Saturday, January 21, 2012

PsychSearch.net being modernized




I am modernizing my website www.PsychSearch.net. The intended audience is journalists.  

I have gotten some mighty fine advice from many of you.  I have also gotten some good advice from psychologists, mental health counselors, clinical social workers and marriage & family therapists.  Far below, you will see even more of their suggestions. (Interestingly, psychiatrists were shy about commenting on this).  I have considered all of the suggestions and have included most of them in the below list.  

At this point, I believe we have enough categories on psychiatry.   Now, please look over the below list and give me your thoughts on how to condense the wording or combine the categories to make everything more compact.   I would appreciate that.   Remember, a
web page for each category will be made on the new website.   

Best,

Ken Kramer
727-461-1955

ANALYZE PSYCHIATRY -  Condense the wording or combine categories to make everything more compact.

 1.  Fraud
A. DSM - creation and promotion of non-existent "diseases"
B Mental Illness Labeling using non existent "diseases", control purposes
C. Screening (TeenScreen, et al.)
D No cures, no science
E. No thorough testing for an underlying physical condition resulting in false diagnoses of "mental conditions". and prescriptions for drugs which don't address the actual problem, Diagnosis or Treatment Without Full Competent Medical Exam - non mental patients suffering a non-mental medical condition disease/physical problem (PMS, heart attack, menopause, etc.)   diagnosed and drugged despite no medical proof of benefit and under known risk of harm.
F. Ghost-written journal articles
G. Cost of Fraudulent billing to Medicaid and Medicare and Private Insurers
H. Propaganda and misinformation in the media and advertising
I. School personnel labeling resulting in drugging
J.  Marriage and family therapists falsely diagnosing clients with a mental health disorder for the sole purpose of getting medical insurance to pay for marriage counseling.
K. Scientific fraud
L. "false claims"  including improper and questionable billing and cost reimbursements, illegal and wrongful marketing
M. Journal articles faking data,  cherry-picked his data without revealing obvious BigPharm conflicts of interest
N.  General - (encompasses fraud not listed above)

2. Psych Drugs
A. Child drugging, including foster kids
B. Off-label drugging
C. Drugging of the elderly
D. Drug company payoffs 
E. Adverse events including but not limited to death, homicide, suicide, mass murderers, school shooters, handling of adverse events by prescribing cocktails of other drugs
F. Prison drugging
G. Juvenile justice drugging
H. Military drugging
I. Pill mills
J. Crazy Pills - the state will pay for you and your family to be on psych drugs
K. Prescribing Drugs untested in combination with each other

3. Justice System
A. Insanity defense
B. "Expert" testimony
C. "Prediction" of violent behavior    
D.  General - (topics not listed above)
E. Adjudication of competency

4. Violations of Human Rights
A. Restraints, whether physical or chemical straight jackets
B. Shock treatment
C. PsychoSurgery (such as lobotomies and leukotomies)
D. Insulin shock
E. No informed consent
F. Involuntary commitment 
G. Forced drugging
H. Hypnosis, perhaps rename this category to something like "abusive or harmful hypnosis"
I. Sexual misconduct
J. Jimmy Rice law and "civil commitment" forever
K.  Psychological toture and warfare as in Guatonamo
L. Splitting up familiies
M. Abuse of autistic children through “aversion” therapy such as pain and electric shock for bad behavior.
N. Death or Disablement – Drugs, Shock Treatment, Restraints, etc.
O  Vegas Nerve Implant  
P.  Transcranial magnetic stimulation


5. Ethics Violations
A. Breaks in confidentiality
B. Dual relationships
C. Add to list

END OF CATEGORIES

How some "mental health professionals" reacted to the above new categories:  

Professor of Psychology - University of Tampa
Looks good to me.  Do you have some data right now to share on 2a and 2b? I was asked to help a local TV reporter doing a story on improper medicating of children.  I have a 2010 NY Times article at present.  My interview is on Monday. Love your work by the way.

PSYCHOLOGIST, Florida International University
What is with so-called "faith-based therapy" & "Pray way the gay". LD

MARRIAGE & FAMILY THERAPIST
Ken: Thank you for your website, how about a section that presents employment possibilities.  Keep up the good work. 

CLINICAL SOCIAL WORKER
In this new world of high speed technology and IT e-tiquette, I would ensure a section on a developing ethical area that may include documenting, conversing through email, forwarding, attaching, and or HIPPA protection when it comes to using the WWW and mailing engines for communication between professional and clients. Just a thought......

CLINICAL SOCIAL WORKER
I am in the middle of an out-of-state move so I don't have time to complete this right now.  I wrote a graduate paper on drugs, that I might share will you at a later date.  I wrote it when I had to get my FL license.  I also had a mother with alzheimer's and a brother who got it in his early 60's.  I think the drugs from the nursing home killed him early.  I was second health care POA but was never given an authority to monitor his drugs.....sad situation.  Please follow up with me.  I am furious about what they are doing to children, and was also a school social worker for 10 years in the public schools.  That "teen screen" thing is outrageous.

PSYCHIATRIST
Add Boundary violations to Ethics.

PSYCHOLOGIST
5.c. informed consent
   d. lack of parental consent e.g. divorce and taking a child for therapy.
   e. multiple conflicting roles
   f.  boundary crossing
   g. Working in an area beyond one' s competency without sufficient prior disclosure.
Happy new Year.

CLINICAL SOCIAL WORKER
Wow, looks good

CLINICAL SOCIAL WORKER
I’m not sure I understand what you need but I work with the Direct Filled Juveniles at TGK. These juveniles are in great need of treatment and intervention. Very few of them are actually on medication because if on any type of medication they will not be considered for Boot Camp or most programs. Because of the issue with the county budget the Boot Camp program may be closed this year, leaving these kids with few alternatives if any. I attempt to complete psychosocial assessments on all, and I have Barry Interns that assist and are providing counseling for a number of them.
I am concerned about issues of reentry for these juveniles, they return home to very little support and without intervention they end up returning to jail. I didn’t see the reentry issue mentioned not only for juvenile offenders but for all offenders.
Thank you, hope, I helped, and if there is anything I can answer for you, feel free to contact me.
Correctional Counselor.


CLINICAL SOCIAL WORKER
Within the category of “Ethics”, a universal set of protocol and procedures to assist with the use of “Electronic” mediums in therapy. This may encapsulate boundary violations; validity in Civil, Criminal and Family Court proceedings; and ethical considerations as it relates to client rights and confidentiality (i.e: Skype; telephone; e-mail).     
Thank you for your survey.                                                       


CLINICAL SOCIAL WORKER
Good job.


PSYCHOLOGIST
Under "drugging," off-label uses of powerful psychotropics to quiet down children with developmental disabilities. Continuation of those medications for children starting at the age of 3 or 4, and continuing on until forever.
The use of a pharmicological cornucopia to drug children, including powerful antipsychotics, with no behavioral data to either make the diagnosis or determine if the medications are working.
Diagnosis of a mental illness in a child to assist the family to get a crazy check.
Use of retardation as a diagnosis for a child with a behavioral disorder, so that the behaviors that he exhibits cannot be found to be a "manifestation" of his diagnosis, thereby making it easier to expel him.
Expansion of the autism diagnosis to include every child in the country.
Support of use of devices such as Hyperbaric chambers, to pauper parents, with no empirical data to support their use.


PSYCHOLOGIST
I am completing two new books on alienation, one is the second edition to the International Handbook on PAS with Dr. Gardner (2006) which is now a totally new book and chapter presentation with D. Lorandos, JD, PhD and B. Bernet, MD called Parental Alienation: The Handbook for Mental Health and Legal Professionals. The other text I am/ have  written is with A. Baker, PhD and this book is a clincial approach to alienation cases. The evaluations I have been doing mostly are out of the tri-county area in other states and Canada. 
If you are in Boca and have an hour free, I would enjoy our meeting together even if we do not work on a case together.


CLINICAL SOCIAL WORKER
I think you have a great idea!  I wish you all the best, and will be looking forward to following your site!  


PSYCHOLOGIST
Ken
Review the link below for APA statement on more common ethics violations


MENTAL HEALTH COUNSELOR
Abuse reporting would be a good addition, not sure what category it would fall under.


MENTAL HEALTH COUNSELOR
First, Thank you for doing this! I have felt for years that our profession didn't have a voice, we were all dealing in the fringes of the system.
Second: I see you addressed the issue of diagnosis for billing, which is very important. That has created so much grief, people not utilizing therapeutic services for fear of being labelled by insurance companies or therapists feeling terrible to be diagnosing people so they can get reimbursed. Not to mention the terrible data collection that ensues...
The issue of amounts of documentation required is also a good one. Therapists are bombarded with need to document instead of utilizing their time to actually help clients.
Thanaks again


MENTAL HEALTH COUNSELOR
I do not see anything related to incompetence to proceed in the developmentally disabled or Error in diagnosing MR based on IQ only or when the individual has mental illness and cannot test well. Just some thoughts.


CLINICAL SOCIAL WORKER
Under the Justice System:
Forensic Assessments for Mitigation purposes.
Also under Violation of human Rights under “K” Guantanamo is misspelled
One more thing Ken:
And you may word this any way you think appropriate
Psych Drugs: Why they shouldn’t be prescribed by any other doctor but a Mental Health professional. And why psychotherapy should always be combined with the use of any psych drug to address the client’s life situation and any underlying cause for the need to use these drugs.
I believe the fact that any medical doctor is allowed to prescribe antidepressants/anxiety meds to just name 2 is adding to the addiction epidemic we are facing in society. All these drugs must be regulated and only prescribed in combination with therapy. We all know that drugs alone don’t work and often are not even needed. For us in the mental Health field therapy should be the first line of defense, not drugs.


MEMBER - NATIONAL ALLIANCE ON MENTAL ILLNESS
Perhaps under 2. Psych Drugs, there could be a question about the negative value/effect of prescribing drugs without an appropriate amount of accompanying psychiatric counseling or therapy.  Sometimes a consumer sees a psychiatrist once every 2 or 3 months for 15 minutes & that is all the time devoted to prescribing meds or any adjustments or changes thereof!  In too many cases, not near enough time to be of any real help.  Psychiatrists & many others in the field of Mental Health sometimes seem to lean toward stabilizing a consumer so as to keep them as patients (income) rather than help them to “recover,” which is a term I often hear used in reference to their treatment, but rarely witness.  This sort of fits into the 1. Fraud (E) area too.   


MENTAL HEALTH COUNSELOR
Good job and good luck.  Also, on NO.2,  J and L are the same reference.  Other's could be condensed more too, but I like where you are going with this and it's necessary as there are problems in our 'industry'.   


CLINICAL SOCIAL WORKER
Criminal Responsibility and Competency to Stand Trial are the two big areas most often thought of when thinking about mental health/illness and the criminal justice system, which is why I recommended adding the competency section to compliment and differentiate between criminal responsibility.
Mental Health Law is fairly complex as it can be broken down into so many areas such as child-custody matters (parental alienation syndrome, reliability of juvenile/minor/child testimony), capital punishment (unlawful to execute those with mental retardation/serious mental illness), and on and on.  My suggestion, since as you can see the CJ section is my area of interest and of which I have the most expertise you could say, is to breakdown sections based on the landmark case law that has shaped the interaction between mental health and the criminal justice system.
I would say that you could realistically broaden this section and hit the crucial issues if titled “Mental Health Law & the Justice System,” organized as follows with notations about the landmark cases related to each issue noted as well):
1.      Criteria for admissibility of Expert Witness Testimony & Evidence (Frye v. U.S. 1923; Daubert v. Merrell Dow Pharmaceuticals 1993; Federal Rules of Evidence 2000; Scholl v. U.S. 1999; Kumho Tire v. Carmichael 1999).
2.      Informed Consent (Schloendrof v. NY Hospital 1914; Miranda v. Arizona 1966; Zinermon v. Burch 1990)
3.      Confidentiality (Jaffee v. Redmond 1996)
4.      Duty to Warn (Tarasoff v. Regents of California 1976; Bellah v. Greenson 1978; Thompson v. Alameda County 1980; Jablonski v. US 1983)
5.      Competency (Definition; Ake v. Oklahoma 1985; Dusky v. US 1959; Jackson v. Indiana 1972; Medina v. California 1992; Colorado v. Connelly 1986; Ford v. Wainwright 1986; Perry v. Louisiana 1992)
6.      Psychological Testing for Competency (Competency Screening Test, Georgia Court Competency Test, Computer Assisted Competence Assessment Tool, Competency Assessment Instrument [CAI], Interdisciplinary Fitness Interview [IFI], MacArthur Competence Assessment Tool-Criminal Adjudication [MacCAT-CA], Miller Forensic Assessment of Symptoms Test, Competency Assessment for Standing Trial for Defendants with Mental Retardation [CAST-MR]
7.      Guilty Plea (N. Carolina v. Alford 1970)
8.      Criminal Responsibility / NGRI (In re M’Naughten 1843; Durham v. US 1954; American Law Institute – ALI Rule; Insanity Defense Reform Act of 1988)
9.      Civil Commitment & Dangerousness (in re Oakes 1845; 3 Types of Commitment [1. Inpatient, 2. Outpatient, 3. Criminal]; Rennie v. Klein 1978; O’Connor v. Donaldson 1975; Addington v. Texas 1979; Jones v. US 1983)
10.   Prisoner’s Rights to Medical/Mental Health Treatment (Vitek v. Jones 1980; Washington v. Harper 1990)
11.   Substance Abuse & The Law (Robinson v. California 1962; Powell v. Texas 1968)
12.   Capital Punishment (Gregg v. Georgia 1976; Tennard v. Dretke 2004)
13.   Sex Offenders (New Jersey v. Timmendequas 1999 a.k.a. Kanka’s Law; Kansas v. Hendricks 1997)
14.   Juvenile Law (Kent v. US 1966; In re Gault 1967; Thompson v. Oklahoma 1998; Stanford v. Kentucky 1989; Roper v Simmons 2005)
15.   Child Abuse (People v. Jackson 1971; DeShaney v. Winnebago 1989)
16.   Hypnosis / Lie-Detection Admissibility (Rock v. Arkansas 1987)
This may be more extensive than what your site intended but just offering some input nonetheless.  The cases noted next to each heading are the landmark court cases that either paved the way or have established the legal standard for each issue in the criminal justice system.  You could realistically keep going with issues of custody, child witness testimony, personal injury & emotional damages, and on and on but not sure how comprehensive you are looking to make this thing.


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