- NEW YORK -- A sweeping mental
health initiative will be unveiled by President George W Bush in July.
The plan promises to integrate mentally ill patients fully into the community
by providing "services in the community, rather than institutions,"
according to a March 2004 progress report entitled New Freedom Initiative
(www.whitehouse.gov/infocus/newfreedom/toc-2004.html). While some praise
the plan's goals, others say it protects the profits of drug companies
at the expense of the public.
- Bush established the New Freedom Commission on Mental
Health in April 2002 to conduct a "comprehensive study of the United
States mental health service delivery system." The commission issued
its recommendations in July 2003. Bush instructed more than 25 federal
agencies to develop an implementation plan based on those recommendations.
- The president's commission found that "despite their
prevalence, mental disorders often go undiagnosed" and recommended
comprehensive mental health screening for "consumers of all ages,"
including preschool children. According to the commission, "Each year,
young children are expelled from preschools and childcare facilities for
severely disruptive behaviours and emotional disorders." Schools,
wrote the commission, are in a "key position" to screen the 52
million students and 6 million adults who work at the schools.
- The commission also recommended "Linkage [of screening]
with treatment and supports" including "state-of-the-art treatments"
using "specific medications for specific conditions." The commission
commended the Texas Medication Algorithm Project (TMAP) as a "model"
medication treatment plan that "illustrates an evidence-based practice
that results in better consumer outcomes."
- Dr Darrel Regier, director of research at the American
Psychiatric Association (APA), lauded the president's initiative and the
Texas project model saying, "What's nice about TMAP is that this is
a logical plan based on efficacy data from clinical trials."
- He said the association has called for increased funding
for implementation of the overall plan.
- But the Texas project, which promotes the use of newer,
more expensive antidepressants and antipsychotic drugs, sparked off controversy
when Allen Jones, an employee of the Pennsylvania Office of the Inspector
General, revealed that key officials with influence over the medication
plan in his state received money and perks from drug companies with a stake
in the medication algorithm (15 May, p1153). He was sacked this week for
speaking to the BMJ and the New York Times.
- The Texas project started in 1995 as an alliance of individuals
from the pharmaceutical industry, the University of Texas, and the mental
health and corrections systems of Texas. The project was funded by a Robert
Wood Johnson grant - and by several drug companies.
- Mr Jones told the BMJ that the same "political/pharmaceutical
alliance" that generated the Texas project was behind the recommendations
of the New Freedom Commission, which, according to his whistleblower report,
were "poised to consolidate the TMAP effort into a comprehensive national
policy to treat mental illness with expensive, patented medications of
questionable benefit and deadly side effects, and to force private insurers
to pick up more of the tab" (http://psychrights.org/Drugs/AllenJonesTMAPJanuary20.pdf).
- Larry D Sasich, research associate with Public Citizen
in Washington, DC, told the BMJ that studies in both the United States
and Great Britain suggest that "using the older drugs first makes
sense. There's nothing in the labeling of the newer atypical antipsychotic
drugs that suggests they are superior in efficacy to haloperidol [an older
"typical" antipsychotic]. There has to be an enormous amount
of unnecessary expenditures for the newer drugs."
- Olanzapine (trade name Zyprexa), one of the atypical
antipsychotic drugs recommended as a first line drug in the Texas algorithm,
grossed $4.28bn (£2.35bn; Euro3.56bn) worldwide in 2003 and is Eli
Lilly's top selling drug. A 2003 New York Times article by Gardiner Harris
reported that 70% of olanzapine sales are paid for by government agencies,
such as Medicare and Medicaid.
- Eli Lilly, manufacturer of olanzapine, has multiple ties
to the Bush administration. George Bush Sr was a member of Lilly's board
of directors and Bush Jr appointed Lilly's chief executive officer, Sidney
Taurel, to a seat on the Homeland Security Council. Lilly made $1.6m in
political contributions in 2000ó82% of which went to Bush and the
- Jones points out that the companies that helped to start
up the Texas project have been, and still are, big contributors to the
election funds of George W Bush. In addition, some members of the New Freedom
Commission have served on advisory boards for these same companies, while
others have direct ties to the Texas Medication Algorithm Project.
- Bush was the governor of Texas during the development
of the Texas project, and, during his 2000 presidential campaign, he boasted
of his support for the project and the fact that the legislation he passed
expanded Medicaid coverage of psychotropic drugs.
- Bush is the clear front runner when it comes to drug
company contributions. According to the Center for Responsive Politics
(CRP), manufacturers of drugs and health products have contributed $764
274 to the 2004 Bush campaign through their political action committees
and employeesófar outstripping the $149 400 given to his chief rival,
John Kerry, by 26 April.
- Drug companies have fared exceedingly well under the
Bush administration, according to the centre's spokesperson, Steven Weiss.
- The commission's recommendation for increased screening
has also been questioned. Robert Whitaker, journalist and author of Mad
in America, says that while increased screening "may seem defensible,"
it could also be seen as "fishing for customers," and that exorbitant
spending on new drugs "robs from other forms of care such as job training
and shelter programmes."
- But Dr Graham Emslie, who helped develop the Texas project,
defends screening: "There are good data showing that if you identify
kids at an earlier age who are aggressive, you can intervene... and change
- © 2004 BMJ Publishing Group Ltd http://bmj.bmjjournals.com/cgi/content/full/328/7454/1458