From �Snake
Pits� to �Snake Oil�
Author Peter Schrag wrote that by the mid-1970s, enough neuroleptic drugs and
antidepressants �were being prescribed outside hospitals to keep some three
to four million people medicated full-time�roughly 10 times the number who,
according to the [psychiatrists�] own arguments, are so crazy that they would
have to be locked up in hospitals if there were no drugs.�
Dr. Thomas Szasz, professor of psychiatry emeritus, declared that psychiatry�s
miraculous offerings were �simply the psychiatric profession�s latest snake
oil: drugs and deinstitutionalization. As usual, psychiatrists defined their
latest fad as a combination of scientific revolutions and moral reform, and
cast it in the rhetoric of treatment and civil liberties.� They claimed that
psychotropic drugs �relieved the symptoms of mental illness and enabled the
patients to be discharged from mental hospitals. Community Mental Health Centers
were touted as providing the least restrictive setting for delivering the best
available mental health services. Such were the claims of psychiatrists to justify
the policy of forcibly drugging and relocating their hospitalized patients.
It sounded grand. Unfortunately, it was a lie.�
Even the American Psychiatric Association (APA) publication Madness and
Government admitted, ��[P]sychiatrists gave the impression to elected officials
that cures were the rule, not the exception � inflated expectations went unchallenged.
In short, CMHCs were oversold as curative organizational units.�
The truth is that CMHCs became legalized drug dealerships that not only supplied
psychiatric drugs to former mental hospital patients, but also supplied prescriptions
to individuals free of �serious mental problems.�
Deinstitutionalization failed and society has been struggling with the disastrous
results ever since.
In 2001, Dr. Dorine Baudin of the Netherlands Institute of Mental Health and
Addiction reported that the CMHC program in Europe had created �homelessness,
drug addiction, crime, disturbance to public peace and order, unemployment,
and intolerance of deviance.�
U.S. consumer advocate Ralph Nader called CMHCs a �highly touted but failing
social innovation.� It �already bears the familiar pattern of past mental health
promises that were initiated amid great moral fervor, raised false hopes of
imminent solutions, and wound up only recapitulating the problems they were
to solve.�
In Australia in 1993, federal Human Rights Commissioner Brian Burdekin announced
that deinstitutionalization was a �fraud� and a failure. In 1999, British officials
also acknowledged the failure of community mental health care.
Meanwhile, psychiatry�s CMHC budget in the United States soared from $143
million in 1969 to over $9 billion in 1997�a more than 6,000% increase in funding,
for a mere 10 times increase in the number of patients and, more importantly,
no results. Today the estimated costs are around $11 billion a year.
If collecting these billions in inflated fees for non-workable treatments wasn�t
bad enough, in 1990, a congressional committee found that CMHCs had diverted
between $40 million and $100 million to improper uses; i.e., right into the
pockets of psychiatrists.
Ironically, the psychiatrists have consistently blamed the failure of deinstitutionalization
on a lack of community mental health funding. In reality, they create the drug-induced
crisis themselves and then, shamelessly, demand yet more money.
COMMUNITY MENTAL HEALTH Exorbitant Cost, Colossal Failure
In 1963, the United States psychiatric research body, National Institute of
Mental Health (NIMH), under psychiatrist Robert Felix, implemented a community
health program which relied heavily on the use of mind-altering psychiatric
drugs. Spawning an international trend, it sent drugged patients into the streets,
homeless and incapable. After more than $47 billion spent on it between 1969
and 1994 alone, the program is an abject failure. Spending on Community Mental
Health Centers (CMHCs in the United States) has increased more than 100 times
faster than the increase in number of people using CMHC clinics. Despite eating
up taxpayer billions, the clinics have failed their patients and become little
more than legalized drug dealerships for the homeless.
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