Vista Del Mar Hospital Employee Arrested For Sexual Assault Of Psychiatric Patients

A Report from KEYT TV3 news

Police arrested 37-year-old Juan Pablo Valencia of Ventura Thursday on charges of sexual assault and rape of hospital patients.

Victim after victim came forward since the first incident was reported in October 2014—each with almost the same story. They were psychiatric patients at Vista Del Mar Hospital in Ventura and say Valencia sexually pursued them and continued to do so after their release.

The first victim reported the assaults occurred in 2013, with the rest of the victims coming forward in February 2015.

Valencia was initially arrested on January 2015 on the 2600 block of N Ventura Avenue. He was again arrested Thursday on the 600 block of Count Square Drive.

He is being held at Ventura County Jail under numerous sexual assault charges including rape of an intoxicated and institutionalized person.

The investigation is ongoing and anyone with information regarding sexual misconduct by the suspect is urged to contact the Ventura Police Department at 805-339-4328.

Nebraska state shrinks still double-dipping, a decade after vow to end the practice

From a report from the Nebraska Watchdog. Another case of getting paid for more than what they do.

Nearly a decade ago, the new head of the state psychiatric hospital promised change to the Lincoln Regional Center after lawmakers discovered most of the psychiatrists had other jobs. Some were double-dipping — working at the state psychiatric hospital and county mental health center — while others were triple- and quadruple-dipping. But, 10 years later, Nebraska Watchdog has found little has changed.

Take Dr. Sanat Roy: He’s a psychiatrist at the Mental Health Crisis Center of Lancaster County, contract psychiatrist at the Lincoln Regional Center and has a private practice at Plaza West Psychiatrists. He’s also listed as the medical director for Blue Valley Behavioral Health, a Beatrice nonprofit that serves 16 counties in southeast Nebraska.

Scott Etherton, program director for the county’s mental health center, said Roy works part-time and is on call 24/7. He gets $160,000 annually plus nearly $30,000 in benefits. Roy is on a contract with the state, earning more than $125 per hour for up to 1,664 hours per year (32 hours per week) or $210,266 per year.

[...]

Another psychiatrist, Dr. Klaus Hartmann, works full-time for the Regional Center, earning $243,884 annually — the highest state salary. He’s also listed as a psychiatrist for Bryan LGH and fills in for Roy when he’s on leave, according to Etherton.

A third psychiatrist working a second job is Dr. Rafael Tatay, a full-time psychiatrist at the Regional Center who makes $237,597 annually. He also is listed as a psychiatrist at Plaza West Psychiatrists.

After getting complaints for years that Regional Center psychiatrists weren’t putting in 40 hours a week, a 2005 performance audit by the Legislature found most Regional Center psychiatrists had other jobs that had them putting in upwards of 80 hours per week. The audit report didn’t say whether the psychiatrists were still able to properly do their jobs, despite holding down multiple positions. After the report came out, the new head of the Regional Center at the time, Bill Gibson, said he would work to end the double-dipping.

Back then, Roy and Hartmann were making about $330,000 annually working for the state and county, with jobs that required them to put in more than 65 hours per week, plus private practices. They’d been doing it for two decades [...] “It has been standard practice. I don’t think it has been detrimental to patient care. But it is not what I envision for the future,” he said in 2005.

Psychiatrists are among the highest paid state employees — with eight of them cracking the top 15 highest paid state employees

[...]

Gay Conversion Therapy Trial: New Jersey Nonprofit Group In Fraud Trial For Claiming To Cure Homosexuality

Another case where Shrinks do not know what they are doing, and end up getting sued for it. From a report from the International Business Times (Warning, autoplay video on website)

A major challenge to “gay conversion” therapy is ramping up in New Jersey, in a case that critics of the controversial treatments hope will set a precedent for fighting the practice around the country. A group that offered the so-called therapy is scheduled to go on trial for fraud Wednesday in the state, one of only three to have banned licensed therapists from offering treatments that purport to change a person’s sexual orientation.

Four men and two of their mothers are suing the nonprofit group Jews Offering New Alternatives for Homosexuality, or Jonah, on the grounds that it fraudulently claimed that it could change patients’ sexual orientation and for characterizing homosexuality as a mental disorder, the Associated Press reported. The plaintiffs have accused the group of engaging in “unconscionable practices,” including making patients strip naked during therapy sessions and subjecting them to slurs regarding their homosexuality.

Lawyers for the group have countered that scientists are still debating the nature of sexual orientation, including whether it is fixed or changeable, as well as whether conversion therapies are actually harmful. They have also accused the plaintiffs of seeking to "shut down the debate by making one viewpoint on the issue literally illegal," the AP said.

[...]

In recent years, several states have moved to ban the therapy over fears that it could subject young people to psychological damage but only New Jersey, California, Oregon and Washington, D.C., have succeeded in passing and implementing bans. But the current bans apply only to licensed therapists who practice gay conversion therapy on minors, which is why prosecuting Jonah for consumer fraud could set an important precedent, according to Jack Drescher, a New York psychiatrist and one of the most vocal critics of these therapies.

“A win by the plaintiffs will undoubtedly have a chilling effect on practitioners of SOCE [sexual orientation change efforts] beyond the borders of New Jersey,” Drescher said in an interview with the Huffington Post. “A win would also expand the ban on SOCE embodied in existing legislative bans in CA, NJ, OR and DC: They only apply to licensed professionals who do SOCE with minors. Consumer fraud laws can be used against non-licensed practitioners and protect adult patients as well.”

Psychiatrist who practiced in Nashua allegedly used fake prescription to get drugs

Report from the Union Leader

A Nashua psychiatrist has been arrested by state narcotics investigators and charged with using a bogus prescription to obtain a scheduled drug, N.H. State Police said.

Robert C. Vidaver, 50, of Henniker, was arrested by Henniker police, according to a statement issued Tuesday by the Narcotics and Investigations Unit of the state police.

State police said the arrest followed a four-week investigation, which started after the NIU’s Drug Diversion Section received a complaint about Vidaver.

He is charged with obtaining a controlled drug by fraud.

According to an online listing at the New Hampshire Board of Medicine, Vidaver is a psychiatrist who works at Harbor Homes, a Nashua organization that provides housing, health care, employment, job training and supportive services to the poor and disabled.

Vidaver’s license was issued in 2007 and is set to expire on June 30.

After his arrest, Vidaver was released on his own recognizance. He is scheduled to appear in Hillsborough District Court on July 28.

Texas Medical Board temporarily suspends license of Dallas Psychiatrist

Via the Dallas Morning News

The Texas Medical Board temporarily suspended the license of a Dallas physician on Tuesday after determining her continued practice could pose a threat to public welfare.

The board panel received an emergency referral on May 6 from the Texas Physician Health Program based on a self report from Dr. Abbie Ewell. Ewell's self-report claimed she was unsafe to practice because of "a recent relapse of a mental or physical condition," the board said.

Ewell's suspension will last until the board takes further action, the board said.

She graduated in 2008 from University of Texas Southwestern Medical Center and was an assistant professor in the school's psychiatry department.

During A Raid on A Psych Hospital, The FBI has a hard time getting Pizza Delivery

Although everyone thinks of this as a joke, it has been verified by Snopes as a real event

FBI agents conducted a "search and seizure" at the Southwood Psychiatric Hospital in San Diego, which was under investigation for medical insurance fraud. After hours of poring over many rooms of financial records, some sixty FBI agents worked up quite an appetite. The case agent in charge of the investigation called a local pizza parlor with delivery service to order a quick dinner for his colleagues.

The following telephone conversation took place:

Agent: Hello. I would like to order nineteen large pizzas and sixty-seven cans of soda.
Pizza man: And where would you like them delivered?
Agent: To the Southwood Psychiatric Hospital.
Pizza man: To the psychiatric hospital?
Agent: That's right. I'm an FBI agent.
Pizza man: You're an FBI agent?
Agent: That's correct. Just about everybody here is.
Pizza man: And you're at the psychiatric hospital?
Agent: That's correct. And make sure you don't go through the front doors. We have them locked. You'll have to go around to the back to the service entrance to deliver the pizzas.
Pizza man: And you say you're all FBI agents?
Agent: That's right. How soon can you have them here?
Pizza man: And you're over at Southwood?
Agent: That's right. How soon can you have them here?
Pizza man: And everyone at Southwood is an FBI agent?
Agent: That's right. We've been here all day and we're starving.
Pizza man: How are you going to pay for this?
Agent: I have my check book right here.
Pizza man: And you are all FBI agents?
Agent: That's right, everyone here is an FBI agent. Can you remember to bring the pizzas and sodas to the service entrance in the rear? We have the front doors locked.
Pizza man: I don't think so.

Click.

As Snopes explains:

Origins: The above-quoted tale about FBI agents trying to arrange for pizza delivery to a psychiatric hospital is one of those pieces that serves to remind us that no matter how bizarre, far-fetched, or incredible a story may seem at first glance, it should never be entirely discounted without at least some effort being made to verify it.

This anecdote began circulating on the Internet in 1995, often attributed to a "Center for Strategic and International Studies report on GLOBAL ORGANIZED CRIME" or "a talk by R. James Woolsey, Director of Central Intelligence, given at a conference on global organized crime." We initially reproduced it on our site with no judgment as to its truth or falsity, expecting that it would eventually be revealed as a work of creative fiction by some Internet prankster. To be thorough, we sent a routine inquiry to the FBI's San Diego office about the story and then promptly forgot about it, assuming that the FBI had much better things to do than spend their time debunking silly tales spread via e-mail.

We were quite surprised, therefore, when several weeks later we received a response from FBI Special Agent Wayne A. Barnes, who confirmed for us that the incident described was real and supplied us with additional background detail about it.

In 1993, the FBI was assisting the Department of Health and Human Services in investigating health care fraud. A medical organization that operated psychiatric hospitals in nine different cities had come under suspicion, and law enforcement agencies had scheduled coordinated raids on all nine of those facilities to take place on the same day (so that none of the hospitals could alert the others). The unexpectedly high volume of records seized in a morning raid on the Southwood Psychiatric Hospital in Chula Vista, California, meant that the investigation there turned into an all-day affair. When the agent in charge of the operation realized his men were running on empty after long hours with no food, he attempted to order pizza from a local delivery outfit, placing the call now immortalized in this piece. Contrary to what is stated in most versions of this piece, though, the FBI was not taping all of the hospital's calls that day; the conversation reproduced above was reconstructed from the memories of agents present at the event.

And yes, the FBI men did get their pizzas, but the food was not delivered to the hospital — several agents had to drive over to the restaurant and pick up their pies.

Drug poisoning statistics in the US

Note how prevalent psych drugs are as a danger to kids.

Information on drug poisoning suicide deaths in the US is not available at a very granular level. However, the following table¹ does give a breakdown of 2012 suicide drug poisoning deaths:

Method	No.	%
Other and unspecified drugs, medicaments and biological substances	3,632	54.0%
Other gases and vapours	1,003	14.9%
Anti-epileptic, sedative-hypnotic, anti-parkinsonism and psychotropic drugs, not elsewhere classified	969	14.4%
Narcotics and psychodysleptics [hallucinogens], not elsewhere classified	662	9.8%
Non-opioid analgesics, antipyretics and anti-rheumatics	160	2.4%
Organic solvents and halogenated hydrocarbons and their vapours	126	1.9%
Other and unspecified chemicals and noxious substances	78	1.2%
Alcohol	47	0.7%
Other drugs acting on the autonomic nervous system	42	0.6%
Pesticides	10	0.1%
Total	6,729

According to the CDC¹, 81% of intentional poisoning suicides were caused by drugs - both legal and illegal. The most commonly used drugs identified in drug-related suicides were psychoactive drugs, such as sedatives and antidepressants, followed by opiates and prescription pain medications¹. Self-harm poisoning was the leading cause of emergency department visits for intentional injury in 2010². In 2011, it was estimated by SAMHSA³ that attempted suicide led to 228,366 emergency department (ED) visits. Almost all involved a prescription drug or over-the-counter medication. It is worth noting that with only 5,465 actually succeeding in suicide using drugs, it means there were 42 ED visits for every successful suicide. Sobering odds of success, and there are probably lots of attempts that don’t even end up in hospital. Most patients attempting drug-related suicide had some form of follow-up after their ED visit, with the outcomes of their ED visits as follows:

• 49% were admitted for inpatient hospital care (18.3% to an intensive or critical care unit [ICU]), 9% to a psychiatric unit, and 22% to other units including combination psychiatric/detox units)
• 25% were transferred to another health care facility for specialist treatment
• 7% were referred to detox/treatment
• 15% treated and discharged to home

Evidence suggests that alcohol had been ingested in around a third of people who died by suicide, and in 29% of those admitted to ED departments. In nearly two thirds of cases more than one drug was involved. Pain relievers were found to be involved in 38% of drug-related suicide attempts. Narcotic pain relievers were involved in over a third of that number, and cetaminophen products were involved in just under a third. Benzodiazepines (anti-anxiety drugs) were found to be involved in 29.3% of drug - related suicide attempts. Alprazolam (Xanax) and clonazepam each accounted for about a third. Antidepressants appeared in 19.6% of visits. About half of those visits involved an SSRI antidepressant such as citalopram, sertraline, or fluoxetine. Trazodone, a SARI antidepressant, was involved in about a quarter. Antipsychotics, as a whole, appeared in 12.9% of visits, with the vast majority being the newer types of atypical anti-psychotics e.g. Quetiapine. The American Association of Poison Control Centers (AAPCC)⁴ publishes data on phone calls they receive into their 55 centers which are designed to track the incidence of poison exposure (both intentional and unintentional) nationally. In 2012 they recorded 2,873 deaths by poisons (itself some way short of the figures provided by US Department of Health and Human Services for suicide alone), and the table below shows the drugs that appeared most frequently as the cause of death by poisoning. Top 25 substance categories associated with deaths reported by 55 U.S. Poison Centers 2012

Substance	No.	%
Sedative/hypnotics/antipsychotics	377	14.1%
Miscellaneous cardiovascular drugs	350	12.2%
Opioids	255	8.9%
Acetaminophen (paracetamol) in combination	183	6.4%
Miscellaneous stimulants and street drugs	176	6.1%
Acetaminophen (paracetamol) only	159	5.5%
Miscellaneous alcohols	145	5.0%
Miscellaneous antidepressants	126	4.4%
Selective serotonin reuptake inhibitors	89	3.1%
Miscellaneous antihistamines	69	2.4%
Tricyclic antidepressants	69	2.4%
Miscellaneous fumes/gases/vapors	67	2.3%
Acetylsalicylic acid	65	2.3%
Miscellaneous muscle relaxants	57	2.0%
Miscellaneous anticonvulsants	56	1.9%
Oral hypoglycemic	56	1.9%
Non-nonsteroidal anti-inflammatory drugs	50	1.7%
Miscellaneous unknown drug	44	1.5%
Miscellaneous unknown drugs	44	1.5%
Miscellaneous chemicals	33	1.1%
Miscellaneous hormones and hormone antagonists	31	1.1%
Anticonvulsants: gamma aminobutyric acid & analogs	29	1.0%
Miscellaneous anticoagulants	23	0.8%
Miscellaneous diuretics	23	0.8%
Cannabinoids and analogs	20	0.7%
Miscellaneous hydrocarbons	19	0.7%

It should be noted that these percentages from their source do not add up to 100% as they are only the top 25 causes. It should also be noted that the above figures each represent the number of mentions in cause of death, not number of deaths. Any one fatality may have had exposure to more than one substance. Indeed, consistent with data from SAMHSA, the breakdown of drugs shown for many of the fatalities reported by AAPCC showed more than one drug. Sources

1. Centers for Disease Control and Prevention, Web-based Injury Statistics Query and Reporting System (WISQARS), fatal injuries report figures (http://webappa.cdc.gov/sasweb/ncipc/leadcaus10_us.html).
2. National Hospital Ambulatory Medical Care Survey: 2010 Emergency Department Summary Tables (10 and 17) (www.cdc.gov/nchs/data/ahcd/nhamcs_emergency/2010_ed_web_tables.pdf). See also Centers for Disease Control and Prevention, National Center for Injury Prevention and Control (NCIPC), Prescription Drug Overdose in the United States: Fact Sheet www.cdc.gov/homeandrecreationalsafety/overdose/facts.html.
3. Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies. Drug Abuse Warning Network (DAWN): National estimates of drug-related emergency department visits for 2011, Table 22 (www.samhsa.gov/data/sites/default/files/DAWN2k11ED/DAWN2k11ED/DAWN2k11ED.pdf).
4. James B Mowry, PHARMD; Daniel A Spyker PHD, MD; Louis R Cantilena  JR, MD, PHD; J Elise Bailey MSPH; and Marsha Ford MD; 2012 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 30th Annual Report, Clinical Toxicology vol. 51 Oct 2013 (available from www.aapcc.org/annual-reports).

Patient killed by 'massive overdose' of anti-psychotic drug after nurse 'mistakenly gave him 21 times what he needed'

From a much longer report in the MIRROR.

A patient died from a massive overdose of anti-psychotic drugs after being given 21 times the medication he needed by a nurse, a court has heard.

Joshua Gafney was handed 4,200mg of clozapine instead of just 200mg by Amanda Young after the nurse visited him at his home.

Mr Gafney, 22, was handed a glass containing six bottles of the drug by 40-year-old Young when he needed just under a teaspoon-worth, just hours before he died on February 8 2012.

Bristol Crown Court heard how the nurse claimed she "did not see" crucial labels on Mr Gafney's medication, causing her to confuse the dosage.

She mistakenly believed each 14 ml bottle contained 50 mg of the powerful drug - when in fact this figure was per millilitre meaning there were actually 700 mg in the bottle.

His mother immediately raised concerns, which Young, from Summerlands Hospital, Somerset, attempted to resolve by putting some water in the solution.

Just two hours after the nurse left the family home in Yeovil, Somerset, Joshua was found unresponsive in bed by his mother, Tina Marren.

In spite of desperate attempts by his sister, Jasmine Gafney, and paramedics, to save Joshua, he was declared dead that evening.

A postmortem examination found Mr Gafney had died as a result of acute clozapine toxicity - an overdose.

N.J. medical bribe scheme reached grand scale

Selections from the extensive report on NewJersey.com

The first hint of the vast bribery scheme came with the arrests of a North Jersey doctor and three businessmen who, authorities said, found a way to turn a diagnostic lab with offices in Parsippany and Garfield into a virtual gold mine.

Two years later, federal prosecutors in Newark have racked up convictions of 38 people, including 25 doctors from New Jersey, New York and Connecticut, in what is believed to be one of the largest — if not the largest — laboratory bribery prosecutions in the United States, both in terms of money and the number of physicians caught with their hands out.

“To our knowledge, this is the largest number of medical professionals ever prosecuted in the same case,” U.S. Attorney Paul J. Fishman said last week.

“It shows how pervasive this practice can be. It has also made people in the profession sit up and take notice and made the deterrent message that much louder,” he said.

In recent weeks two doctors, one weeping and both remorseful, have been sentenced after helping prosecutors catch others in cases that add to the broadening panorama of corruption.

By the numbers

• 25 doctors and one physician’s assistant pleaded guilty to accepting bribes.
• 16 of the doctors live in New Jersey; seven in New York; and two in Connecticut. The physician’s assistant is also from New Jersey.
• 12 other defendants who worked at Biodiagnostic Laboratory Services have pleaded guilty.
• The amount of bribes pocketed by individual doctors ranged from $10,500 to $1.8 million.
• In return for bribes, the doctors referred over $100 million in blood tests to the lab.
• So far, 12 doctors have been sentenced to terms ranging from one year of probation, for a cooperator, to more than three years in federal prison and fines of up to $75,000.

The government is seeking a combined forfeiture of more than $87 million from the 38 defendants, including $50 million from former BLS owner and president David Nicoll and $25 million from his brother, Scott Nicoll.

And it’s not over. Additional arrests of doctors who profited from the scheme are anticipated, prosecutors say.

Here is the section we are interested in from this extensive report on this large and complex scheme

A psychiatrist from Fort Lee, who practiced in Paterson, and a doctor from Ramsey are among 12 physicians who have already been sentenced. The psychiatrist, Claudio Dicovsky, admitted accepting $220,000 from BLS, but put a halt to the payments long before the feds came knocking. In January, he was placed on probation for three years, including one year of house arrest with electronic monitoring, and ordered to perform 1,500 hours of community service.

Psychiatric drugs do more harm than good, says expert

From the Guardian

Psychiatric drugs do more harm than good and the use of most antidepressants and dementia drugs could be virtually stopped without causing harm, an expert on clinical trials argues in a leading medical journal.

The views expressed in a British Medical Journal debate by Peter Gøtzsche, professor and director of the Nordic Cochrane Centre in Denmark, are strongly opposed by many experts in mental health. However, others say the debate around the use of psychiatric drugs is important and acknowledge that there has been overuse of antipsychotics to quieten aggressive patients with dementia.

Gøtzsche says more than half a million people over the age of 65 die as a result of the use of psychiatric drugs every year in the western world. “Their benefits would need to be colossal to justify this, but they are minimal,” he writes. He claims that trials carried out with funding from drug companies into the efficacy of psychiatric drugs have almost all been biased, because the patients involved have usually been on other medication first. They stop their drugs and often experience a withdrawal phase prior to starting the trial drug, which then appears to have a big benefit. He also claims that deaths from suicide in clinical trials are under-reported.

In trials of the modern antidepressants fluoxetine and venlafaxine, says Gøtzsche, it takes only a few extra days for depression in the placebo group – given dummy pills – to lift as much as in the group given the drugs. He argues that there is spontaneous remission of the disease over time. Results from trials of schizophrenia drugs are also disappointing, he argues, and those for ADHD (attention deficit hyperactive disorder) are uncertain. “The short-term relief seems to be replaced by long-term harms. Animal studies strongly suggest that these drugs can produce brain damage, which is probably the case for all psychotropic drugs,” he writes.

“Given their lack of benefit, I estimate we could stop almost all psychotropic drugs without causing harm – by dropping all antidepressants, ADHD drugs and dementia drugs … and using only a fraction of the antipsychotics and benzodiazepines we currently use. This would lead to healthier and more long-lived populations. Because psychotropic drugs are immensely harmful when used long-term, they should almost exclusively be used in acute situations and always with a firm plan for tapering off, which can be difficult for many patients.”

[...]

The rest of the article was filler from doctors saying "but wait, we need MORE drugs"

ABC15 Investigation: AZ mental hospital fails to investigate, protect patients from sex abuse

ABC15 TV has been investigating the Arizona State Hospital, and here is the tip of a very big iceberg. There is much more in the original and related reports. What we share below is merely a highlight.

The Arizona State Hospital has failed to protect vulnerable patients from sex abuse and dangerous sexual activity; and in several cases, officials have failed to investigate serious allegations, according to a two-year ABC15 investigation.

[...]

The ABC15 Investigators reviewed thousands of pages of hospital, police and court records to compile a list of sex crime allegations at the Arizona State Hospital. By cross-referencing the records, ABC15 was also able to identify repeat offenders and victims.

From 2012 through 2014, we found: 

• There were 63 allegations of sex crimes, including rape, sex abuse and molestation.
• ASH investigated 24 of those allegations.
• ABC15 could only confirm 10 allegations resulted in reports with Arizona Adult Protective Services (APS) or law enforcement.

State law states that APS or a peace officer be notified immediately if there’s a “reasonable basis to believe that abuse or neglect of the adult has occurred.”

But several hospital sources have told ABC15 incidents go unreported, and they fear retaliation if they do report incidents outside of ASH.

“Staff has been basically threatened that if they do contact APS that repercussions will happen,” said one hospital source. “It goes unreported because staff is in fear of their jobs.”

Unreported allegations and crimes by healthcare officials can be a serious matter.

Arizona State Hospital has a long history of problems, it is a target rich environment for investigators Here are some of the Videos related to this report

Bangor psychiatrist ordered to stop treating women

As reported by the Bangor Daily News

A Bangor psychiatrist must stop treating women after allegedly developing an unprofessional relationship with a female patient, according to a state medical licensing board.

Dr. Fred Risser may treat only men and must submit to independent monitoring of his practice to ensure he meets prescribing and recordkeeping standards, his May 12 consent agreement with the Maine Board of Licensure in Medicine states.

While a 30-year-old female was his patient in 2009 and 2010, Risser drove the woman to the pharmacy in his personal vehicle, advocated for her while she was in jail, deposited money into her jail bank account, stored her personal property at his home and allowed her access to his home while he was away, according to the agreement. Risser treated the patient at his private practice in Bangor and at Community Health and Counseling Services in Ellsworth.

In June 2013, Risser met with the licensing board and agreed to take classes in boundaries and professionalism, medical ethics, recordkeeping and the use of medications to treat psychiatric disorders. He also agreed to transfer the patient to another psychiatrist, the agreement states.

In April 2014, Community Health and Counseling warned Risser about prescribing tranquilizers to patients on opioid replacement medications, a combination that raises the risk of overdose and death.

Then in May 2014, a 51-year-old patient he treated in Ellsworth told the board Risser slapped her on the buttocks while escorting her up the stairs to an appointment.

Community Health and Counseling fired Risser in May 2014 for unprofessional conduct, according to the agreement. In signing the consent agreement, Risser neither admitted nor denied the allegations but acknowledged the board had enough evidence to determine the alleged incidents occurred if the issue were to proceed to a formal hearing. He must reimburse the board $4,344 for the cost of the investigation.

In other words, he did it.

Pfizer settles lawsuits tying sex and gambling addictions to dopamine meds

As reported by Fierce Pharma, from a report in the Financial Review

Pfizer ($PFE) is settling class-action litigation brought by patients who claimed the drugmaker did not adequately warn them of possible side effects of drugs they were taking to treat their Parkinson's disease or restless leg syndrome. While this kind of litigation is routine, the side effects were not. Instead patients said the drugs created addictions they didn't previously have, causing them to gamble away their life savings, or become obsessed with shopping or sex.

The confidential settlement with 172 patients, said to be for millions of dollars, was approved by a judge in federal court in Australia, the Financial Review reports, although payments were delayed until they are assessed by an independent review. Pfizer had agreed to the settlement late last year, ahead of a trial of the cases brought by people who took Pfizer's Cabaser and Dostinex between 1996 and 2010 to treat tremors associated with Parkinson's disease or RLS.

"Pfizer entered into settlement resolution discussions in order to avoid the cost of litigating this claim and to avoid a lengthy trial," a Pfizer spokesman told the publication. "Pfizer remains willing to litigate this matter in court if necessary."

The drugs work by providing dopamine agonists that imitate the effects of dopamine in the brain, something Parkinson's patients lack. A study published last year in JAMA Internal Medicine found that the "psychiatric side effects" of uncontrollable urges were not as rare as first believed. It found that they occurred in at least 10% of patients, but said they probably were underreported because patients were ashamed to talk about what they had done.

The authors of the study said the potential was large enough, greater than suicide risks of antidepressants for example, that the FDA should require a "black box" warning on the labels on dopamine agonists, a class that includes Requip from GlaxoSmithKline ($GSK), UCB's Neupro and Mirapex from Boehringer Ingelheim. The German company was sued by a New York man some years back who said that taking the drug had turned him into a "pathological gambler," who ruined him as he gambled away $3 million.

According to the Financial Review Eli Lilly and Aspen Pharmacare also settled with 32 patients in 2013 in similar case involving the drug Permax.

Dr Joseph Bray is faces being struck off after he had an affair with a patient at The Priory in Southampton and allegedly made sexual comments towards another

A Report from the Daily Echo in the UK

A HAMPSHIRE psychiatrist had an affair with a patient and made sexual comments about another, a hearing was told.

Now married father of two Dr Joseph Bray faces being struck off by a fitness to practice tribunal. The tribunal heard Bray began flirting with a woman known as Patient B during counselling sessions and later began a sexual relationship with her. During three consultations he stroked Patient B’s hair, kissed her on the side of the head and told her “if only I was 20 years younger”.

Mr Williams said the consultations ‘crossed boundaries’, including giving out his personal email address, and added: “The doctor has demonstrated that he is willing to cross boundaries of a relationship with Patient B and to go all the way to a full-blown relationship.” The tribunal also heard he treated a patient who came to him for help coping with her husband’s womanising by comparing her appearance against her husband’s mistress.

The hearing was told in a ‘crudely-worded’ consultation Bray, 57, used Google to search for pictures of the mistress and then compared their physical appearances.

Bray allegedly told the woman, known only as Patient A, “men aren’t biologically programmed for monogamy,” and added: ‘‘When my wife dies, I will shag as many women as I can.’’ Patient A was said to feel ‘’awkward and uncomfortable’’ over the counselling she received from Bray after she attended the £3,000 a week Priory Hospital, Southampton, in ‘‘emotional distress.’’

Paul Williams, counsel for General Medical Council, told the tribunal in Manchester:

“Dr Bray’s persistent focus on the context of emails received by the husband made her feel awkward and uncomfortable. She felt it was sufficient to say the content was explicit.
“She says she found it distressing and unprofessional for the doctor to Google her husband’s mistress and begin passing comments about women.
“These are utterly inappropriate remarks during a consultation and so deeply sexualised in nature.
"She says it was unprofessional for him to make personal remarks regarding her appearance, even if complimentary.”

Mr Williams added: “The conversation turned from simple relationship matters to physical appearance, attraction and discussing sexual matters.”

The consultant, who lives in the New Forest, had been working at The Priory Hospital since 2007. Bray admits acting inappropriately during his consultation with Patient A but denies his conduct was sexually motivated. He admits all allegations regarding his conduct and inappropriate, sexual relationship with Patient B.

The Psychiatric & Mental Health Rape Reporter says that up to 25% of psychiatrists & psychologists use their patients for sex.

Edward Hallowell, noted Boston area psychiatrist, charged with indecent assault

report from Boston's Channel 5

A noted specialist in the fields of attention deficit disorder and attention deficit hyperactivity disorder is facing charges related to the alleged groping of a woman.

Dr. Edward M. Hallowell, who was in Waltham District Court on Monday for a hearing on the charge of indecent assault, is accused of squeezing the buttocks of a makeup artist last October. Hallowell, a psychiatrist and instructor at Harvard Medical School, was videotaping an interview in Watertown. The woman, whose name was redacted from the police report, filed the charges about a month after the alleged incident.

She said that Hallowell put his hand on her shoulder and touched her. "He followed my shape and he took his time," the police report says.

When interviewed, police said he called the incident a "terrible misunderstanding." “My client has a long and distinguished record in his field," said William Crowe, Hallowell's attorney. "It was not his intention to offend anyone and he is troubled his actions were perceived in any way as inappropriate. We are confident that Dr. Hallowell will be cleared and this matter will be resolved in his favor," Crowe said.

Hallowell is the founder Hallowell Center for Cognitive and Emotional Health in Sudbury.

Mark and Cheryl Miller in February of 2004 testifying about the Zoloft-induced suicide of their 13 year old son Matt after only 7 pills.

"How dare you?"

An important column by activist Nancy Rubenstein del Giudice on the Mad in America Website

Here is a large snippet from the article

I am grateful to Phil Hickey and Robert Whitaker for challenging Jeffrey Lieberman in the manner they did, because, at this point my response to him is more of an emotional one and it can best be summed up this way; "How dare you?"

Dr. Lieberman, how dare you suggest that you should not have to endure critical examination? In case you missed the college experience, anthropology is all about looking at cultures and their institutions, and since your profession has sought to redefine what it means to be human, anthropologists have an absolute duty to examine that endeavor.

I am not sure what country you think you live in, but this is the one that celebrates freedom of speech and freedom of the press, and the New York Times is not here to protect your profession or any other.

How dare you ignore the thousands of people who have been harmed by psychiatric drugs and diagnostic lies over the last several decades. If you and your colleagues were the least bit concerned about people and society you would by now have mounted a full-scale investigation into hospital and physician records to find all the people who were told they had a "chemical imbalance" and needed to take psychiatric drugs for the rest of their lives, like a diabetic takes insulin. Dr. Pies' well known assertion that this is only propagated by "uninformed" psychiatrists is belied by the fact that these "uninformed" psychiatrists run hospital psych wards all over the country.

You would find all the people who had an adverse reaction to an SSRI and were told this had "unmasked an underlying illness," and were then put on polypharmacy cocktails leading to disability. That would be the responsible thing to do. But car manufacturers make changes for public safety, and they are not "well-educated professionals" who have sworn to "Do no harm."

How dare you call Robert Whitaker a menace to society? The real menace to society is a profession that has knowingly lied for decades to vulnerable people for profit, and refuses to take responsibility for the harm done.

For the past five years that I have worked for The Law Project for Psychiatric Rights, I have known over a thousand individuals who have literally lost everything because they are disabled after withdrawal from SSRIs, benzodiazapines, "mood stabilizers," and neuroleptics prescribed for sleep. They are a burden to their families, unable to qualify for disability because the medical profession refuses to learn and continues to deny the reality of their iatrogenic suffering.

How dare you ignore these young people whose twenties have been ripped away from them? As they suffer for years, unable even to leave the house, they watch their peers build families and careers and enjoy their youth. Any responsible group of people, instead of digging their heels in and denying this is happening would be diving in first to learn, and then to help. Because people matter. Because doctors are suppose to care about patients. Instead, we have a public health epidemic of iatrogenesis.

Former Halifax psychiatrist charged with child pornography offence

Vis the Global News

A former psychiatrist in Halifax is facing a child pornography charge in relation to a case that’s more than a decade old.

Dr. Curtis Steele, 82, was charged with making child pornography after police launched an investigation last year to look into claims he had taken naked pictures of a 14-year-old female patient.

Steele was arrested on Thursday after he turned himself in at the police station.

He was released under conditions and will appear in court on June 16.

16 separate hospitals and their respective corporate parents have agreed to collectively pay $15.69 million related to fraudulent billing of psych services

Press Release From the US Department of Justice

Sixteen Hospitals to Pay $15.69 Million to Resolve False Claims Act Allegations Involving Medically Unnecessary Psychotherapy Services

The Justice Department announced today that 16 separate hospitals and their respective corporate parents have agreed to collectively pay $15.69 million to resolve False Claims Act allegations that the providers sought and received reimbursement from Medicare for services that were not medically reasonable or necessary, the U.S. Department of Justice announced today. 

“Hospitals that participate in the Medicare program must ensure that the services they provide and bill for are based on the medical needs of patients rather than the desire to maximize profits,” said Principal Deputy Assistant Attorney General Benjamin C. Mizer of the Justice Department’s Civil Division.  “The Department of Justice is committed to ensuring that those who seek to abuse the Medicare program will be held accountable for their actions.”

This case concerns claims to Medicare for Intensive Outpatient Psychotherapy (IOP) services.  IOP services represent a continuation of ambulatory psychiatric services and provide active treatment to individuals with mental disorders using a variety of treatment methods.  Medicare will pay for an appropriate course of IOP treatment provided a number of specific requirements are met including, most notably, that the services in question are reasonable and necessary for the diagnosis and treatment of the patient’s condition.

These settlements resolve allegations that, beginning as early as 2005 and in some cases continuing into 2013, the hospitals knowingly submitted claims for IOP services that did not qualify for Medicare reimbursement because: the patient’s condition did not qualify for IOP; the patient’s treatments were not provided pursuant to an individualized treatment plan designed to help the patient address specific mental health needs and reach achievable goals; the patient’s progress was not being adequately tracked or documented; the patient received an inappropriate level of treatment; and/or the therapy provided was primarily recreational or diversional in nature, and not therapeutic.  The IOP services in question were typically performed on the providers’ behalf by Allegiance Health Management (Allegiance), a post-acute healthcare management company based in Shreveport, Louisiana, but billed to Medicare by the providers.

The providers who have reached agreements to resolve these allegations with the United States include:

• Health Management Associates Inc. (HMA), and the following 14 hospitals formerly owned and operated by HMA: Central Mississippi Medical Center in Mississippi, Crossgate River Oaks in Mississippi, Dallas Regional Medical Center in Texas, Davis Regional Medical Center in North Carolina, East Georgia Regional Medical Center in Georgia, Gilmore Regional Medical Center in Mississippi, Lake Norman Regional Medical Center in North Carolina, Lehigh Regional Medical Center in Florida, Medical Center of Southeastern Oklahoma in Oklahoma, Natchez Community Hospital in Mississippi, Northwest Mississippi Regional Medical Center in Mississippi, Santa Rosa Medical Center in Florida, Southwest Regional Medical Center in Arkansas, and Summit Medical Center in Arkansas, which agreed to collectively pay $15 million;

• Community Health Systems and its subsidiary Wesley Medical Center in Mississippi, which agreed to pay $210,000; and

• North Texas Medical Center in Texas, which agreed to pay $480,000.

In October 2013, the United States resolved similar allegations with LifePoint Hospitals Inc. and two of its subsidiaries, PHC-Minden L.P., doing business as Minden Medical Center, and PHC-Cleveland Inc., doing business as Bolivar Medical Center, which collectively paid $4,672,469.80.

“This case demonstrates that the U.S. Attorney’s Office for the Eastern District of Arkansas will aggressively pursue civil health care fraud cases, where the integrity of the Medicare system has been undermined,” said U.S. Attorney Christopher R. Thyer of the Eastern District of Arkansas.  “Medical care providers who abuse Medicare hurt all taxpayers, and today’s announcement highlights our commitment to protecting our national health care system, as well as the Arkansans who depend on it.”

“Our agency is dedicated to investigating health care fraud schemes such as this, which divert scarce taxpayer funds meant to provide for legitimate patient care, including services for the often underserved mentally ill population,” said Special Agent in Charge Mike Fields of U.S. Department of Health and Human Services-Office of Inspector General (HHS-OIG).

The allegations resolved by today’s settlements arose from a lawsuit filed under the False Claims Act.  The act allows private individuals known as “relators” to sue on behalf of the United States and to share in the proceeds of any settlement or judgment that may result.  The relator in this case will receive $2,667,300. 

These settlements were the result of a coordinated effort by the Civil Division’s Commercial Litigation Branch, the U.S. Attorney’s Office for the Eastern District of Arkansas and HHS’ Office of Audit Statistics and OIG.

These settlements illustrate the government’s emphasis on combating health care fraud and marks another achievement for the Health Care Fraud Prevention and Enforcement Action Team (HEAT) initiative, which was announced in May 2009 by the Attorney General and the Secretary of Health and Human Services.  The partnership between the two departments has focused efforts to reduce and prevent Medicare and Medicaid financial fraud through enhanced cooperation.  One of the most powerful tools in this effort is the False Claims Act.  Since January 2009, the Justice Department has recovered a total of more than $24 billion through False Claims Act cases, with more than $15.3 billion of that amount recovered in cases involving fraud against federal health care programs.

The claims settled by these agreements are allegations only, and there has been no determination of liability.