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Test Code : EX0-104
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U.S. Commerce Secretary Backs Greek-American Calamos-EXIN Bid for Greek Insurer | real Questions and Pass4sure dumps

U.S. Commerce Secretary Wilbur Ross currently backed a bid through the the EXIN group to buy Ethniki Asfalistiki, the coverage arm of Greece’s national bank, Reuters says.

The deal might assist U.S. investments in Greece since Calamos Investments is a U.S.-based mostly company managing 20 billion bucks. Calamos CEO is Greek American John Koudounis.

The EXIN community is competing towards three chinese language groups: Fosun, Gongbao and Wintime. The Ethniki Asfalistiki (country wide insurance) privatization is a component of the bailout application requirements set by Greece’s international creditors. The concession needs to be completed by artery of the halt of the year and reportedly may too be expense about 800 million euros.

in accordance with Reuters citing a senior banker, the U.S. Commerce Secretary wrote a epistle to Greek leading Minister Alexis Tsipras that referred to as for a lucid sale. “it is a robust letter,” the source pointed out.

“The Secretary is wholly supportive of the EXIN bid, announcing it might be a fine dawn against improving U.S. investment flows to Greece,” illustrious the banker, who asked to continue to be nameless.

Ross’s epistle became copied to the Greek bank affiliation, country wide pecuniary institution’s (NBG) administration and the significant bank, bank of Greece, the banker mentioned.

Ethniki Asfalistiki was established in 1891 and own become a cornerstone of the Greek economic system, and society in regularly occurring. It provides actuality and non-existence assurance products. The company had a 16.6 percent partake of the market final 12 months and 2015 web profit of 98 million euros. NBG is promoting focus on core banking. Morgan Stanley and Goldman Sachs are the NBG advisors for the concession.

The Calamos Investments CEO mentioned that EXIN had offered a hard-to-healthy present, however did not provide details. He referred to other Greek-American investors interested in Greece own been looking at closely.

Exin partners own already entered Greece’s coverage market by means of purchasing AIG-Greece from AIG in December.

No extra crash traffic congestion? Korean tech giants insert traffic predictions | real Questions and Pass4sure dumps

based on the Ministry of Land, Infrastructure and Transport, some 49 million people are expected to hit the road everybitof through the holiday that lasts until Wednesday. traveling from Busan to Seoul through automobile, for example, would acquire more than eight hours when americans head home on Tuesday afternoon. 

in the hunt for to alleviate stress from being caught in traffic, the tech-savvy nation’s leading telecommunications and IT corporations present predictions of commute time on their navigation systems. 

“precise-time navigation carrier is practicable via information sent via proper clients and taxi drivers each minute, everybitof day long,” stated Chung Yeon-joo, who manages the navigation system of Kakao Mobility, a subsidiary of the nation’s accurate messenger app operator Kakao. 

in line with the business, accurate predictions are practicable via huge site visitors statistics accrued with the aid of its navigation app for the past seven years. Launched in 2011, Kakao navi has emerged as one of the crucial accustomed apps among drivers, with up to 1.four million clients. 

ultimate yr, the enterprise brought what it called a “future navigation system.” 

by artery of combining stout records with refined algorithms, the carrier allows for clients to prognosticate how long a journey would acquire at a lucid length of time, Kakao pointed out. 

Korea’s biggest telecom enterprise, SK Telecom, provides similar predictions for those subscribed to its navigation service, Tmap. in accordance with records gathered over five years, Tmap offers analyses of traffic predictions to its 11 million users, the enterprise mentioned. 

“As they anticipate a histrionic enlarge within the exercise of Tmap throughout the Lunar current 12 months break, they are going to at ease an further server; monitor traffic stream in sound time; and achieve prior assessments,” SK Telecom illustrious in a press release. 

youngsters the accuracy of such predictions remains to be considered, the tech organisations own score a hold of their own assessments on the surest time for people to hit the highway. 

for instance, SK Telecom predicted that roads could be most crowded at midday Tuesday. Kakao illustrious the number of tourists could be the maximum Friday between 3 p.m. and 7 p.m. and Tuesday between 5 a.m. and three p.m.

If drivers in Seoul start their journey at midday on Tuesday, it would absorb to nine hours to arrive at Busan, SK Telecom noted. it could acquire up to greater than six hours to commute between Seoul and Gwangju.

in accordance with Kakao, probably the most ultimate timeframe for touring is between 7:30 p.m. to 9 p.m. Monday. If drivers leave Seoul at 7:30 p.m., it could acquire below 5 hours to attain Busan. a visit between Seoul and Gwangju would acquire simplest about four hours, the company referred to. 

Aquino urged to reliance reduce tax quotes | real Questions and Pass4sure dumps

Pres. Benigno Aquino III. AFP FILE PHOTO

Pres. Benigno Aquino III. AFP FILE photo

Tax managers on Saturday advised President Benigno Aquino III to reconsider his opposition to reduced earnings tax fees among wage earners, and stated that his fears that lower taxes would result in a budgetary deficit and negative credit score rankings from international organizations own been “unfounded.”

In a statement, the Tax administration association of the Philippines (TMAP) pointed out that “(l)ower earnings taxes raise disposable earnings by means of transferring money from government palms returned to the consumption budget of Filipino households, who will doubtless expend greater on goods and capabilities. This further spending, in flip, fuels the economic system and attracts greater taxes.”

Quoting economists, the TMAP spoke of the “the precise hardship (become) the government’s perennial underspending.”

“The dwindle deficit isn't as a result of increased assortment effectivity, however is because of underspending which is sick-timed for a country desperately making an attempt to generate jobs, build world-class infrastructure and help the every day lives of its americans, majority of (whom are) mired in poverty,” the group of corporate tax practitioners and tax consultants stated.

TMAP mentioned that the branch of Finance (DOF) itself past said that “for every peso of further profits, as a minimum 60 centavos (or 60 p.c) may be spent by means of consumption for items and services.”

“So if the govt will underspend anyway, why no longer acquire the haphazard to leave the spending to Filipino households?” TMAP president Terence Conrad H. Bello pointed out.

closing week, the Joint strange Chambers of the Philippines as neatly because the foundation for economic liberty pointed out they aid pending measures in the legislative department geared toward slashing personal individual tax quotes.

Tax reform package

The community of tax managers pointed out the DOF should quiet now not view salary tax reform “as mere tax cuts that will handiest undermine the tax acquire of the govt.”

It referred to that the DOF’s projection of P30 billion in foregone revenues from reduced tax charges is akin to a mere 1 p.c of the proposed 2016 country wide funds of P3.002 trillion.

“The own an impact on of the hypothetical earnings loss of P30 billion from lower salary taxes is terribly minimal from a budgetary standpoint, but will significantly own an outcome on and uplift the lives of tens of millions of salaried employees and their households,” the TMAP talked about.

apart from the pending expenses in Congress and the Senate seeking to reduce the income tax rates, the DOF has been pushing for a comprehensive tax reform paraphernalia that would enormously ease the affliction of profits tax payers whereas slapping current or larger taxes on consumption.

among the proposals within the DOF tax reform package is increasing the tax-exempt cap on incomes of people and petite corporations, while reducing to about 25 % the corporate salary tax ceiling from the present 30 %.

To tangle up on the estimated loss of P150 billion in revenue if earnings earners of up to P1 million had been exempt from paying taxes, the price-brought tax (VAT) expense may well be accelerated to 14 or 15 percent from the present 12 %, the DOF mentioned. VAT insurance could too be multiplied or the excise tax on oil items jacked up, the agency introduced.

Ease pecuniary institution secrecy laws

also a section of the DOF paraphernalia are introducing expenses to ease restrictions within the pecuniary institution secrecy legislations for tax applications and making tax evasion a predicate crime.

according to DOF estimates, most effective four hundred,000 of the 1.eight million self-employed within the nation pay the relevant taxes.

In a epistle to Senate President Franklin Drilon remaining November, a replica of which was received by means of the Inquirer, Finance Secretary Cesar V. Purisima urged Congress to accept as sound with its proposed comprehensive tax reform paraphernalia for legislation on the soonest feasible time this yr.

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Testing in the Application Lifecycle with Visual Studio 2010 Test Edition | real questions and Pass4sure dumps

a translated version of an article Rob and I wrote for the Dutch .NET Magazine.

Visual Studio Test Edition will be significantly extended in the upcoming version [2010]. Next to advocate for developers and testers this version will too advocate user / acceptance testers. With these features the upcoming version of Visual Studio will cover the testing spectrum completely.


Everyone knows that testing is an considerable section in the progress of software and it is quite unusual for the testing department to be completely separated from the departments that develop software. This separation of worlds is not only physical, but too present in the belt of tooling. Cooperation is arduous to find even though cooperation of developers and testers using a structured approach offers many advantages. It increases the efficiency of the entire application life cycle and improves the quality of the resulting product, which combined results in reduction of cost.In this article you will be able to view how Visual 2010 improves upon the cooperation between the software progress team and testers quite a bit.

An sample from reality

Cooperation does not occur automatically. Developers and testers own a natural drift to not (want to) understand one another. From that perspective it is arduous to realize that you necessity each other to deliver software of pleasurable quality.

... mind to not understand each other

The consequence of this virtual (and sometimes real) wall is disastrous for quality. Many bugs are caused especially by suppositions and interpretations of, generally, unclear specifications. Meetings about these bugs cost a lot of time, especially if they cannot be reproduced.

After a progress cycle of 5 man-years a test is done by a testing team. The testing team vigorously starts running test cases that they prepared during the implementation phase. After 3 months their judgment is: Negative counsel on release. Because of (8) deadly and (22) stout errors they recommend not strain the system to production.

Understandably, this was quite a disappointment for the project team as well as the stakeholders. So a job obligate is formed to accommodate the detain and thus damage that has occurred. After watchful analysis it turned out not to be as contaminated as it looked: After filtering testing errors (20%), nice-to-haves (20%), and changes (which the testers had not been made watchful of; 30%) repair costs were estimated at 200 hours (the remaining 30%).

All in everybitof the implementation team own done a pleasurable job. Still, better communication from both sides, before and during the testing phase, would probably own resulted in a positive judgment and thus CELEBRATION. Quite a bit different from a artic shower!

Cooperation in the Application Lifecycle

The typical sample in the above paragraph clearly shows that cooperation between test departments and progress departments is often far from obvious. If no application is establish into creating a cooperative relationship between developers and testers the proverbial ”wall” will emerge everybitof by itself. In general, this wall causes confusion, irritation, and forced limits of tasks and thus loss of quality. The so-called ‘ping pong’ outcome with (non-reproducible) errors is the most lucid and most often occurring sample of this.

Software progress and everybitof roles involved are hypothetical to strive for one common goal: providing added value to the customer. It does not matter what kindly of application needs to be implemented. everybitof tasks and roles necessity to gain for this one separate goal. The synergy between roles, processes, and tools is too commonly known as Application Lifecycle Management [ALM]. Notions fancy accountability, governance, and compliance are regularly used when talking about ALM. But everybitof these notions advert to the simple notion of cooperation.

Application Lifecycle Management.

There would be a better mutual understanding if developers and testers would own more insight in each other’s toil and challenges. Annoyances evanesce and people toil together on a common cause. Visual Studio Team System 2010 will better advocate this cooperation. By giving the tester aids for performing his/her tasks and making him/her a first-class-citizen within the Team Foundation Server, he/she has and gives more insight in tasks to be done, progress on these tasks and what steps quiet necessity to be performed.

Aside from this insight, which often means quite a change of culture, the tester has better insight in and access to the ALM-Artifacts from other roles. For example, use-case and activity diagrams from business and information analysts and other diagrams from designers and architects are easily accessible through Visual Studio Team Architect Edition. Cooperation not only occurs by giving insight in toil activities, but too by working on common products.

To score a lucid picture of how Visual Studio Team System 2010 will advocate testers and ensures a better cooperation, first must be looked at goals and tasks which testers try to achieve and perform.

Test goals

In the age of the monoliths it was practicable to detain testing until the acceptance test. Because the monolith had everybitof of its functionality in a compact manner in one stout component, it was easy to discover errors quickly and they could be repaired even quicker. That era has passed. If you depend too much on the halt test, in current architectures, it is quite practicable that you will not achieve the desired on-time, on-budget delivery.

High quality requirements and short time-to-market for information systems demands a 180 degree circle in regards to how one thinks about tests. Instead of delaying the mindset has to be “Finding Bugs as early as possible”.

Each phase of the progress process has its own test goals and depth of test coverage. The depth particularly depends upon the risks: higher probability of damage requires better test coverage.These test goals are especially aimed at discovering errors that can be organize in that phase (“as early as possible”).

  • during unit testing the internal logic of the unit is tested,
  • the unit integration test needs to exhibit that units ”understand” each other.
  • the system test (which is called readiness scan in the Acceptance Test Guidance of Patterns of the Practices Group, view helpful links) needs to prove/demonstrate that the system complies with the functional requirements that own been agreed to,
  • finally, the acceptance test considers how the system fits into the environment in which it will operate.
  • Test goals and (depth of) test coverage per phase are made compatible with each other using a Master Test draw (see TMap®

    Types of tests in the Application lifecycle.

    Every test must be able to reckon on previous tests, only then will the complexity of errors be contained to errors that were introduced during the last step. Setting up a learning cycle makes it practicable to correct shortcomings, if any, in the testing process chain (see further in this article). Also, the exercise of tooling plays a crucial part. Running test cases by hand, as done in the nowadays widely used Agile process, is not attainable. So automated advocate is a must.

    However, undergo shows that precipitate exercise of tools results in more chaos rather than gains. privilege from the start tests necessity to be set up in a structured manner to accommodate maintenance efforts within workable limits.

    Each phase of the progress process and its corresponding test goal introduces a specific role with specific abilities and tasks. These roles are supported by specific components of VSTS 2010. In short, the following kinds of testers exist:

  • The progress tester. This tester knows the inner workings of the system and makes exercise of test-frameworks to automate the tests that he wants to perform. This testing role, which is often if not always performed by developers, has been supported for a while now by technical aids as Unit test frameworks and the current version of Visual Studio. This functionality of VSTS is not only available in the Test Edition, but too fully present in the Developer Edition, which confirms that these tasks are primarily done by developers. VSTS 2010 eases the life of the progress tester by knowing advocate of Test Driven Development.
  • The system tester. The system tester tests the system for completeness, whether requirements own been met. These are not only functional requirements, but too quality requirements fancy performance and security.System testers exercise a lot of scripts to automate their activities, he/she would fancy to achieve the identical tests using various infrastructures and configurations. VSTS has had Load- and Web testing for quite a while in the Test Edition and with the introduction of VSTS 2010 the creation of test scripts is simplified by introduction of the so called ‘CodedUI’ framework.
  • The acceptance tester. The acceptance tester, too called user tester or black box tester, truly is a tester who performs a test of the application and knows nothing about the internal workings of the application. He/she constructs test cases using functional requirements, using various testing techniques.Acceptance testers, who often quiet exercise surpass sheets to achieve their tasks, are abundantly well supported in Visual Studio 2010. Test cases are registered in TFS and he/she has access to a specific instrument based on optimal advocate of, usually, manual testing activities.
  • Enough about testing and cooperating. What does it notice fancy and where exactly is cooperation supported. In the following paragraphs the abilities of Visual Studio Team System 2010 are explained more precisely using the test goals and test tasks as mentioned above.

    Democratizing Application lifecycle management.

    With their vision “Democratizing Application lifecycle management” Microsoft has further extended the advocate of Visual Studio Team System 2010 for ALM. As can be read in this publication of .NET Magazine, additional supporting aids are available to help cooperation and various roles are better supported.

    Several techniques and components in the testing belt own been added to Visual Studio. The most remarkable added feature is the standalone [acceptance]test instrument Camano. Camano is a test management environment where test cases can be introduced, which are toil items of a current toil detail nature ‘test case’ in Team Foundation Server. Test cases can be performed using TestRunner, which has the faculty to record actions done by the tester and forward these along with a findings report. The TestRunner does not only capture the screen of the tester, but too gathers information about the system that is being tested on and creates a file that can be used within Visual Studio to step through the tester’s actions in debug mode. This file is actually a complete stack trail that mimics a real-time debug experience. Microsoft calls this “Historical debugging”.

    test overviewTest draw overview in Camano from which Test cases can be executed.

    Apart from supporting the execution of acceptance tests Visual Studio Test Edition too has the option to automate it. Using CodedUI technology, which generates C# code from actions that own been executed in the window, UI tests can be included in the daily or continuous build process.

    A lot of current things, but how attain you exercise them? In the following paragraphs some examples are shown.

    Test impact View for the progress tester.

    As mentioned in the previous paragraph, the progress tester has been provided with ample tools to achieve his/her tasks in the current as well as previous version of Visual Studio. For instance, the test framework and the test coverage reports are there to prove quality.

    Microsoft has quiet organize current ways to advocate the toil of progress testers and those who attain Test Driven Development. The Test impact Analysis is the most eye-catching.

    impacted testsImpact Analysis screen

    The Test impact View provides developers [test developers] an overview of everybitof unit tests that own been affected after a code change, and thus necessity to be rerun. Aside from the tests that necessity to be run, the Test impact View too provides an overview of code that has been modified. This overview too enables efficient testing of code changes.

    Camano, TestRunner and CodedUI for system and acceptance testers

    Acceptance tests verify the system regarding compatibility with the environment and functionality, as mentioned in previous paragraphs. Those that play the role of acceptance tester can attain this totally ‘disconnected’ from the progress team. everybitof that is required is a list of tests that needs to be run. If the application does not comply with what is described in the test, this is sent to the developer to fix.

    There are three challenges in this simple scenario:

    First: test cases are based upon business requirements. Nine out of ten times these requirements own been established by the business at the start of the project and during progress of the application these own been updated due to current insights. This causes a problem for the tester. How does he know that the test case he is executing is up-to-date and can be traced back to a user requirement.

    In Visual Studio 2010 this challenge can be met by linking test cases to User Stories [in the Agile Template] or Requirements [in the CMM process template]. This artery reports can be generated about these User Stories. Camano, an aid to the acceptance tester divorce from Visual Studio, can declare if User Stories attain not own a test case yet and vice versa. It can too exhibit test cases that are not linked to User Stories, which can standfor that this test is not needed.

    testimpact camanoTest impact Camano, User Stories without tests.

    liniingLinking a test case to a User Story

    Just fancy the test ‘Impact Analyze’ in Visual Studio, Camano has an impact view that shows which tests necessity to be rerun not only because of code modifications, but too because of modifications in User Stories. This helps the tester understand the toil of the business analysis [and developer] better, by indicating something has changed, what has changed, and that he needs to modify something, i.e. rerun a test.

    The second problem is the issues. The tester notices something that is not correct in the application and sends this issue in an email or some other more advanced bug reporting system with towering priority to the progress department. Email back to the tester with modification status: ‘bug solved’ or ‘not reproducible’. The tester verifies, notices that the bug is quiet there and sends back an email, tosomeextent irritated. The start of the so-called ‘bug ping pong’ (?! Is there an acceptable idiom in English for this?).

    Since the first release of Team Foundation Server in 2005 this ‘bug’ has been recognized as a toil item. This made it easier and clearer for developers and testers to register bugs, to manage, and to fabricate reports. However, there is no real integration with acceptance testers. They can insert issues by using the WebAccess instrument of TFS, but one does not really unravel the previous challenges with that.

    In Visual Studio and the standalone testing instrument Camano this integration with acceptance testers comes true. With Camano’s TestRunner it is practicable to rescue a lot of necessary information within the issue registration system that can be useful to the developer to reproduce the issue and unravel it.


    Microsoft TestRunner makes a snapshot of the environment, operating system version, service pack and everybitof other practicable system information. Aside from this system data, the testers can fabricate screenshots during testing and embed these in the bug report. Not only screen prints can be embedded, but too a video of the actions that the tester has taken can be establish into the findings report, which is indexed by test steps in the test case. everybitof this additional information helps the developer to find a solution quicker and easier and makes positive that the wall, the irritation, between developers and testers becomes smaller or disappears entirely.

    bug reportIssues toil detail with testing steps in the details-tab.

    The third challenge is the workload of the tester. For example, when a bug is solved he needs to rerun his test case. This in itself is not a stout challenge, because he has recorded everything in surpass or some other tool. But what if the bug, for example, is a section of something that is used in hundreds of pages or screens? Then everybitof these pages necessity to be tested again, which is not very effective for the tester indeed.

    Camano makes it practicable to record Test Cases and to rush these later on in TestRunner, so that the tester does not to strain through everybitof the steps manually again. A stout improvement to reduce repetitive activities. Another addition to Visual Studio that makes life easier for the acceptance and system testers is the CodedUi, with which it has been made practicable to fabricate scripts for the user interface that is arduous to test automatically.

    CodedUITestVarious options to add UI tests to test projects. The ‘automation strip’ option can reuse Camano’s strips.

    The code that is necessary to fabricate these tests practicable can be extracted from tests that own been executed in Camano. Only petite adjustments necessity to be done to let them indeed rush automatically [for sample using variable data]. Using this load tests, regression tests, and user tests can be automated, through which the sample where hundreds of test pages necessity to be retested can be prevented.

    Structured testing

    Test tools attain not structure the test process, they only fabricate the toil of the tester easier. On the contrary, automation of unstructured testing increases CHAOS. In Camano it is quiet practicable to create many test cases that attain not fabricate any sense. What does a structured test approach notice like? One can assume of many ways to attain this.

    Generally it can be said that a structured test approach is characterized by:

  • Providing structure, so that it is lucid what needs to be done by whom, when, and in what order.
  • Containing the entire scope and descriptions of the complete orbit of relevant aspects.
  • Providing concrete aids, so that the wheel necessity not be reinvented everybitof the time.
  • Managing test activities taking time, money, and quality into consideration.
  • CaptureAn organization needs to elect with which flat of ambition this structured test process is implemented in projects.

    In Visual Studio Team System 2010 it is practicable to record a process template for structured testing in TFS. Sogeti is currently working on two versions of the “TMap® process template”:

  • The standalone version, suitable for acceptance testers.
  • The merge version that is attached “behind” the process template used by the progress team.
  • Process TemplatesTMAP process template for structured testing in VSTS 2010

    Still, only (structured) testing is not sufficient. If a developer does not know what quality needs to be delivered, he does not know when he is done, that is a tester does not know if an oversight should or should not own been organize by the developer himself.

    So it is considerable to harmonize on what flat of quality needs to be delivered. In TMap® Next (the structured test approach of Sogeti) the notion basic quality has been introduced. This basic quality describes not only the needed test coverage, but too provides aids for the artery in which tests necessity to be done, and too describes the necessary proof process and conformance.

    Using this ”definition of finished” it is practicable to setup a learning cycle: not only correct errors, but too learn how to avert them!

    Structured testing, making the entire test process more efficient, so testers can attain their toil based on risk, (basic) quality, and learning cycle is something that can be realized using Visual Studio Team System 2010. Agreements about procedures, basic quality, and other things necessity to find their ways into the process templates of Team Foundation Server.


    In Visual Studio Team System 2010 everybitof test roles are provided with lucid and better advocate within the Application Lifecycle. Testers attain not exercise their own divorce technical tools anymore, but exercise integrated tools that are used by architects and developers. Effectively tearing down the wall between developers and testers.

    But pleasurable tools are not enough. Also, a lucid separation of roles, tasks, and authorizations are necessary. Finally and most importantly, a structured approach determines how successful you are with your test strategy.

    Useful links

    E. Pringle: TeenScreen Sets Up Shop In Illinois | real questions and Pass4sure dumps

    Monday, 20 June 2005, 11:29 amOpinion: Evelyn Pringle

    A controversial draw to screen everybitof Illinois school children for mental health disorders is set to become a reality on June 30th, if the Governor accepts the final proposal from the Illinois Children's Mental Health Partnership (ICMHP).

    Illinois became the first status to hop on the bandwagon for President Bush's current liberty Commission's (NFC) draw to subject everybitof American school children to mental health screening. In 2003, Illinois Lawmakers passed the $10 million Illinois Children's Mental Health Act (ICMHP), creating a Children's Mental Health Partnership, which many anticipate to become a model for other states.

    The Final Report by the Illinois Children’s Mental Health job obligate was released in April 2003 and it is filled with intrusive and expensive recommendations. The ICMHP held hearings in various locations across the status in 2004 to accumulate public feedback on the plan.

    While its proposals seem harmless enough at first glance, comments from parents during the hearings raised many sound concerns. The State, critics said, no longer assumes that Illinois children are mentally healthy, it presumes everybitof children necessity mental health screening.

    The job obligate Report calls for a comprehensive, coordinated children’s mental health system comprised of prevention, early intervention, and treatment for children ages 0-18 years and for a statewide data-reporting system to track information on each person, and social-emotional progress screens with everybitof mandated school exams (K, 4th, and 9th),

    The job obligate wants to: Start early, dawn prenatally and at birth, and continue throughout adolescence, including efforts to advocate adolescents in making the transition to adolescent adulthood.

    Karen Hayes, associate director of Concerned Women for America-Illinois published an persuasion Piece in the Illinois Leader on July 23, 2004 and had a distinguished idea. She said maybe the legislators should be mentally evaluated.

    Concerned parent, Joseph Volpendesta, feels the identical way. "Mental Health screening might be much more usefully employed on these people who approach up with these brainstorms; it is obvious that they own far too much time on their hands and too limited regard for those of us who are paying the bills. What is needed, and at the earliest opportunity, is a bill to rescind this piece of legislative claptrap. ... There is no doubt in my intellect where the mental health screening is most needed and it ain't the kids," he said in a epistle to the editor of the Illinois Leader June 13, 2005.

    TeenScreen Customer Recruitment Scheme

    At the focus of the controversy is program called TeenScreen designed by pharma backed officials at Columbia University. TeenScreen is supposedly a suicide-prevention program and is recommended by the NFC, even though a recent US Preventive Services job obligate study organize "no evidence that screening for suicide risk reduces suicide attempts or mortality."

    Columbia claims the TeenScreen survey can assess the symptoms of 8 disorders associated with the risk of suicide or mental illness. On March 2, 2004, the program's Executive Director, Laurie Flynn, testified at a congressional hearing and said that in screening process, "youth complete a 10-minute self-administered questionnaire that screens for convivial phobia, panic disorder, generalized anxiety disorder, major depression, alcohol and drug abuse, and suicidality."

    In May 2004, Illinois lawmakers passed a resolution approving the implementation of TeenScreen in public schools, which said in part: (1) "Columbia TeenScreen Program", has been proven successful, offers technical assistance for implementation of a screening program, and provides everybitof the components for such a program at no charge at this time; (2) that they recognize that mental illness and suicide among adolescent people are public health pass in this status and that everybitof residents of Illinois should fabricate the identification of mental disorders and the prevention of suicide among the adolescent people a public health priority; (3) that every adolescent person should be screened ... to identify mental illness and avert suicide; and (4) That such a screening and identification process should employ sound, evidence-based tools.

    The problem is that TeenScreen is not an evidence-based tool. The program had already been in situation for 6 years in Tulsa, Oklahoma when the suicide rate rose drastically, causing Michael Brose, the leader of a mental health partnership organization there, to say, ''To the best of my knowledge, this is the highest number of youth suicides we've ever had during the school year -- a number they find very frightening."

    TeenScreen is an invention of the pharmaceutical industry and is nothing more than a customer recruitment scheme to serve generate towering volume sales of costly psychiatric drugs. By infiltrating the nation's public school system, it will generate millions of current prescription drug customers.

    "More screened kids means more money for psychiatrists and the pharmaceutical industry," said Vera Hassner Sharav, president of the Alliance for Human Research Protection, a patient advocacy group, to the Chicago Tribune on June 5, 2005.

    "It is considerable to understand that powerful interests, namely federal bureaucrats and pharmaceutical lobbies, are behind the thrust for mental health screening in schools...the pharmaceutical industry is interested to sell psychotropic drugs to millions of current customers in American schools," said Rep Ron Paul, R-Texas, who happens to be a physician.

    TeenScreen made its Illinois debut last drop at the Brimfield towering School in the Peoria belt and reports testify that several more Illinois schools will be implementing the program next year, according to investigative reporter, Rhonda Robinson.


    Do the stout drug companies own so much power? Why else would this be happening? It looks fancy a artery to fabricate more adolescent people conditional on prescription drugs earlier in life when everybitof they really necessity is to deal with growing up, just fancy they everybitof did before there was a drug for every ailment and current ailment to justify even more current drugs," parent, Dennis McLouth, of Roseville, Ill, wrote in a epistle to the Editor of the Illinois Leader on June 13, 2005.

    My retort to Dennis is yes the drug companies are that powerful, and it gets worse. The NFC recommends a drug treatment program called the Texas Medical Algorithm Project (TMAP) that specifically requires doctors to prescribe the newer generation of psychiatric drugs to children, including the antidepressants known as the Selective Serotonin Reuptake Inhibitors [SSRIs] that can lead children to relegate suicide or other violent acts.

    According to the American Hospital Formulary Service Drug Information 2005, the “FDA now states that it has determined that antidepressants enlarge the risk of suicidal thinking and behavior in children and adolescents with major depressive and other psychiatric disorders."

    Dr Ann Blake Tracy, is the executive director of the International Coalition for Drug Awareness and the author of "Prozac, Panacea or Pandora: Their Seratonin Nightmare."

    She testified at a February 2004, FDA hearing on the adverse effects of SSRIs, and said, "Research on serotonin has been lucid from the very dawn that the most damaging thing that could be done to the serotonin system would be to impair one's faculty to metabolize serotonin. Yet that is exactly how SSRI antidepressants exert their effects."

    Tracy said that for decades research has shown that impairing serotonin metabolism will produce numerous health problems including "pains around the heart, hardship breathing, tension and anxiety which emerge from out of nowhere, depression, suicide -- especially very violent suicide, hostility, violent crime, arson, pith abuse, psychosis, mania," and the list goes on and on.

    "How anyone ever thought it would be 'therapeutic' to chemically induce these reactions is beyond me," she said.

    In one study reviewed by the FDA panel, in a pool of 931 downhearted patients taking SSRIs listed on the TMAP, versus 811 downhearted patients taking a placebo, there were 52 suicidal acts by people on the SSRIs versus 18 on placebo.

    The drug companies withheld the studies that showed the drugs were basically ineffective on kids and that they were in fact dangerous. Most of the studies that own surfaced over the past brace years were unearthed during the discovery process of recent law suits against drug companies.

    Pediatrician, Dr Karen Effren, questions whether the TMAP list should be used at all. "If data is withheld about the dangers or want of effectiveness of the current psychiatric drugs, why should physicians believe and carry out the recommendations of the current liberty Commission for treatment, such as the Texas Medication Algorithm Project (TMAP) that uses those drugs as paid for the status incentive grants?"

    These identical sentiments had already been expressed in January 1999, by Peter Weiden MD, who was one of the participants on the original panel that approved drugs to be on the TMAP list, when he openly criticized the process in the Journal of rehearse in Psychiatry and Behavioural Health.

    Weiden pointed out the fact that drug company money was involved in the approval of the list. "Another problem is potential prejudice from funding sources. The 1996 Guidelines were funded by Janssen (makers of Risperidone [Risperdal]) and most of the guidelines' authors own received advocate from the pharmaceutical industry. This potential conflict of interest may create credibility problems, especially concerning any recommendations supporting the exercise of atypical antipsychotics."

    Other drug companies besides Janssen were involved in the creation of the list. And drug company money was too used to grease the palms of politician who would ultimately own to certify the TMAP scheme.

    For instance, Eli Lilly helped fund the guidelines and too has well-known ties to both Bush administrations. After Bush Sr left the CIA in 1977, he became a member of Lilly's board of directors. When he left the company to become Reagan's VP in 1980, he forgot to mention that he quiet owned stock in the company at the identical time that he was lobbying for tax breaks for Lilly, even though it manufactured drugs in Puerto Rico.

    Bush Junior made Eli Lilly CEO, Sidney Taurel, a member of the Homeland Security and his former director of the Office of Management and Budget, Mitch Daniels, was too a former senior vice president of Lilly.

    In the 2000 election the company contributed over $1.5 million to political candidates, with over 80% going to Bush and the Republican Party.

    According to the focus for Responsive Politics, in his 2 bids for the presidency, Bush has been the number one recipient of either party for crusade donations from the pharmaceutical industry. The identical Robert Wood Johnson IV, who has ties to the foundation that funded the TMAP, is too heir to the Johnson & Johnson fortune, and raised over $100,000 for Bush's 2000 campaign, and over $200,000 for crusade 2004.

    The Robert Wood Johnson Foundation too helped fund the Illinois Children’s Mental Health job Force, which produced the report that the Illinois’ Children’s Mental Health Act of 2003 is based on, according to investigative reporter Rhonda Robinson.

    The Illinois version of the TMAP list, is IMAP and it is already in situation in 23 Illinois counties, Robinson reports.

    Tax Dollar Funded Drug Pushers

    Let there be no mistake about it, kids sent to shrinks will halt up on drugs. In 2002, a survey of recently trained child psychiatrists organize that only one in 10 children in their practices did not receive a medication. view Stubbe DE, Thomas WJ: A survey of early-career child and adolescent psychiatrists, J Am Acad Child Adolesc Psychiatry 2002.

    A recent review of prescription data for 300,000 children ages 19 and younger, by Medco Health Solutions in 2004, concluded that for the first time in history, spending for medications for childhood behavior problems eclipsed expenditure for any other drug category, including antibiotics.

    The final draft of the Illinois draw issued this month wants to: Promote effective exercise of Medicaid’s Early sporadic Screening, Diagnosis and Treatment capitalize in Illinois to advocate deliberate screening of children ages birth to eighteen years, and wants to "Clarify for providers the diagnoses that create eligibility for children to obtain Medicaid services."

    I sensation how many people are snoopy as to what might be in store for the kids they want to screen at age 0. To retort that question, an investigation of the drugs being prescribed to Illinois kids on Medicaid might be helpful.

    On April 25, 2005, the headlines of the Ohio Columbus Dispatch read: DRUGGED INTO SUBMISSION, EVEN BABIES GETTING TREATED AS MENTALLY ILL, Doctors prescribed sedatives and powerful, mood-altering medications for nearly 700 Ohio babies and toddlers on Medicaid last summer, according to a Dispatch review of records.

    An investigation by the Dispatch revealed that at least 696 Ohio children who were newborn to 3 years musty received mental-health drugs paid for by Medicaid in July 2004. Hydroxyzine was prescribed most often, with about three-quarters of the kids on it. The drug, a long-acting antihistamine, relieves itching caused by allergies, controls vomiting and reduces anxiety, but is given to adolescent children most often for its sedative effects.

    In addition, more than 90 kids were on another antihistamine, 48 were taking anti-anxiety medication and 28 were prescribed antidepressants, including the SSRIs Paxil, Prozac and Zoloft. Twenty-seven received Valium, and 18 were on antipsychotics.

    This revelation set off alarms in Ohio. "It's troubling," said John Saros, executive director of Franklin County Children Services. "How attain doctors even determine that a 2-year-old is anxious? There's a reason they convene it the terrible twos."

    All total, nearly 40,000 Ohio children on Medicaid were taking drugs for anxiety, depression, delusions, hyperactivity and violent behavior when the investigation was conducted July 2004, according to the Dispatch.

    Illinois' current program keeps stressing that treatment should be funded by Medicaid. That means drugs folks. Over-drugging kids on Medicaid in Ohio is not an isolated practice. Its happening everybitof over the country.

    On January 15, 2005, the Miami Herald reported that nearly 1,900 children under the trust of Florida's child welfare system are taking antidepressant drugs, despite a tough federal warning that such medications are linked to an increased risk of suicidal thinking.

    Similar findings held sound in Tennessee for kids covered by the status insurance program. A study conducted in 2004 by Dr William Cooper, an associate professor of pediatrics at Vanderbilt University in Nashville, determined that the exercise of antipsychotic drugs among low-income children in Tennessee had nearly doubled between 1996 and 2001.

    Cooper's report, published in the August 3, 2004 issue of the Archives of Pediatric Adolescent Medicine, organize that adolescent people who are not psychotic are being prescribed antipsychotic drugs for which there was no data on safety or effectiveness.

    The study revealed that the balance of TennCare children who were prescribed antipsychotics nearly doubled in six years. The most histrionic increases were among those aged 13 to 18 (116%) and those 6 to 12 (93%). Cooper too organize exercise among preschool children had increased by 61%.

    If the Illinois Governor signs the current law on June 30th, in addition to children, everybitof pregnant women will be screened for depression during pregnancy and for up to 1 year following a baby's birth. The treatment for depression mandated by the IMAP drug list will be the SSRI antidepressants even though current studies testify that SSRIs taken by pregnant women can own serious adverse affects on the unborn fetus.

    "Newborn babies could be at risk of suffering withdrawal symptoms if their mothers are prescribed antidepressants during pregnancy," according to Reuters on February 4, 2005.

    Professor Emilio Sanz of the University of La Laguna in Tenerife, Spain, conducted a study that showed that SSRIs can cause convulsions, irritability, abnormal crying and tremors in newborn babies.

    For the study, Professor Sanz and his team of researchers searched the World Health Organization database from 72 countries for the adverse drug reactions associated with the exercise of SSRIs, Reuters reported.

    Karen Hayes thinks the entire draw stinks. "Proposing that status government set mental health competency standards for everybitof Illinois pregnant women and children to age 18 stuns human sensibilities," Karen Hayes wrote, "this proposal calls for collection of mental health data of women and children, together with bureaucratic linkage of this information."

    She's got that privilege because according to the plan, the status of Illinois will: help accountability, data tracking and reporting for children’s mental health in relevant programs and services and will (1) Institute contract and monitoring changes to enlarge the accountability of current children’s mental health providers; (2) Develop a statewide data tracking and reporting system to collect information on key indicators of children’s convivial and emotional development, and mental health status; (3) Develop policies and protocols for the sharing of databases among relevant status and local agencies; (4) Explore the progress of uniform reporting forms and test in select programs for the tracking, reporting and planning of services.

    Follow The Tax Dollars

    The job obligate says it wants to maximize the exercise of Medicaid/KidCare by streamlining enrollment, capitalizing on federal reimbursement and implementing key cost-saving strategies, with savings deposited into a Children’s Mental Health Fund.

    It wants to (1) help Medicaid reimbursement for prevention, early intervention and treatment services; (2) Recognize diagnoses for adolescent children described in DC:0-3 and pay for mental health services for children with any of these diagnoses; (3) Clarify for providers the diagnoses that create eligibility for children to obtain Medicaid services.

    Translation: That means to fabricate positive "treatment" (aka pills) will be paid for, people will be trained to only diagnose kids with disorders that are covered Medicaid.

    The job obligate draw leaves no funding stone unturned. It even wants to "Change the Illinois KidCare and Medicaid eligibility procedures to allow for self-attestation of a family’s pecuniary circumstances in lieu of current pecuniary documentation requirements," which means everybitof I own to attain is swear I'm impecunious to qualify for Medicaid in Illinois.

    Drug companies scent the tax dollars and they want these Illinois kids. Over 2 million children were enrolled in Illinois public schools, pre-K through 12th grade, during the 2001-02 school year. Over 960,000 children were enrolled in Medicaid and KidCare in 2002, and a recent study in Chicago claimed that nearly 50% of inner-city adolescents demonstrated signs and symptoms of depression.

    So lets attain the math and view how much the psychiatric-industrial knotty stands to gain. The plans says to: Ensure that everybitof children enrolled in Medicaid receive sporadic developmental screens ... as mandated under the Early and sporadic Screening Diagnostic Treatment program.

    Lets Say the initial diagnostic visit to the shrink costs $150, what's 150 times 960,000?

    The report said 50% of Chicago inner city kids were downhearted so we'll exercise that percentage for the kids on Medicaid. Half of 960,000 means 480,000 kids are set to be prescribed anti-psychotic drugs privilege from the score go.

    Off hand I don't know how much everybitof the different drugs cost, but I own personal learning that the cost of Risperdal in 2001, was nearby to $500 for a 30 day supply.

    In 2001, The Miami Herald published a progression of stories about the common exercise of Risperdal among children in status care. Child-welfare advocates said the drug routinely was being used by foster trust providers as a ''chemical restraint'' on children whose intractable behavior was a frustration to caretakers.

    Risperdal is on the IMAP list as the leading drug used to combat schizophrenia and other types of psychotic disorders, and earns Janssen about $2.1 billion in annual sales. The drug is prescribed to more than 10 million people worldwide, according to the Herald.

    I suspect a heavy-duty calculator will be needed to compute dollar amounts for the potential cost of Risperdal prescriptions to the tax payers of Illinois.

    Tax Payers May Foot Entire Bill

    No doubt about it, the promoters of this scheme are looking to grab tax dollars from every public trough known to man. The draw lists a host of public funding sources to be examined and includes: Medicaid and SCHIP, the convivial Services obstruct Grant, Temporary Assistance for Needy Families, the Child trust and progress Fund, the Title V Maternal and Child Health Services obstruct Grant, Parts B (Special Education) and C (Early Intervention) of the Individuals with Disabilities Education Act (IDEA), Juvenile Justice, and status funding sources.

    In her persuasion piece, Karen Hayes questioned the feasibility of such a large public funded program, "Our government bureaucracies continue to struggle with the job of tending to the convivial needs of needy Illinois families, and ... trying to educate their children in basic academics. How is it that these identical bureaucracies can now be asked to acquire on the additional role of being the mental health evaluator and caretaker of everybitof pregnant women and children in Illinois?"

    "At a time when budget concerns are on the front pages of most Illinois newspapers," Karen wrote, "we are being asked to give input to one of the costliest expansions of government and bureaucracy they own seen in recent years."

    "In summary," Hayes said, "it is neither profitable to children, nor to taxpayers, to interrogate government bureaucracies to set competency standards for mental health. With some amount of lightheartedness, may I submit that the mental health of the perpetrators of this concept be evaluated?"

    Another parent agrees with her. "The Illinois Legislature ought to own their own heads subjected to adolescent mental health screening for even considering passing such legislation," said Jack Kime, in a June 13, 2005 epistle to the Illinois Leader, "If there is anything more uncertain than having the government establish such a program in place, I don't know what it might be," he said.


    Evelyn Pringle

    (Evelyn Pringle is a columnist for Independent Media TV and an investigative journalist focused on exposing government corruption)

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    Tracking the American Epidemic of Mental Illness: section II | real questions and Pass4sure dumps

    Tax dollars are being used to fuel the American epidemic of mental illness by promoting the preemptive drugging of persons supposedly at risk of developing mental disorders, to the distinguished capitalize of the pharmaceutical industry.

    In March 2010, the US Department of Health & Human Services pith misuse & Mental Health Service Administration focus for Mental Health Services announced $16.5 million in funding for “Mental Health Transformation Grants,” one of SAMHSA’s services grant programs.

    “In order to complement but not duplicate the efforts of other CMHS programs, FY 2010 funding for MHTG will focus on services for adults with or at-risk for serious mental illnesses,” the agency noted.

    Applications were required to implement evidence-based or best practices that would create or expand capacity to address one or more of five Strategic Initiatives, including: “Prevent mental illness through outreach, screening, and early interventions for adults with early signs of mental illness or who are at risk, and promote wellness through holistic treatment approaches.”

    An evidence-based practice, or EBP, refers to approaches to prevention or treatment that are validated by some form of documented research evidence. As an sample of a rehearse that could be implemented, SAMHSA listed under “Prevention and Wellness: Early Intervention,” the “Early Detection and Intervention for the Prevention of Psychosis Program (EDIPPP),” along with a link to its website.

    EDIPPP is a national program replicating the “Portland Identification and Early Referral,” or “PIER,” a treatment research program at the Main Medical Center, in Portland, Maine.

    On a webpage for PIER on the Center’s Website, under “Project Overview,” it states: “The goals are to help outcomes and avert the onset of the psychotic phase of illnesses fancy Bipolar Disorder, Major Depression, and Schizophrenia.”

    “This is the first program in the United States to identify the entire population of at risk adolescent persons and offer them treatment,” PIER said in a September 26, 2005 press release.

    EDIPPP was funded through a $14.4 million million grant for the “National Demonstration of Early Detection, Intervention and Prevention of Psychosis in Adolescents and adolescent Adults,” from the Robert Wood Johnson Foundation, and is “designed to avert psychosis in teens and adolescent adults,” according to an April 10, 2007, announcement on RWJF’s launch of the program.

    “The national program is expanding PIER’s success during the past seven years in identifying and treating adolescent people experiencing subtle and early symptoms that herald the onset of serious mental illness,” a November 2007 report in Behavioral Healthcare, by Dr James Maier, a research psychiatrist with PIER, notes.

    EDIPPP works with people between the ages of 12 and 25, with an average age of persons entering the program between 15 and 16.

    “Widespread dissemination of this early intervention model throughout the United States offers tremendous hope and optimism for combating some of the most devastating and costly illnesses that can torment adolescent people and their families,” Maier claims.

    The RWJF grant set up additional EDIPPP sites in Sacramento, California; Salem, Oregon; Ypsilanti, Michigan; and Glen Oaks, current York. A site in Albuquerque, current Mexico was added in 2008.

    RWJF too funds a booklet for professionals, on how to avert mental illness with early detection titled, “Recognizing and Helping adolescent People at Risk for Psychosis: A Professional’s Guide,” which can be downloaded free off the internet.

    From the start, PIER has always been primarily funded by RWJF, according to its website. However, on October 13, 2003, Mental Health Weekly reported that the program had received a $3.9 million grant from the National Institute of Mental Health, and a parallel $2 million grant from the focus for Mental Health Services intended for a related program in early identification of non-psychotic disabilities.

    In Portland, adolescent people typically are referred to PIER by towering school guidance counselors, pediatricians, or other clinicians who attended presentations about PIER’s work, visited the PIER Website, and are intimate with the early warning symptoms that imply the onset of a psychotic illness, according to the report in Behavioral Healthcare.

    Mental Illness According to PIER

    In a fact sheet posted to “Dispel the Myths,” the PIER website claims that, “Mental disorders are as easy to diagnose as asthma, diabetes, and cancer.”

    “Treatments are effective 60%-80% of the time, success rates that meet or exceed success rates for cutting edge treatment for heart disease,” the sheet states.

    “In many cases, PIER does exercise medications,” the Websites says. “We believe that some of the newer medications effectively help thinking and combat early symptoms.”

    “Research suggests these medications may own a protective outcome against changes in the brain that cause mental illness,” it reports.

    Under costs, it reads: “For now, services provided by PIER staff are supported by grants. However, if inevitable medications, medical tests, or neurological assessments are ordered, there will be a charge.”

    The PIER program was founded in 2000, by Dr William McFarlane, and after 10 years in operation, on May 28, 2010, the ChangeMyMind website listed only two “case studies and impact stories that illustrate the effectiveness of the Early Detection and Intervention for the Prevention of Psychosis Program.”

    Medicated for Life

    Virtually every person entering the PIER program is prescribed antipsychotics, such as Risperdal or Invega, marketed by Johnson & Johnson, the parent company of the Robert Wood Johnson Foundation. These prescriptions are off-label because antipsychotics are not FDA approved to “prevent” mental illness in any age group.

    An August 2008 article, by Charles Schmidt in discover magazine, highlighted the PIER program with a byline that stated: “A current merge of therapy and medication may stave off psychosis among teens at risk.”

    Schmidt discussed the case of Camila (not her real name), who entered the program in September 2001, when she was 14. “Camila and her family stuck with PIER for the four-year treatment program, which ended formally in 2005, and quiet preserve in finger with counselors there,” he reports.

    However, “Camila’s health quiet hinges on antipsychotic medication,” Schmidt says. “In the summer of 2007 she went off the drugs for a spell and her offbeat feelings returned.”

    He notes that her reliance on antipsychotics raises issues. “On the one hand, it shows that the threat of psychosis hasn’t really been removed, it’s just been held in check.”

    “What they hope is that the benefits of treatment will be lifelong,” McFarlane says in the article. “We don’t own any empirical evidence to advocate that yet, but what we’ve seen is that adolescent people who quiet haven’t converted to psychosis after about three years of their treatment don’t seem to be at much risk.”

    While he suggests that over time, some patients may be able to strain off medications, McFarlane acknowledges that PIER hasn’t developed a draw for managing that process, Schmidt reports.

    “As to when or if they can strain off medication, that’s arduous to say,” he told Schmidt. “I assume many of their patients don’t feel a necessity to stop; they certainly don’t feel oppressed by it. At a inevitable point it becomes a personal choice.”

    A fortune can be made from these life-long antipsychotic customers. In April 2010, the expense for one box of Invega, at a middle dose, was $1,373 at Risperdal went for $788 per 90 pills. The cost was $1,395 for 100 tablets of Abilify. Seroquel cost $997 per 100. One-hundred capsules of Geodon sold for $918 and Zyprexa cost $1,523 for a hundred 10mg pills.

    In 2003, McFarlane told Mental Health Weekly that with about 3% of the population at risk for a serious mental illness, Greater Portland could anticipate about 75 adolescent people to develop a disorder each year.

    RWJF Front Group

    The founder of RWJF, Robert Wood Johnson, was chairman of Johnson & Johnson for over 30 years, from 1932 to 1963, as a member of the drug maker’s founding family. Throughout the years, the majority of the Foundation’s money has approach from investments in J&J stock. RWJF’s board of trustees has always been stacked with the drug company’s executives. For instance, current and past trustees own held positions at J&J such as President, CEO, Vice President, Chairman of the Board, and Treasurer, and own served along side another family heir on the board, Robert Wood Johnson IV.

    RWJF is listed in a Medicaid fraud lawsuit, filed against J&J by whistleblower, Allen Jones, a former federal fraud investigator, and joined by the Texas attorney general, as providing funding for illegal marketing schemes to enlarge the off-label sales of Risperdal, including funding the progress of the “Texas Medication Algorithm Project (TMAP),” which required doctors to prescribe the newest, most expensive antipsychotics, antidepressants, anticonvulsants, and ADHD drugs to patients covered by public programs, fancy Medicaid and Medicare, who were diagnosed with mental disorders, and a nearly identical set of child drugging guidelines known as the “Texas Children’s Medication Algorithm Project (CMAP).”

    In addition to Risperdal and Invega, J&J too markets the ADHD drug Concerta, and Topamax, an anticonvulsant.

    A May 11, 2005, report by RWJF on the results of the funding of TMAP grants totaling $2,389,581 to the University of Texas Southwestern Medical focus at Dallas and a grant of $353,747 to the Texas Department of Mental Health and Mental Retardation, describes the hypothetical “Problem,” that led to the creation of the TMAP drugging guidelines as:

    In the 1980’s and 1990’s, as pharmaceutical companies began producing current and more efficacious medications to handle people with serious mental disorders such as depression, bipolar disorder, and schizophrenia, the question arose of how to elect the most commandeer treatment options. Concerns about wide variation in prescribing practices by physicians and complaints from consumer advocates about the negative consequences of this variation spurred the creation of evidence-based guidelines and medication treatment algorithms.

    The “Contacts” for the grants listed in the report were Dr A John Rush, for the University, and Dr Steven Shon for the status of Texas. Shon was fired in October 2006, after the Texas attorney generic determined that J&J had improperly influenced him to fabricate Risperdal a preferred drug on TMAP. In 2008, Rush was added to a list of psychiatric academics who failed to disclose everybitof the payments they received from drug companies, by Senator Charles Grassley, as section of an investigation conducted on behalf of the US Senate Finance Committee, which oversees Medicaid and Medicare spending.

    As a main component of the off-label marketing schemes, the lawsuits against the antipsychotic makers allege that the drug companies “seeded” the medical literature with reports and papers purporting to be written by “experts” when they were actually ghostwritten with the names of experts attached after the fact.

    In its report on the TMAP grant results, RWJF boasts that: “More than 50 articles on the Texas Medication Algorithm Project own appeared in the Journal of Clinical Psychiatry, Psychiatry Research, Managed Care, Health Services Research, Journal of the American Academy of Child and Adolescent Psychiatry and other peer-reviewed journals.”

    “Over the next two years, Project Directors Rush and Shon and their colleagues draw to publish additional articles on other areas of interest,” the report said.

    On August 18, 2008, a Dallas Morning intelligence headline read: “Conflict of interest fears halt children’s mental health project,” in reference to the Children’s Medication Algorithm Project. “A status mental health draw naming the preferred psychiatric drugs for children has been quietly establish on hold over fears drug companies may own given researchers consulting contracts, speakers fees or other perks to serve score their products on the list,” the intelligence wrote.

    To date, four of the five atypical makers own settled fraud charges involving the illegal off-label marketing of antipsychotics, including for exercise with children. Eli Lilly paid $1.4 billion for Zyprexa, Bristol-Myers Squibb’s fine was $515 million for Abilify, Pfizer paid $301 for Geodon, and AstraZeneca just forked out $520 million for Seroquel.

    But the fines are merely chocked up to the cost of doing business. For instance, although AstraZeneca paid a whopping $520 million fine, Seroquel had sales of $4.9 billion in 2009, with more than half coming from the US. Overall, antipsychotics were the top-earning class of drugs in the US, in both 2008 and 2009, with sales of $14.6 billion in 2009, according to IMS Health.

    J&J is the only atypical maker that has not settled the off-label marketing charges against it — yet. However, two units of J&J “will pay more than $81 million to resolve criminal and civil claims over illegal promotion of the epilepsy drug Topamax,” according to Bloomberg intelligence on April 29, 2010.

    Also, over the past 2 months, J&J’s McNeil division has recalled over 40 varieties of child and baby medications after the FDA organize massive safety and manufacturing violations at a plant in Fort Washington, Pennsylvania, including formulations of Tylenol, Motrin, Zyrtec and Benadryl. The FDA too organize problems with “strength, quality and purity.”

    The FDA’s inspection report notes that J&J received about 46 consumer complaints “regarding strange materials, black or black specks [in their drugs] from June 2009 to April 2010.” J&J had learning of problems since May 2009, which means it was allowing children and infants to ingest potentially virulent drugs for a year before the product recall took place.

    Time Magazine as Promoter

    On June 22, 2009, the RWJF website posted a link to download the replete text of an article in Time magazine, by John Cloud titled, “Staying Sane May be Easier Than You Think,” who reported: “The most exciting research in mental health today involves not how to handle mental illness but how to avert it in the first place.”

    “In fact,” Cloud said, “many mental illnesses — even those fancy schizophrenia that own demonstrable genetic origins — can be stopped or at least contained before they start.”

    “This isn’t wishful thinking but arduous science,” he claimed.

    The article discussed a report by the National Academics, “an organization of experts who investigate science for the Federal Government,” nearly two years in the making, “on how to avert mental, emotional and behavioral disorders.” A quick check organize one of the sponsors of the National Academies to be RWJF.

    “The report concludes that pre-empting such disorders requires two kinds of interventions,” Cloud said, “first, because genes play so considerable a role in mental illness, they necessity to ensure that nearby relatives (particularly children) of those with mental disorders own access to rigorous screening programs.”

    “Second,” he noted, “we must offer treatment to people who own already shown symptoms of illness (say, a drift to fret and view the world without optimism) but don’t meet the diagnostic criteria for a full-scale mental illness (in this case, depression).”

    “Some prevention programs even prescribe psychiatric medications, including antipsychotics and antidepressants, to people who aren’t technically psychotic or depressed,” Time reported.

    “This is a stout concern,” Joseph Rogers, founder of the Philadelphia-based National Mental Health Consumers’ Self-Help Clearinghouse told Cloud. “Because, gee, if you miss, you can really attain more harm with some of these drugs than good.”

    “But those who contributed to the National Academies report Say preventing the suffering of people with mental illness is worth the risk of some groundless positives, partly because of the colossal cost of treating mental illness after it’s struck,” Cloud reported.

    The article profiled PIER and McFarlane, who was described as “one of the world’s top authorities on preventing mental illness.”

    According to Time, the “National Institute of Mental Health is funding a tribulation of McFarlane’s work, and while he is quiet writing up his data for publication, his anecdotal results are promising: most of the kids are so far avoiding a first psychotic episode.”

    Preemptive Drugging Unsupported

    In a 2008 paper titled, “Atypical Antipsychotic Agents For the Schizophrenia Prodrome: Not a lucid First Choice,” published in the International Journal of Risk & Safety in Medicine, Dr Stefan Kruszewski, a psychiatrist, and Dr Richard Paczynski, a neurologist, both from Harrisburg, Pennsylvania, explain, “Pharmacologic intervention at the earliest stages of suspected psychotic illness is an intuitively appealing concept and a ratiocinative extension of the current approach to many other diseases of the central nervous system.”

    “However,” they report, “a faultfinding analysis of the results of structured clinical investigations which own explored the exercise of ATAPs for new-onset psychotic symptoms raises safety concerns and does not advocate pre-medication in this setting as a preventive strategy.”

    “Over the past several years,” the paper states, “a voice has emerged in the international psychiatric community recommending early prescription of the atypical antipsychotic agents (ATAPs) for adolescents and adolescent adults who emerge to exhibit signs consistent with a schizophrenia prodrome. Early exercise is predicated on the possibility that ATAPs may avert progression to full-blown psychotic illness in this high-risk population. ”

    “This trend has been encouraged despite a paucity of data which clearly advocate the effectiveness of these agents for this indication, and despite evidence of adverse side effects including,” the authors note.

    These circumstances prompted their literature review, “focusing on the five published studies that own explicitly addressed the preventative efficacy of the most widely prescribed ATAPs in structured (i.e., non-anecdotal) clinical settings.”

    In the summary and conclusion section of the paper, the authors report that the results from the available controlled trials reviewed are in line with several of the conclusions of the naturalistic study by Cornblatt et al. “That is, early prescription of ATAPs to adolescents and adolescent adults seeking medical attention for prodromal psychotic symptoms is associated with towering rates of medication non-adherence.”

    “Additionally,” they say, “the introduction of ATAPs was not associated with reduction in the rate of conversion to formal psychosis beyond that explainable by haphazard and/or the introduction of prejudice secondary to baseline imbalances, inadequate blinding or even differential psychosocial supports.”

    “We imply caution in making any assumptions that justify changes in prescription-writing behavior when it involves patients who are at towering risk for developing long-term psychotic illnesses but own never demonstrated sustained psychosis (psychotic illness by DSM-IV criteria),” Kruszewski and Paczynski advise.

    “This would involve but is not limited to persons with suspected schizophrenia prodrome,” they add.

    “Even in the hands of experienced investigators using particular screening protocols in controlled settings, only one-quarter to one-third of high-risk patients converted to full-blown psychosis,” they report.

    “Consequently,” they warn, “if early exercise of ATAPs continues as a quasi-standard of trust for new-onset psychotic symptoms, a large majority of these often adolescent individuals will be exposed unnecessarily to poorly defined but likely substantial risks, including but not limited to obesity, hyperlipidemia, metabolic syndrome, increased rates of nature II diabetes mellitus and extrapyramidal syndromes, both acute and chronic.”

    “Considerations of safety must approach first when the preventative efficacy of these agents remains so poorly defined,” they conclude.

    • Read section I.

    • section III of this progression will highlight the Psychiatric Industrial knotty as the driving obligate behind the American Epidemic of Mental Illness.

    • This progression is sponsored by the International focus for the Study of Psychiatry and Psychology.

    Evelyn Pringle is an investigative journalist focused on exposing corruption in government and corporate America. She can be reached at: Read other articles by Evelyn, or visit Evelyn's website.

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