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Showing posts sorted by relevance for query bonkers institute. Sort by date Show all posts

Wednesday, March 20, 2013

Bonkers Institute Launches Facebook Page

Dr. M. I. Bonkers of the Bonkers Institute for the Nearly Genuine Research has created a facebook page.  http://www.facebook.com/BonkersInstitute 




Here is one of the institute's first posts, in keeping the traditional, somber tones of reality, of course.


Soldiers diagnosed with PTSD are commonly prescribed drug cocktails (Paxil, Seroquel, Klonopin) known to cause sudden cardiac death. 
Army Ranger Ryan F. Coyer (his gravestone is pictured on the Bonkers Institute web site) is on Dr. Fred Baughman's list of soliders and veterans who have died suddently (often in their sleep) due to psychiatric drug "treatment."

Ryan F. Coyer died one year ago, in March 2012, of sudden cardiac arrest at age 26.  This week, the national newspapers are splashing his same photo all over the place, reporting
that "Staff Sgt. Coyer died of complications from an injury sustained in Afghanistan."

Here's one example of many, including the Wall Street Journal:
http://www.businessinsider.com/the-real-cost-of-our-wars-in-iraq-and-afghanistan-photo-2013-3

It's revolting that this poignant photo is being used as if it were part of a Big Pharma advertising campaign!

That's why to those on Facebook, we're making this request:

Please share our web link on Facebook.
No need to comment -- simply post it, that's all:

http://www.bonkersinstitute.org/veterans.html



Voting is beautiful, be beautiful ~ vote.©

Tuesday, May 11, 2010

Pscyhiatric Medicaid Fraud Scheme Revealed

The prestigious Bonkers Institute, whose founder, Dr. Methodius Isaac Bonkers, has recognized the universal need to challenge to the false and biased research that is being promulgated by universities, simply for funding.

I take this time to honor the great work of Dr. M. I. Bonkers by presenting his, obvious, inspiration, Horace Mann Bond.

Horace Mann Bond authored the first scientific study used in a court of law to render the historic decision in the Brown v. Board of Education case.

"Talent and Toilets" is called a parody study.

A parody study is when another study is created, basically by making fun or ridiculing the legitimacy of another study. The Supreme Court has ruled on this practice as fair use.

"Tanks and Toilets" shows how theories of learning and intelligence disparities have nothing to do with race, but are significantly correlated with poverty. Bond uses the number of toilets as his poverty indicator.

Talent and Toilets

Dr. M. I. Bonkers has revived this powerful tool to bring forth accountability and transparency to academic research in the fields of psychiatric medicine and social work with his work at the Institute for Nearly Genuine Research.

I look forward to the day Dr. Bonker's work is used in a court of law to end the drugging of children and Medicaid fraud in child welfare.


Asymptomatic Depression:
Hidden Epidemic and Huge Untapped Market

Methodius Isaac Bonkers, M.D., Principal Investigator
Bonkers Institute for Nearly Genuine Research
In recent years, antidepressant sales have skyrocketed beyond the pharmaceutical industry's wildest dreams. Yet despite widespread screening programs and aggressive marketing campaigns designed to raise mental health disease awareness, a significant percentage of the population remains undiagnosed and untreated. Estimates vary, but research suggests nearly a third of American adults have never been diagnosed with any mental disorder. Precisely this segment of the population must be targeted for intervention if pharmaceutical profits are to continue rising at their current rate.

One way to increase the prevalence of a disease is to broaden its diagnostic criteria. By providing physicians with an ever-growing laundry list of signs and symptoms to evaluate (insomnia or oversleeping, poor appetite or overeating, constant crying or inability to cry, apathy or hostility, fatigue or restlessness, and so on), the number of potential clients/patients is greatly expanded. However, a major flaw in this strategy is that it focuses exclusively on those who complain of sickness, while completely overlooking those who feel well. The present article explores the novel hypothesis that patients who feel well are, in fact, patients who need treatment.

Understanding depression and its causes
Depressive disorders often co-occur with anxiety or substance abuse and are a leading form of disability in the United States. Depression may strike any time without warning. Researchers have identified four primary causes of mild, moderate and severe clinical depression:
1. Imbalance of key neurotransmitters in the brain;
2. Chronic low-grade hopelessness generated by early childhood trauma;
3. Sudden realization of the essential absurdity of life;
4. Ecological catastrophe on a scale never before seen in human history.

Other factors which might trigger a depressive episode include:
* having either too much or not enough of something;
* being trapped in an utterly hopeless situation with no way of escape;
* remorse, guilt, shame, failure, disappointment, grief, pain or loss of some kind;
* omega-3 deficiency from not eating enough cauliflower;
* infestation of household pests such as termites or rodents;
* leaky faucet, clogged drain or similar plumbing problem;
* global economic collapse, thermonuclear war, mass starvation, genocide, etc.

Obviously, anyone who feels depressed is depressed, but what about those who never complain of depressive feelings? The sickest members of our society may be those who maintain a cheerful attitude in the midst of devastation, chaos and despair. Turning our attention to patients who insist they feel fine even as the entire world crumbles around them, we immediately recognize something seriously wrong with these individuals. Their condition arises from a particularly insidious and virulent strain of depression, difficult to detect. Identified by the scientific name dolor occultus ("hidden pain"), asymptomatic depression is a serious and persistent mental illness which may be far more prevalent than previously thought. Compounding the tragedy, in most cases patients remain untreated because they are entirely unaware of their disease.

Recognizing signs and symptoms
Familiar signs and symptoms of chronic clinical depression are easily recognized:
* slumped shoulders;
* downcast eyes;
* inability to concentrate;
* tendency to see the glass as half empty;
* hasn't dusted behind the refrigerator in months;
* worries about stuff like nuclear proliferation, vanishing coral reefs,
mounting budget deficits and the legacy we're leaving our children.

Only a trained medical professional can properly identify the subtle signs of asymptomatic depression:
* rosy cheeks;
* sparkling eyes;
* sunny disposition;
* optimistic about the future despite all evidence to the contrary;
* invariably sees the glass as half full;
* doesn't mind if the glass contains deadly bacteria and toxic chemicals.


Which patient suffers asymptomatic depression?



The patient's cheerful countenance is a sure sign of asymptomatic depression.

Images generated utilizing sophisticated suprafacial photoscopic scanographic device

(Polaroid camera) to detect putative axiomatic biochemical imbalance within the brain.

Patient on right exhibits classic signs of asymptomatic depression.

The patient's cheerful countenance is a sure sign of asymptomatic depression.
Images generated utilizing sophisticated suprafacial photoscopic scanographic device
(Polaroid camera) to detect putative axiomatic biochemical imbalance within the brain.
Patient on right exhibits classic signs of asymptomatic depression.

Simplifying diagnosis, screening, intervention and treatment
Concerns about underdiagnosis and undertreatment of depression have led to widespread support for routine diagnostic screening in the form of standardized symptom checklists and simple written or verbal tests administered to patients. Arroll et al (2003) report impressive results when patients are asked two questions:

1. During the past month have you often been bothered by feeling down, depressed, or hopeless?
2. During the past month have you often been bothered by little interest or pleasure in doing things?

Brief yes-or-no questionnaires have proven remarkably efficient in detecting cases of depression, although false positive rates of 30% and false negatives of 0.4% clearly leave some room for improvement. Accurate and comprehensive screening of an invisible or hidden disability like asymptomatic depression requires the use of precise diagnostic tools much more sophisticated than a simple two-question quiz. Experts recommend a rigorous one-question quiz:

1. Do you feel depressed, yes or no?

A single-item questionnaire not only simplifies screening, but also facilitates diagnosis, validates testing, justifies intervention and maximizes treatment. Patients responding "Yes" are diagnosed with depression and treated accordingly. Patients responding "No" are diagnosed with asymptomatic depression and treated accordingly.

In all cases, whether patients respond Yes or No, current evidence-based treatment protocols dictate prudent pharmacological intervention with a selective serotonin reuptake inhibitor (SSRI) such as Lexapro or Zoloft and/or serotonin-norepinephrine reuptake inhibitor (SNRI) such as Cymbalta or Effexor. Both SSRI and SNRI agents are proven to work equally well for mild, moderate or severe major depressive and dysthymic or cyclothymic mood disorders including chronic, clinical, residual, refractory, treatment-resistant, subsyndromal and/or asymptomatic depression.

Although their precise mechanism of action is not well understood, antidepressants appear to relieve depressive symptoms through an active placebo effect. Common adverse reactions including insomnia, irritability, impotence and incontinence effectively convince patients of the medicine's potent neurophysiological properties, somehow making them feel better.

In cases of asymptomatic depression, antidepressants have a paradoxical effect. Patients who feel fine before taking the medication subsequently grow depressed as they endure side effects ranging from diarrhea, nausea and heart palpitations to grand mal seizures, headache and tremors. Emotional distress typically increases as physical health declines -- a sure sign treatment is working. Once the patient's asymptomatic depression is completely cured, the physician may confidently diagnose major depressive disorder and treat the patient accordingly.


References:

Arroll B, Khin N, Kerse N. Screening for depression in primary care with two verbally asked questions: cross sectional study. British Medical Journal, Vol. 327, No. 7424 (15 Nov. 2003), pp. 1144-1146.

Ayd, FJ. Recognizing the Depressed Patient: With Essentials of Management and Treatment. New York, Grune & Stratton, 1961.

Bentall RP. A proposal to classify happiness as a psychiatric disorder. Journal of Medical Ethics, Vol. 18, No. 2 (June 1992), pp. 94-98.

Regents of the University of Michigan. Beyond Sadness: Bridging the gap between emotional and physical symptoms of depression. Ann Arbor, MI, 2002.

Latest studies from the Bonkers Institute:

* Schizophrenia Treatment in Seven Easy Steps
* Addictive Properties of Shiitake Sesame Vinaigrette
* Utilization of Placebo Rat Poison in Controlled Clinical Trials
* Chemical Imbalance Not Otherwise Specified: Useful Diagnostic Category?
* Science Made Simple: Shopper's Guide to Mental Disorders
* Therapeutic Efficacy of Cash in the Treatment of Anxiety and Depressive Disorders
* Everything You Need to Know About Electroshock
* Asymptomatic Depression: Hidden Epidemic and Huge Untapped Market

© 2010 Bonkers Institute for Nearly Genuine Research

Monday, September 14, 2015

Ben Hansen, Founder of The Bonkers Institute and Pioneer in Medicaid Fraud in Child Welfare, Dies at 60

Ben Hansen
Michigan's Ben Hansen, a major inspiration in my mission to end Medicaid fraud in child welfare, has left the world his legacy today. 

He was one of the first, if not the first, individuals to question the drugging children with high levels of psychotropic and its billing to Medicaid.
Ben Hansen
1955 - 2015
Pscyhiatric Medicaid Fraud Scheme Revealed

Pscyhiatric Medicaid Fraud Scheme Revealed

The Child Was Loved Until The State Stepped In

Coming in 2011: the end of Eli Lilly as we know it


The Makings Of Michigan's Dark Secrect: Medicaid Fraud In Child Welfare  (This was our first collaboration)


Dr. I M.Bonkers of the Bonkers Institute for Nearly Genuine Reseatch
(a.k.a. Dr, Ben Hansen)



I will always love you, Ben.  

I am still on the mission...

Voting is beautiful, be beautiful ~ vote.©

Friday, February 1, 2013

Bonkers Institute questions trauma awareness campaign on school shootings

Bonkers Institute questions trauma awareness campaign on school shootings

FOR IMMEDIATE RELEASE

Coinciding with the launch of DSM-5 is a broad-based national campaign to raise “awareness” about trauma (so-called).

A typical example is a SAMHSA-sponsored workshop, Understanding the Effects of Trauma on the Lives of Those We Serve - Promoting Alternatives to Seclusion & Restraint through Trauma Informed Practices, being held today here in northern Michigan, described in this leaflet:
http://www.centrawellness.org/userfiles/filemanager/599/

The word “trauma” is certain to be bandied about with increasing frequency, what with all these school shootings and so on…

Our question is this: which drug companies are behind the “trauma awareness” campaign? 

If you know of any new drugs and/or new FDA approvals for the treatment of trauma, please enlighten us on the subject.  Even if it’s only a hunch, let us know which companies you think might profit the most from the expanded diagnosis of PTSD and related disease entities (so-called).  

Keep your eyes open for drug reps who might be standing in the background, and be alert for any literature, brochures etc. with the words, "Sponsored by an unrestricted educational grant from..."  We're looking for clues, looking for fingerprints...

Thanks from the entire staff here at the Institute,

Methodius Isaac Bonkers, M.D. 


Voting is beautiful, be beautiful ~ vote.©

Friday, December 2, 2011

The Child Was Loved Until The State Stepped In


Courtesy of Dr. I. M. Bonkers
Director of the Bonkers Institute
for Nearly Genuine Research

As I read this letter from the U.S. Health and Human Services to the States, I became absolutely disgusted knowing that nothing will ever change.  The reason why is because of the privacy laws in child welfare.  It would not be in the best interests of child welfare organizations to tell the truth.

The truth is the failure of HHS to even recognize that children are Legally Kidnapped and put in foster care for reasons other than what the child abuse propaganda will brainwash you to believe.  A child can be put into foster care because of poverty, a lack of medical coverage, the fact the parent is an undocumented immigrant, or parental rights to a previous child has been terminated based on the preceding items in this list.

In all these instances the child was loved until the state stepped in.

The States will not do anything due to the simple fact that the privatized child welfare organizations will never face any penalty of their actions.  Ever.

Let me give you an example.  Foster care caseworkers perform Axis III diagnoses.  A visiting physician will come through and see a child for less than five minutes to write a script.

States do not even report incidences of rape, suicide and torture in foster care so what makes you think they are going to be forthright in reporting polypharmacy let alone justification of labeling kids with the labels that killed Rebecca Riley.
Rebecca Riley (April 11, 2002 – December 13, 2006), the daughter of Michael and Carolyn Riley and resident of Hull, Massachusetts, was found dead in her home after prolonged exposure to various medications, her lungs filled with fluid. The medical examiner's office determined the girl died from "intoxication due to the combined effects" of the drugs Clonidine,valproic acid (Depakote), Dextromethorphan, and Chlorpheniramine and that her heart and lungs were damaged due to prolonged abuse of these prescription drugs. Police reports state she was taking 750 milligrams a day of Depakote, 200 milligrams a day of Seroquel, and .35 milligrams a day of Clonidine. Rebecca had been taking the drugs since the age of two forbipolar disorder and ADHD, diagnosed by psychiatrist Kayoko Kifuji of the Tufts-New England Medical Center.
State Medicaid Fraud Control Units are typically housed in the State Attorney General's Office.  The State Attorney General advocates for these child welfare organizations and the state, which is the legal guardian of foster children.  To prosecute the entities it contracts and pays would be a severe conflict of interest and would put a financial strain upon state revenues.

How can HHS even think it can develop "webinars" to stop this multi-billion dollar industry of drugging children?  This is not even a bandaid, this is like pretending the shit the elephant just dumped in the room does not stink.

Come on Pamela, George and Donald.  I expect much better from you.
State Director Letter - Joint ACF CMS and SAMHSA on Psychotropic Drug Use in Foster Care

Wednesday, November 8, 2017

Econometrics Meets Jerry Milner, Privatization & Child Welfare Profit

It seems the U.S. Department of Health and Human Services has adopted, for lack of a better word, predictive analytics in child welfare as its foremost showcase item for the incoming Administration for Children, Youth and Families Commissioner.

But, before we get into the examination of the new Commissioner, first, let us examine, exactly, what predictive analytics in child welfare is:

PREDICTIVE ANALYTICS IN CHILD WELFARE: some crap created to make more money by privatized contractors of the office of the Assistant Secretary for Planning and Evaluation who used to work for child welfare foundations and the same privatized contractors before they went back to DHHS, then leave again to go back to those same private corporate contractors.

If you did not bother to click the link to ASPE, I have taken the time to leave a few snippets of the crap they are promoting:

Predictive analytics is increasingly seen as a technology that can improve child welfare outcomes, with a range of possible applications and potential pitfalls.  ASPE in 2016 initiated a project to help inform HHS and the child welfare field about how predictive analytics is beginning to be used in in child welfare, what successes and challenges early adopters are encountering, the potential this field has to improve child welfare outcomes, and ways the federal government could facilitate progress. 

Several products are available from this contract:

Bill Gates said it best when speaking on child welfare:

“If you are born poor its not your mistake, But if you die poor its your mistake.” 

So, what these foundations did, particularly the Bill and Melinda Gates Foundation in partnership with the Clinton Foundation, was to optimize revenue generation of "The Poors"  (always said with clinched teeth) or as the concept Hillary Clinton promotes, "fullest potential".

The concept is simple.

State payment to private sector plan lifts Saudi index
Tadawul investment in privatized U.S. child welfare bonds
Make money off "The Poors" by leveraging them as human capital for the best interest of the child, literally.

The children are the chattel and predictive analytics are designed, in the most simplistic way I can present to get people to understand, to be bought and sold on the open markets of complex, private investment schemes.

For a background on Wall Street, Silicon Valley, Foundations and other international investors promoting predictive analytical model in child welfare you can the following link, otherwise, skip it and continue reading.

Econometrics Meets Foster Care.



Bonkers Institute
Academics doing predictive analytics in child welfare
In the academic world, way up in the ivory tower of their contained, manufactured reality to keep a job, these people actually believe they can predict the outcome of a kid by plugging the birth into a variable database, click a button, and determine if the kid will end up in prison, so they can invest in the building of more prisons.

Seriously.

These academics, mostly out of California, as the Clinton Foundation is now morphing into the Google Foundation, are looking to come up with some form of mumble jumble in order to apply quantitative investment modeling to the old school form of qualitative eugenics.

Ok, allow me to put this into simpler terms.

These people want to make slavery, sexy, again by making profit from the investment in chattel.

Without further adieu, allow me to present to you the man who is going to open to investment doors of privatization to maximize the best interests of the child, the one, the only, Jerry Milner in the spirit of fuchsia. 

Jerry Milner
ACYF Commissioner,
Former VP of a former
ACYF contractor
In June, the Trump administration hired Jerry Milner to lead the federal agency within the Department of Health and Human Services that oversees federal child welfare funding and policy.

The Administration for Children, Youth and Families (ACYF) was established in 1977 and oversees the Family and Youth Services Bureau as well as the much larger Children’s Bureau, which was created by President William Howard Taft back in 1912. As acting commissioner of ACYF, Milner oversees a budget of $9.7 billion and a staff of 200, giving him the power to significantly influence national child welfare policy.

ACYF was created right after CAPTA to make more money during the oil crisis.

Prior to his current role, Milner ran Alabama’s foster care system, and then joined the George W. Bush administration’s Children’s Bureau. There, he helped design the Child and Family Services Review (CFSR) process, a periodic review of state child welfare systems conducted by ACYF.

Did you know not one single, solitary state, has met its benchmarks, let alone pass one of these CFSR reviews?

Did you know that, when one of these states goes through one of these CFSR reviews and is found to be jacked up in its operations, nothing happens?

Wait, the state gets to go through another review, where nothing is found to be improved, which means the state gets a pass until the next review.

Did you know the administrators of the Children's Bureau go through the revolving door of heading up the same privately contracted organizations that have successfully proven to have not done a damn thing to improve the well-being of children, but to being an administrator again?

Milner also served as a vice president at a consulting firm called the Center for the Support of Families, where he presided over child welfare practice.

Did you know the Milner's consulting firm, Center for the Support of Families, is also SLI Global Solutions, LLC, a software, procurement firm?

I do not know about you, but if I find out that, in any shape or form, that Milner has used his position to shoot over contracts, or benefit from his position, and I am going to be nice and keep it in the area of predictive analytics, I am going to go off, which, anyone in public office should know that I am very, very good at doing.

Among his projects there was a 2016 report, where he and his team found that New Hampshire’s child welfare system was not adequately investigating reports of abuse and neglect in part due to a “seriously overloaded workforce.” These are some of the very issues he will have to grapple with in his new role, but on a much larger scale.

Ok, you know I read the entire report.

In a nutshell, this report is nothing but a tempplate pitch for more privatized oversight layers of services that will do absolutely nothing but promote to generation and submission of even more false claims to Medicaid and Title IV-B administrative 75% federal participation rate.

This report was crap.

There was no mention of any thing remotely close to the lack of civil rights, which, if you do not already know, does not exist in child welfare.

Poverty was another one of those elusive terms that was not addressed when looking at the reason why child welfare staff was overworked.

Heck, there was no mention of recidivism of staff or the non-existent conditions for whistleblower, a very powerful tool of oversight.

But, alas, looking at the inherent conflict of interests in Milner's new position, I see lots of procurement policies favoring private contacts that hire SLI to walk them through the creatively fictitious billing process to make those social impact bond payments.

I dare someone tell me I am wrong.

I wonder if he disclosed any financial interests with Ethics.

Following up an in person meeting in Washington, D.C. this fall, Milner agreed to provide written responses to a series of follow-up questions. In those responses Milner remarked on a range of issues including maltreatment prevention, federal finance reform and the future of the CFSR process.
When we met, you discussed the five key messages or pillars that you want to work toward during your time at ACFY. What are those?

We are very interested in changing our current system so that it strengthens the resiliency of families as our primary intervention and gives children what they need to thrive.

What children and families need to thrive: stop making people poor for profit.

Right now, we typically respond only after families have lost much of their protective capacity and children have been harmed. We need to strive to create environments where they get the support they need before the harm occurs, which, in my mind, calls for a reconceptualization of the mission and functioning of child welfare systems. Tweaking what we already have in place won’t solve the problems.

How about stop legally kidnapping kids?

Poverty is not a crime.

Selling kids is called human trafficking.

While certainly not an exhaustive list, there are some priorities that are central in moving toward a system that truly strengthens families.

First, we need to change the focus of child welfare to primary prevention of maltreatment and unnecessary removal of children from their families. We can only break the cycle of family disruption and maltreatment by addressing the root causes of those situations.

How about ditching the moral turpitude stuff and stop making poverty a crime?

How about, instead of these multi-million dollar private contracts to design more designs to design another design to upbill, how about putting the social safety net back together?

Second, we should prioritize the importance of families by ensuring that when foster care is necessary, it operates as a support for the family rather than a substitute for the parent. The integrity of the parent-child bond is essential to healthy child development. Whenever it’s possible and safe, the foster care system should support that bond by engaging birth parents to remain a vital part of their children’s care and routines even while in foster care.

I have a question.  How come you promote paying someone else to take care of kids instead of paying the parents, whom you snatched the kids in the first place for being poor?

Third, we must focus our interventions on the overall well-being of children and their parents by changing our core practices, especially around removal and placement. We know that removal of a child from a family is traumatic. Trauma is very hard to undo and presents lifelong challenges. We should consciously avoid inflicting psychological and emotional damage to children in our efforts to achieve physical safety. We can help to do that by providing services to help families stay together whenever possible; keeping children in their communities if removal is necessary, ideally within their extended families; protecting the integrity of the parent-child relationship whenever possible; and normalizing their experience in foster care as much as possible.

If you know removal of a child is traumatic, did you ever consider what happens to the parents when this happens?

Did you even publish in your report about the drugging of foster kids, the rapes, the beatings, the attempted suicides, the suicides?

Bet you did not because your agency has an adversion to the reality of statistics such as this.

Fourth, to be effective in supporting children and families, communities need the strength of a broad base of collaborative efforts among the entities that touch their families’ lives.

That is just a fancy way of saying that people need to deal with a life of perpetual poverty because "collaborative efforts" is just code word for a privatized entity to come into a community and set up shop for more social impact investing.

See, even these privatized consultants will pitch how to "maximize revenues" instead of providing services to prevent poverty.

Finally, to achieve better outcomes, we must have a healthy and stable child welfare workforce. This is very difficult work, we need to make sure the workforce is skilled, supported, and committed to making families stronger through preventive interventions and not only when maltreatment has occurred.

How about drug testing and psych testing your workforce.

Trust me, anyone who can stay more than a year snatching kids is from a special type of cloth.

How about providing the child welfare workforce a vehicle to report fraud, even with a bounty?

How about giving these workers some authority to make their own decisions to provide services and resources instead of having to follow the jacked up administrative manuals which have not, to this day, proven to meet the needs of federal, state and local complaince of civil rights?

How about stop outsourcing their jobs?

Taken together, I believe these efforts will help reshape our system from one that is reactive and geared toward picking up the pieces after bad things happen to one that is supportive, accessible and provides children and families the services they need to remain healthy and strong.

In regards to primary prevention, what kind of programs and initiatives would you like to see the child welfare system focused on?

We need a range of support services that help to strengthen parents’ protective capacities; for example, parenting education and support, community-based substance abuse prevention and treatment services, ready access to needed medical and mental health services and trauma-informed services to help parents heal from their adverse experiences.

Let me see if I got this one right.  You want services to help parents deal with the trauma of being traumatized?

Nice billable, dude.

One of the keys to providing services is to ensure that they are flexible and can be tailored to the needs of individual children and families so that we can get at the root causes of the need for child welfare intervention.

The root cause of intervention:  poverty, well, I am going to have to throw in sustainability.  Gotta keep those paychecks a-flowing.

No kids, no jobs.

Our current funding structure does not necessarily support such flexibility and changes are needed in order to build responsive prevention systems.

You just want to show your investors you are creative in optimizing revenue maximization for a profitable return on those social impact investments.

What is the role of systems other than child welfare in the child maltreatment prevention push?

Other systems play a tremendous role in preventing child maltreatment — they are absolutely critical. Prevention requires a vigorous, highly integrated, multi-systemic approach involving all who work with children and families. Prevention cannot be accomplished by the child welfare system alone; the issues children and families are facing are just too complex.

I got another system to prevent child maltreatment!

Stop making people poor!

Stop making poverty a crime!

The best examples I’ve seen of community-based prevention services have been the result of strong partnerships among child welfare, the courts and a host of other systems, along with a commitment of all stakeholders to community-based services. No single group or organization can be effective alone in creating healthy, thriving communities, but together with a clear vision and strong leadership, it is possible.

The only leadership I can see you promoting is the fact that you have the procurement pen in your hand for a $9.7 billion budget.

Our challenge and opportunities lie in working across systems, be that the medical system, the mental health and substance abuse treatment provider systems, our schools, law enforcement, community organizations and all other stakeholders that come in contact with vulnerable families and providing them the support they need to stay healthy and strong.

Look at you doing that cross spectrum application for procument, and I bet it is for your lil' global initiative.

How would you suggest the child welfare system re-orient its financing structure to allow for primary prevention? What changes do you think would improve the structure of federal child welfare financing?

End privatization.

Expand whistleblower protections and opportunities.

Make HHS OIG do their job.

Get rid of that useless CFSR.

Contractually debar, sanction, revoke licensure, prosecute and recover fraud.

Under the current funding system, the bulk of federal funding is available to support the costs associated with foster care. This means most of the funding goes to support children who have been maltreated and removed from their parents. We think that is too late. Research tells us that many removals could likely be prevented if warning signs were detected earlier and effective services provided.

States need the flexibility to use federal funds to help families sooner, before serious danger arises or harm occurs. Access to effective prevention services can help keep families together, and flexibility is the key that will allow communities to respond most effectively to their unique needs.

What are your thoughts on the role of predictive analytics for both child maltreatment prevention and responding to reports of child maltreatment?

If people did not fear CPS, and the child welfare system did not have the "Right To Lie", and the entire system was not secretive, and there was due process, and there were civil rights protections, well, I think you get the picture.

I think we have only begun to understand the potential for analytics to support and inform our work.

Some states are using analytics to assist in safety and risk assessment and in identifying reports that warrant action. Others are using analytics at a higher, community level to understand the associations among various factors and the incidence of child maltreatment.

Having the capacity to share data across agencies and programs is an essential component to the effective use of analytics, and is often perceived as a barrier although it is happening in some jurisdictions.

I believe we should continue to support and develop our capacity to collect and use data in ways that will lead to improved outcomes for children and families.

This is that predictive modeling.  The stakeholders of this data-driven crystal ball movement thinks they can predict the future of a kid the same way they can do credit scores.  Seriously.

I got this administrator out of California who got into an argument with me about this.

Little did old dude know that quantitative analysis just so happens to be one of my expertise, of which he had no background in.

I was into AI when it was just a green screen.

I would pull it up, but this is a long winded rip, and I do not want to lose my witty train of thought.

You mentioned the importance of expanding community-based approaches to child welfare. What do you mean by that and what ideas do you have there?

We need community-based, collaborative services to support healthy and thriving families. This means that improvement efforts are more likely to succeed if they are locally-based and community-driven because that is where families live.

This is particularly important in a prevention environment. Even if foster care is necessary for a child, we know that the opportunities to keep critical relationships intact are greater when children are placed in the communities where they live.

A community-based approach requires a few things. It’s important to understand what life is like for families in their specific communities. What are they struggling with? What resources are available? Are there cultural practices or norms that are unique?

These are all things that are known at the local level and can make a key difference in the effectiveness of interventions. The aim is to become a system to which people turn for help, not seek to avoid.

Well, it looks like the only area for improvement is going to be handing out more privatized contracts.

There’s also good reason to believe that if services were offered in more accessible, less threatening ways, by people and in places that may be familiar, such as through the auspices of a community center or a church, parents may be more likely to seek help on their own and benefit from the supports available to them.

Hey, did you know there are lots of community groups, in the community, that can provide services and resources, if you stop handing out those contracts to your investors which do nothing but put a bunch of fancy words on paper with pretty pictures?

If you give direct funding to the communities, something tells me the community will be able to let the community services do stuff like create jobs and spawn economic development.

Of course that would mean your social impact bonds would have some issues.

What are the most pressing workforce issues in child welfare, and what would you do to alleviate the secondary trauma and burnout so often associated with the child welfare workforce?

Layers, upon, layers, upon layers, of paperwork, which of course is designed by those privatized CQI orgs that have no clue of what the workers on the frontlines have to endure.

The workforce issues are not new. The inability to recruit staff effectively in some areas of the country, high caseloads, inadequate training, inadequate support for staff, a need for ongoing skill development to improve practice, and stressful work that often inflicts secondary trauma on social workers all contribute to challenges in recruitment, retention and the quality of work with children and families.

You train people to legally kidnap children.  How would you feel?

There are many ways to support child welfare staff who are constantly exposed to the traumatic nature of the work. Examples include ensuring that supervision and mentoring recognize and respond when social workers are affected by their experiences, building in-house peer supports for staff, understanding and providing for a healthy work-life balance, and decision-making processes that take life-and-death decisions off the shoulders of a single worker.

As a social worker, I believe that child welfare staff want to do good work and oftentimes know what needs to happen to be effective. Unfortunately, organizational cultures and the lack of supports are often barriers.

Effective and inspirational leadership in child welfare is central to supporting the workforce, through establishing a clear vision, a supportive environment, and an organizational culture that values keeping families together. Behind every successful child welfare program, there are leaders who have vision, know what needs to happen and how to make it happen, and who can inspire and bring together their own staff with other essential stakeholders to shape effective systems for children and families.

There are no successful child welfare programs.

Never have, never will if you keep up the same organizational culture that values profits over people.

To what degree are opioids a factor in increasing foster care rates?

Huge.

We are experiencing increases in the number of children in foster care at the same time that there is an increase in the percentage of children entering foster care with a reason related to substance abuse.
However, at the federal level, we cannot make the direct link to opioid use since our data are not specific as to the types of substances being abused. Still, based on the information we hear from states, there is strong reason to believe that opioid abuse is a contributor to some of the increases.
This phenomenon supports the need for greater flexibility in providing prevention services, strong community partnerships, and in data-sharing so that we can both understand and address the problems.

You do not need more data to find the linkage of opiod use and foster care.  You already have it!!!!!!!

Did you ever think about a collaborative partnership with DOJ to find out where the opioids are coming from to stop it?

What are our thoughts on the Family First Prevention Services Act? Would you like to see something like it move forward?

We need to be able to reach families further upstream if we are serious about improving outcomes for children and families.

Flexible funding, thoughtfully applied, will allow us to be a proactive rather than reactive system, which is key to preventing maltreatment, and key to strengthening families.

At the same time, we should take care not to impose increased regulation on states’ abilities to make the right decisions for individual children and families and burden them with unnecessary reporting and compliance requirements.

Wow, you did not answer the question.  I will take that as a position of opposition for the Family First Prevention Services Act.

I have my own position on this Act, but that is not the point of this rant.

The Chronicle’s research shows that there is a serious shortage of foster beds relative to foster kids. Do you think the federal government should be more engaged in tracking and assisting states with recruitment?

In the long run, I don’t think we will solve the problems in foster care by finding more beds for children to sleep in. We need to resolve the problems that lead to the increased need for foster care placement.

Nonetheless, in the immediate, we understand that states are facing shortages of placement options when children are entering foster care, and we are very supportive of the need for an adequate supply of family-based placement resources.

Through the Children’s Bureau’s network of technical assistance providers, we have and will continue to support states’ efforts regarding diligent recruitment of foster and adoptive families, with an emphasis on looking first within the children’s extended families. We are also placing emphasis on increased diligence in engaging fathers and paternal relatives, which may provide an expanded array of kinship care options for children in placement.

You almost had me until you took a sharp right, left the staduim and hit the highway doing 90 miles an hour while the game was still going.

How about emphsizing that emphasis on famliy security for continued placement and extended family placement.  Again, you can pay a foster parent, why not pay a parent to do the same thing in a time of need, like a time of economic need, oh, like poverty?

Since the Child and Family Services Review [CFSR] process has been in place, not a single state has come into compliance. Do you see this as a product of misguided thresholds, serious state challenges, or perhaps some of both?

First, all states have achieved some degree of conformity with CFSR standards and have been out of conformity in other areas.

You lie.

The CFSR was not envisioned to be a pass-fail review, but rather, a review to help states understand their strengths and weaknesses and to guide continuous quality improvement activities. I believe that some states, however, have come to view it as a compliance process, which is disappointing, and I am also disappointed in not seeing dramatic performance improvements in round three of the CFSR so far.

The CFSR is nothing but a cover up for false claims.

Second, the conformity thresholds for the outcomes and performance indicators in the CFSR are high, as they well should be, given the vulnerable population they are designed to address, so it’s difficult to say the thresholds are misguided.

It is not called "vulnerable population", it is called a targeted population, you know target, attack, then file the cost reimbursements to Medicaid?

I think the problems lie in the program improvement planning process that follows the reviews. On the one hand, the federal government tells states they must make major improvements, many of which require new or expanded services, yet we provide relatively little in the way of funding to support the improvements. That needs to change.

Again, how about shutting down those private contractors?

The CFSR is a valuable tool in helping to raise the bar for outcomes for children and families, and I am committed to looking at ways in which the process can be more effective in leading to greater improvements.

All the CFSR does is prepare a state to find new and improved ways of covering up its failure to monitor its sub-recipients.

Finally, have you had much interaction with President Donald Trump or Health and Human Services leadership regarding their goals for the child welfare system?

Pursuit of the goal of strengthening families through primary prevention, strong and responsive communities, collaborative efforts among those organizations and groups whose work affects outcomes in child welfare, and increasing the well-being of children and families are all entirely consistent with the administration’s goals.

The administration places high value on the importance of families, and we believe this is where we should focus our priorities.

Cannot take them out until you put them in.

Looking forward to your resignation.

#DOJ #FBI  watch him and his investors.

Voting is beautiful, be beautiful ~ vote.©

Sunday, September 12, 2010

The Makings Of Michigan's Dark Secrect: Medicaid Fraud In Child Welfare

Actually, it is not a secret; it's the mission of my site.

In Michigan, Medicaid fraud is a free-for-all multi-billion dollar racket.

With a strawman Medicaid Fraud Control Unit doing absolutely nothing but paying 90% of its salaries from federal dollars to look the other way, and FOIA exemptions and exclusions keeping the records secret, universities publishing false research paid by pharmaceuticals, you have the makings of Michigan's dark secret.  

Michigan Lawsuit Uncovers Psychiatry’s Dark Secret:
Psychiatric Drug-Induced Movement Disorders in Young Children

by Ben Hansen – From the Spring 2007 newsletter of the International Center for the Study of Psychiatry and Psychology ( www.icspp.org).

Last month the New York Times exposed yet another example of unethical marketing practices by pharmaceutical giant Eli Lilly. The front page story, In Some States, Maker Oversees Use of Its Drug, focused on Lilly’s efforts to coerce Medicaid officials into placing Zyprexa on preferred drug lists in at least 25 states. Eli Lilly was caught in broad daylight with its hands in the “Medicaid cookie jar,” yet the story behind the scenes is deeper than that.

For over a year I’ve been investigating Eli Lilly’s subversion of Michigan’s Medicaid program, and through a Freedom of Information Act lawsuit I obtained nearly a thousand pages of documents showing how Medicaid is being milked like a huge cash cow by the pharmaceutical industry. In July 2006 I alerted the New York Times to Lilly’s antics in Michigan. I provided several key documents and solid leads to the reporter covering the story, Stephanie Saul. Overall I was pleased by the way Ms. Saul reported the Lilly/Medicaid scandal, but there’s another part of the story the Times didn’t mention.

The purpose of my FOIA lawsuit in Michigan is not simply to embarrass one pharmaceutical manufacturer — my aim is to gain access to data that will blow the lid off the entire psychiatric drug industry. This may be why the State of Michigan has fought me every step of the way, beginning with my first FOIA request in November 2005. Instead of joining my attempt to shed light on Michigan’s corrupt Medicaid system, the state attorney general’s office has tried to block the release of the documents I’ve requested, even filing a motion to have my lawsuit thrown out of court.

Thankfully, a respected attorney has taken my case pro bono, and we’re mapping a strategy to outmaneuver our opponents. The lawsuit, “Ben Hansen vs. State of Michigan Department of Community Health,” boils down to a fight over the release of records that show a list of each patient’s psychotropic drugs by drug NAME, not just by drug CLASS. For example, we know at least one Michigan Medicaid patient is currently on a total of 17 different psychiatric drugs, but the State of Michigan doesn’t want us to know the names of the drugs in the 17-drug cocktail!

By the time the next ICSPP newsletter is published, I hope to report a successful outcome to this ongoing legal battle. For now I wish to share a sampling of the psychiatric prescribing data I’ve obtained so far. The numbers speak for themselves.

During a 10-month period from January 2006 to October 2006, Michigan Medicaid statistics show:
  • 100% increase in children under age 18 on 3 or more “mood stabilizers”.
  • 100% increase in children age 6-17 on 4 or more psychiatric drugs.
  • 79% increase in adults on 5 or more psychiatric drugs.
  • 67% increase in adults on 3 or more psychiatric drugs.
  • 49% increase in adults on 2 or more insomnia agents.
  • 45% increase in children under age 18 on a benzodiazepine for at least 60 days.
  • 45% increase in children under age 18 on 2 or more antipsychotics.
According to Michigan Medicaid records from 2005, the top 5 psychiatric drug classes prescribed to children under 5 years old were:
  1. Anxiolytics/Sedative Hypnotics (1,265 patients under age 5). 
  2. Antidyskinetics (972 patients under age 5). 
  3. Anticonvulsants/Mood Stabilizers (933 patients under age 5). 
  4. Sympathomimetics/Stimulants (408 patients under age 5). 
  5. Atypical Antipsychotics (322 patients under age 5).
The most recent data on children under age 5, from February to December 2005, shows a 100% increase in children under 5 prescribed antidyskinetics (also called antiparkinsonians) for movement disorders such as dystonia, dyskinesia, tics, and tremors. This is perhaps the most disturbing statistic I’ve uncovered so far. If the same trend continued through 2006, it would mean the prescribing of antidyskinetics to children under 5 years old has quadrupled in the last two years! 

If the increased prescribing of antidyskinetics is the direct result of an increase in the diagnosis and treatment of “mental disorders” in American toddlers, then we could be witnessing a public health disaster of monumental proportions. Drug-induced movement disorders in very young children are increasing at an astonishing rate, yet little if any mention of this is reported in the news. Certainly this is not something the pharmaceutical industry and its servant, the American Psychiatric Association, wishes to see publicized. It is the urgent task of organizations like ICSPP to uncover this dark secret and shine a light on it for the world to see. Ben Hansen is a psychiatric survivor and activist who serves on the Michigan Department of Community Health Recipient Rights Advisory Committee. A member of ICSPP and co-founder of MindFreedom Michigan, Ben is also founder and president of the wickedly satirical Bonkers Institute for Nearly Genuine Research. Visit his brilliant web site: www.bonkersinstitute.org

Dr. Bruce Perry, makes the prediction that unless this nation addresses the exponential growth in the problems of at risk children and their families, within this generation we will approach twenty five percent of our entire population qualifying as “special needs”.

Here is a video explaining how and why kids are "diagnosed" special needs: