psychotropic or psychoactive medications act upon the central nervous  system and are prescribed for the management of mental and emotional  disorders. They include, amongst others, first and second generation  antipsychotics (also known as conventional and atypical antipsychotics),  antidepressants, benzodiazepines and other sedatives. Despite their  widespread use, none of these treatments has been approved by the FDA or  Health Canada for the management of behavioral symptoms associated with  dementia.</p>
<p>A team of researchers from Brigham and Women&#8217;s Hospital in Boston,  Massachusetts, undertook the study to evaluate the comparative safety of  various psychotropic medication classes, focusing on patients in  nursing homes because of the extensive use of these drugs in this  setting and the complexity of these patients&#8217; illnesses. The study  cohort included all BC residents admitted to a nursing home between Jan.  1, 1996 and March 31, 2006 and who received a psychotropic drug within  90 days of admission.</p>
<p>Of the 10 900 patients in the study, 1942 received an atypical  antipsychotic, 1902 a conventional antipsychotic, 2169 an antidepressant  and 4887 a benzodiazepine. Rigorous methodological approaches were  applied to ensure this non-randomized study was not affected by the  selective prescribing that tends to occur in routine care.</p>
<p>&#8220;In 10 900 older adults newly admitted to nursing homes in BC who began  taking psychotropic medications, we observed risks of death that were  higher among those who initiated conventional antipsychotics,  antidepressants and benzodiazepines. We also observed risks of femur <a title="What Is A Fracture? What Are Broken Bones?" href="http://www.medicalnewstoday.com/articles/173312.php">fracture</a> that were higher with conventional antipsychotics, antidepressants and benzodiazepines used for <a title="What is Anxiety?" href="http://www.medicalnewstoday.com/info/anxiety/">anxiety</a>, all compared with atypical antipsychotics. No clinically meaningful differences were observed for risk of <a title="What Is Pneumonia? What Causes Pneumonia?" href="http://www.medicalnewstoday.com/articles/151632.php">pneumonia</a> or <a title="What Is Heart Failure? What Causes Heart Failure?" href="http://www.medicalnewstoday.com/articles/156849.php">heart failure</a>, except possibly a lower risk of pneumonia and a higher risk of heart failure with benzodiazepines,&#8221; state the authors.</p>
<p>They conclude that a large randomized trial is required to confirm their  findings but that clinicians should weigh the increased risks against  potential benefits when considering prescribing these medications for  their patients in nursing homes.</p>
<p><a href="http://www.medicalnewstoday.com/articles/220129.php">http://www.medicalnewstoday.com/articles/220129.php</a></p>
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		<title>The verdict is in: Johnson &amp; Johnson misled physicians in Risperdal marketing campaign</title>
		<link>http://www.cchrint.org/2011/03/25/the-verdict-is-in-johnson-johnson-misled-physicians-in-risperdal-marketing-campaign/</link>
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		<pubDate>Fri, 25 Mar 2011 20:28:01 +0000</pubDate>
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		<description><![CDATA[Johnson &#038; Johnson has been embroiled in numerous legal battles surrounding its marketing of its antipsychotic drug Risperdal. The company is alleged to have paid millions of dollars in kickbacks to pharmaceutical giant Omnicare to influence Risperdal sales to nursing home residents.]]></description>
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<p>McKnights &#8211; March 25, 2011</p>
<p><a href="http://www.cchrint.org/wp-content/uploads/2011/03/guiltyverdict.jpg"><img class="alignleft size-full wp-image-9337" title="guiltyverdict" src="http://www.cchrint.org/wp-content/uploads/2011/03/guiltyverdict.jpg" alt="" width="336" height="252" /></a>A jury in South Carolina on Tuesday found Johnson &amp; Johnson&#8217;s  pharmaceutical unit, Ortho-McNeil-Janssen, guilty of misleading doctors  about the safety and effectiveness of the anti-psychotic drug Risperdal.</p>
<p>Janssen violated South Carolina&#8217;s consumer protection laws in 2003  when it sent a letter to roughly 7,200 doctors in the state touting the  safety and effectiveness of Risperdal, the jury decided. Civil penalties  could total more than $35 million, or $5,000 for each letter Janssen  sent, according to a Bureau of National Affairs report. That hearing  will take place April 18-19.</p>
<p>Johnson &amp; Johnson has been embroiled in numerous legal battles  surrounding its marketing of Risperdal. The company is alleged to have  paid millions of dollars in kickbacks to pharmaceutical giant Omnicare  to influence Risperdal sales <a href="http://www.mcknights.com/johnson-johnson-appeal-denied-kickback-case-moves-on-in-federal-court/article/197355/">to nursing home residents</a>. The South Carolina case is one of 12 state-led cases against the company, according to BNA.</p>
<p><a href="http://www.mcknights.com/the-verdict-is-in-johnson-johnson-misled-physicians-in-risperdal-marketing-campaign/article/199127/">http://www.mcknights.com/the-verdict-is-in-johnson-johnson-misled-physicians-in-risperdal-marketing-campaign/article/199127/</a></p>
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<h3  class="related_post_title">Related Posts</h3><ul class="related_post"><li><a href="http://www.cchrint.org/2011/05/31/cause-for-alarm/" title="Cause for alarm: Antipsychotic drugs for nursing home patients">Cause for alarm: Antipsychotic drugs for nursing home patients</a> (0)</li><li><a href="http://www.cchrint.org/2011/03/02/is-jj-cooking-its-books-suit-alleges-double-counting-at-the-pharma-giant/" title="Is J&#038;J Cooking Its Books? Suit Alleges Double-Counting at the Pharma Giant">Is J&#038;J Cooking Its Books? Suit Alleges Double-Counting at the Pharma Giant</a> (0)</li><li><a href="http://www.cchrint.org/2010/03/11/massachusetts-joins-federal-lawsuit-accusing-johnson-johnson-of-paying-kickbacks-to-push-their-antipsychotic-drug/" title="Massachusetts joins federal lawsuit accusing Johnson &#038; Johnson of paying kickbacks to push their antipsychotic drug">Massachusetts joins federal lawsuit accusing Johnson &#038; Johnson of paying kickbacks to push their antipsychotic drug</a> (0)</li><li><a href="http://www.cchrint.org/2010/01/15/feds-say-johnson-johnson-paid-millions-in-kickbacks-to-increase-drug-sales-including-the-antipsychotic-risperdal/" title="Feds say Johnson &#038; Johnson paid millions in kickbacks to increase drug sales including the antipsychotic Risperdal">Feds say Johnson &#038; Johnson paid millions in kickbacks to increase drug sales including the antipsychotic Risperdal</a> (0)</li><li><a href="http://www.cchrint.org/2011/07/22/pharma-funded-psychiatrists-behind-bogus-child-bi-polar-epidemic-disciplined-for-conflicts-of-interest/" title="Pharma-Funded Psychiatrists Behind Bogus Child &#8216;Bi-Polar&#8217; Epidemic- Disciplined for Conflicts of Interest ">Pharma-Funded Psychiatrists Behind Bogus Child &#8216;Bi-Polar&#8217; Epidemic- Disciplined for Conflicts of Interest </a> (0)</li></ul>]]></content:encoded>
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		<title>Questions Raised Over Antipsychotic Usage On Elderly</title>
		<link>http://www.cchrint.org/2011/03/03/questions-raised-over-antipsychotic-usage-on-elderly/</link>
		<comments>http://www.cchrint.org/2011/03/03/questions-raised-over-antipsychotic-usage-on-elderly/#comments</comments>
		<pubDate>Thu, 03 Mar 2011 19:01:08 +0000</pubDate>
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				<category><![CDATA[News]]></category>
		<category><![CDATA[antipsychotic drugs]]></category>
		<category><![CDATA[dementia]]></category>
		<category><![CDATA[elder abuse]]></category>
		<category><![CDATA[nursing homes]]></category>
		<category><![CDATA[psychiatric drugs]]></category>

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		<description><![CDATA[The 10News I-Team has learned many local skilled nursing facilities are using powerful drugs to control elderly patients' behavior.Keith Blair suffered from mild dementia, and it wasn't until after his death that his daughter, Marian Hollingsworth, realized he'd been given antipsychotic drugs. 

"CANHR is trying to end the misuse of psychoactive drugs to control seniors. The group created a website which allows anyone to see how many patients are receiving psychoactive drugs at any skilled nursing facility in California. Experts say while using these drugs is sometimes justified, there are dangers in their misuse."When you see nursing homes that are above 90 percent of their residents are receiving a psychotropic drug, you're wondering what the hell is going on there," said Chicotel.

]]></description>
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<h2><em><em>Groups Trying To Prevent Misuse Of Psychoactive Drugs On Elderly Patients</em></em></h2>
<p><strong>10News.com- San Diego</strong></p>
<p><strong>March, 2, 2011<br />
</strong></p>
<div><!-- .submitbutton { text-align: center; }.storyAd { display: none; } --> The 10News I-Team has learned many local skilled nursing facilities are  using powerful drugs to control elderly patients&#8217; behavior.Keith  Blair suffered from mild dementia, and it wasn&#8217;t until after his death  that his daughter, Marian Hollingsworth, realized he&#8217;d been given  antipsychotic drugs.</p>
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<div>&#8220;It&#8217;s a way of controlling them. It keeps him in bed,&#8221; said Hollingsworth.Until  that realization, Hollingsworth was puzzled by her father&#8217;s rapid  deterioration. He had been given the powerful antispychotics Risperdal  and Haldol without her permission.&#8221;Antipsychotic drugs are for  the treatment of mental illness, not dementia,&#8221; said Tony Chicotel of  California Advocates for Nursing Home Reform (CANHR). &#8220;And now we&#8217;ve got  studies that show just horrific outcomes for people with dementia who  take these drugs and that they&#8217;re prescribed just as much as they ever  were, if not more.</div>
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<p><div><span style="color: #000000;">&#8220;</span><span style="color: #000080;"><span style="color: #000000;">CANHR is trying to </span><a href="http://www.canhr.org/stop-drugging/" target="new"><span style="color: #000000;">end the misuse of psychoactive drugs to control senior</span>s</a>.</span> The group created a <a href="http://www.canhr.org/stop-drugging/archives/339" target="new">website</a> which allows anyone to see how many patients are receiving psychoactive drugs at any skilled nursing facility in California. Experts say while using these drugs is sometimes justified, there are dangers in their misuse.&#8221;When  you see nursing homes that are above 90 percent of their residents are  receiving a psychotropic drug, you&#8217;re wondering what the hell is going  on there,&#8221; said Chicotel.</div>
<div>read the rest of the story here: <a href="http://www.10news.com/news/27059153/detail.html">http://www.10news.com/news/27059153/detail.html</a></div>
<div></div>
<p><div><span style="color: #000080;"><strong>Visit the California Association for Nursing Home Reform website for their Campaign to Stop Chemical Restraints in Nursing Homes</strong></span></div>
<p><a href="http://www.canhr.org/stop-drugging/">http://www.canhr.org/stop-drugging/</a></p>
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<h3  class="related_post_title">Related Posts</h3><ul class="related_post"><li><a href="http://www.cchrint.org/2011/06/08/at-annual-convention-psychiatrists-collaborate-on-mental-disease-mongering-to-boost-profits/" title="At annual convention, psychiatrists collaborate on mental disease mongering to boost profits">At annual convention, psychiatrists collaborate on mental disease mongering to boost profits</a> (1)</li><li><a href="http://www.cchrint.org/2011/06/01/grassley-investigates-drugging-of-elderly-with-antipsychotics/" title="Grassley Investigates Drugging of Elderly with Antipsychotics">Grassley Investigates Drugging of Elderly with Antipsychotics</a> (0)</li><li><a href="http://www.cchrint.org/2011/05/31/cause-for-alarm/" title="Cause for alarm: Antipsychotic drugs for nursing home patients">Cause for alarm: Antipsychotic drugs for nursing home patients</a> (0)</li><li><a href="http://www.cchrint.org/2011/03/01/senate-aging-panel-blows-whistle-on-over-drugging-dementia-patients/" title="Senate Aging Panel Blows Whistle on Over Drugging Dementia Patients  ">Senate Aging Panel Blows Whistle on Over Drugging Dementia Patients  </a> (0)</li><li><a href="http://www.cchrint.org/2011/03/01/federal-judge-doj-back-lawsuit-accusing-johnson-johnson-of-illegal-kickback-scheme-to-push-antipsychotic-drugs-on-elderly/" title="Federal Judge &#038; DOJ back lawsuit accusing Johnson &#038; Johnson of illegal kickback scheme to push antipsychotic drugs on elderly">Federal Judge &#038; DOJ back lawsuit accusing Johnson &#038; Johnson of illegal kickback scheme to push antipsychotic drugs on elderly</a> (0)</li></ul>]]></content:encoded>
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