Unbiased Reporting

What I post on this Blog does not mean I agree with the articles or disagree. I call it Unbiased Reporting!

Isabella Brooke Knightly and Austin Gamez-Knightly

Isabella Brooke Knightly and Austin Gamez-Knightly
In Memory of my Loving Husband, William F. Knightly Jr. Murdered by ILLEGAL Palliative Care at a Nashua, NH Hospital

Thursday, February 11, 2010

Ore. studies role age plays in child-abuse checks

Ore. studies role age plays in child-abuse checks


Prompted by the death of a 15-year-old girl, Oregon's Department of Human Services is studying whether age plays a factor when welfare workers choose which cases to investigate.

Jeannette Maples died in her Eugene home Dec. 9, and her mother and stepfather have been charged with murder. Human Services officials wonder whether welfare workers failed to act on calls reporting her abuse because she was older than many other child abuse victims.

State investigators are looking at whether the flawed screenings in her case were due to individual misjudgments or to a systemic problem of abuse screeners "over-relying upon a child's age as part of their evaluation of child vulnerability." Their audit of a sample of closed cases is expected to be completed by March 1.

State and private social service leaders insist they see no evidence in the Portland area that child welfare workers are reluctant to act on abuse reports about older children.

"If the caller says a 16-year-old got punched in the face by his dad or a 4-year-old got punched in the face by dad, we're assigning both of those," said Stacey Ayers, program manager for child protective services. "The responses will be immediate."

But there is a history of placing less emphasis on cases involving older children. In the 1990s, Oregon deliberately categorized older children as less vulnerable, under the theory that they could flee abusive homes if necessary. Officials say they abandoned that practice after youth advocates challenged it.

"They have tried to get over that mentality," said Kevin Donegan, director of homeless youth services for Janus Youth Programs Inc. in Portland. "Unfortunately, there is still some of that mindset in the state."

Mark McKechnie, executive director of the Juvenile Rights Project Inc., agrees that Portland-area social workers have responded better to abuse reports on older youth in recent years. But he said he still worries that state guidelines for screening abuse reports could lead some workers to conclude that older children are not vulnerable.

Guidelines say a child's vulnerability should be judged "according to the child's physical and emotional development, ability to communicate needs, mobility, size and dependence."

In a report released last week, state investigators said Maples' age appears to have been "considered as a major factor in the conclusion that she was not vulnerable."

At least three reports in 2007 and 2009, when Maples had become isolated in home school, should have triggered visits to her home by state child protection workers, the investigation concluded.

Instead, screeners chose against intervention after each call.

In the state's Multnomah County Child Welfare Hotline office in Portland, social workers do not assume older children are less vulnerable because they could have cognitive or developmental deficits, might not be able to defend themselves, or might have nowhere to go, said Miriam Green, program manager.

As a safeguard, she said, every report is shown to at least one supervisor and sometimes to police.

"We have to get it right 100 percent of the time," Green said, "and we're human beings."

Posted in State-and-regional on Saturday, February 6, 2010 2:15 pm Updated: 2:03 pm.
http://democratherald.com/news/state-and-regional/article_c3b5671f-88cd-5421-b595-b85f0871da41.html

State's child-protection laws must be changed

State's child-protection laws must be changed
February 9, 2010

I am sickened and outraged of the death of a 3-year-old allegedly killed by the people meant to protect her. My God, why was she returned?



How high does the toll have to be before this madness stops? Laws need to change.
How many cases go unreported? How many children are waiting to be returned to be killed?
I feel all cases need to be reopened and Child Protective Services and the family courts investigated in every case.
Rest in peace, Prhaze Rosemary. May your death not be in vain. You speak for all the children.
I'm sorry they failed you.
CATHY RUMBLE
Jan. 26
http://www.thetimesherald.com/article/20100209/OPINION03/2090317/1014/OPINION/State+s+child-protection+laws+must+be+changed

INVISIBLE CHILDREN Kids at Risk Action

INVISIBLE CHILDREN
Kids at Risk Action (KARA) – Children's Rights Advocacy Network

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« More Volunteers Needed For Children In Court SystemJuvenile Injustice – Mental Health
Published by Mike Tikkanenon February 11, 2010in Health and Mental Health, Public Policy and The States. 0 Comments
Tags: lack of oversight in New York's mental health facilities for youth mirrors the rest of the nation..

Today’s NY Times article on the lack of oversight in New York’s mental health facilities for youth mirrors the rest of the nation.

2 Important truths; most of the youth in the juvenile justice system have come through child protection services, & a large percentage of these youth suffer from mental health issues.

Children don’t become involved in child protection systems unless they have suffered extended exposure to violence and deprivation in their birth homes.

The World Health Organizations definition of Torture is; Extended Exposure to Violence and Deprivation – Trauma.

New York is now spending about $250,000 per year / per youth in their juvenile justice system.

http://www.invisiblechildren.org/2009/12/14/new-york-meet-missouri/

In my experience as a guardian ad-Litem in MN I have watched really terrible things happen to very troubled children under the direction of people and programs that were supposed to be “helping” the child.

One young boy walked home many miles without a coat, on a sub zero MN night (with no home to go to) from a juvenile facility after being severely abused.

While it would be easy to blame the people in the institutions, it is really the fault of poor public policy, resulting from lack of understanding of underlying issues.

Mental health is all about functioning within our communities. Bear that in mind as you read the New York Times article and the following KARA pieces.

My note on the following; The amount of psychotropic medications being proscribed to this population is enormous in relation to the the therapy that is needed but not available.


For Detained Youths, No Mental Health Overseer
By JULIE BOSMAN New York Times

Published: February 10, 2010 http://www.nytimes.com/2010/02/11/nyregion/11youth.html

Other Invisible Children mental health articles;


http://www.invisiblechildren.org/2009/03/10/a-grim-truth-about-big-pharma/


http://www.invisiblechildren.org/2009/06/21/amy-shermans-blog-for-floridas-at-risk-children/



http://www.invisiblechildren.org/2009/06/05/study-early-therapy-can-save-teens-from-depression/

http://www.invisiblechildren.org/2008/09/28/ptsd-study-of-abused-children/


http://www.invisiblechildren.org/2009/07/23/abandoned-abandoned-again-and-tasered-whats-next-for-at-risk-youth/


Follow us on Twitter http://twitter.com/KidsAtRisk

Click here to join our Linked in online discussion about at risk children

http://www.linkedin.com/groups?home=&gid=2468497&trk=anet_ug_hm

Become part of our email network by sending a request to join to; amy.rostronledoux@yahoo.com

http://www.invisiblechildren.org/2010/02/11/juvenile-injustice-mental-health/

Attorney to Sue Doctors Who Misuse Drugs on Children

Health Investigations
Attorney to Sue Doctors Who Misuse Drugs on Children
February 8, 2010 Alison Bass It’s true that the drug industry was hard hit last year with some pretty hefty fines for the illegal off-label promotion of drugs — $1.4 billion against Eli Lilly for its off-label promotion of Zyprexa and $2.3 billion against Pfizer for doing the same with several drugs. But such fines, many say, are still considered the cost of doing business in an industry that raked in close to $300 billion in U.S. drug sales in 2008 (and more in 2009), according to IMS Health Reports.
Now, Alaska attorney Jim Gottstein has proposed a different and potentially more effective approach toward curbing the systemic over-drugging of economically disadvantaged youngsters in this country, a sad reality which I’ve written about here and here. According to one recent study, children covered by Medicaid are given anti-psychotics such as Zyprexa and Seroquel (which have serious side effects) four times as often as children whose parents have private insurance. These drugs are often prescribed as chemical straitjackets to control children whose parents or foster families are unable to give them the attention and parenting they need. That was certainly the case for four-year-old Rebecca Riley, who died from an overdose of psychoactive drugs prescribed by a psychiatrist at Tufts Medical Center, Kayoko Kifuji.

Gottstein has launched an initiative to sue doctors like Kifuji who blithely prescribe potent drugs that are not approved for use in children. These lawsuits, filed under a federal Qui Tam complaint, would target not only the individual doctors but the hospitals and clinics that employ them and the pharmacies that fill their prescriptions and submit them to Medicaid for reimbursement. It is Gottstein’s contention that these prescriptions constitute Medicaid fraud since they are written for uses that are not medically accepted (i.e. off-label). There is legal precedent for this kind of argument. Indeed, the Department of Justice’s news release announcing its $2.3 billion settlement with Pfizer says that the drug giant caused false claims to be submitted to government health care programs for uses that were not medically accepted indications. So if the feds can succeed with this kind of argument, why not individual claimants?

Gottstein is planning to discuss his medicaid fraud initiative in a lecture webinar on Feb. 24, sponsored by the International Center for the Study of Psychiatry and Psychology. So if you know of a disadvantaged child who was slapped on drugs he or she didn’t need, you might want to listen in.

Alison Bass

http://thefastertimes.com/healthinvestigations/2010/02/08/attorney-to-sue-doctors-who-misuse-drugs-on-children/

Foster Care Quality Linked to Hyperactive Youths' Progress Study finds number of foster care moves also affects behavior of children with ADHD

Foster Care Quality Linked to Hyperactive Youths' Progress
Study finds number of foster care moves also affects behavior of children with ADHDPublish date: Feb 1, 2010

Del.icio.usDiggRedditFacebook
MONDAY, Feb. 1 (HealthDay News) -- The degrees of parental warmth and hostility, as well as the number of foster-care moves, affect the progression of inattention, hyperactivity and impulsivity among children placed in foster care, according to a study published online Feb. 1 in Pediatrics.

L. Oriana Linares, Ph.D., of the New York University Langone Medical Center in New York City, and colleagues conducted a study of 252 maltreated children placed with 95 families. They gathered data from biological parents, foster parents and classroom teachers regarding parental warmth and hostility and the stability of placement, as well as the progress of symptoms of attention-deficit/hyperactivity disorder.

The odds of higher inattention were greater among children who experienced less warmth and more hostility from their parents, the researchers found. These two factors were also associated with higher hyperactivity, as were a higher average number of moves and discharge from care, the investigators note.

"The results of this study advance the current knowledge of family variables that affect the course of inattention and hyperactivity/impulsivity symptoms in foster care," the authors write. "These data offer an emerging clinical picture of risk for symptom types under the unique caregiving conditions of foster placement. The identification of parental quality and placement stability as malleable factors points to intervention goals for promoting child psychological well-being in the foster care system."

Abstract
Full Text (subscription or payment may be required)


Copyright © 2010 HealthDay. All rights reserved.


http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Foster-Care-Quality-Linked-to-Hyperactive-Youths-P/ArticleNewsFeed/Article/detail/654709?contextCategoryId=40165

NYS Legislation to Vaccinate Children WITHOUT Parental Consent

NYS Legislation to Vaccinate Children WITHOUT Parental Cons


Vince Boehm *
http://www.ahrp.org

FYI/ ACTION

The New York State Senate is about to vote on legislation that will give a
school nurse or doctor the power to vaccinate children under- age 18 years
of age with controversial vaccines such as GARDASIL and Hep B-- WITHOUT
parental "consent or knowledge." Sexually transmitted diseases are NOT
communicable through casual contact. The Gardasil vaccine is engulfed in
much controversy because it is not at all proven that its risk / benefit
ratio favors children's welfare.
Indeed, the vaccine's period of effectiveness is unknown while mounting
evidence shows that it poses serious risks for some children and young women
exposed to it.

See: The Risks and Benefits of HPV Vaccination by Charlotte Haug, MD, PhD,
MSc JAMA. EDITORIAL. 2009;302(7):795-796.
http://jama.ama-assn.org/cgi/content/full/302/7/795?home

Not be ignored is Merck's record of aggressive, illegal marketing of drugs
including the Gardasil vaccine: Merck is on record of having bribed state
legislators to mandate Gardasil.

Let the NYS legislators below know that S4779B violates parental rights and
responsibility to make healthcare decisions on behalf of their children.
S4779B is BEYOND THE BOUNDS OF SCHOOL AUTHORITY.

Who will bear moral, medical, and financial responsibility should a child be
harmed by a vaccine that was administered to a child WITHOUT parental
knowledge or consent?

Contact: Vera Hassner Sharav
veracare@ahrp.org
212-595-8974

"Gary Krasner"
Date: February 8, 2010 10:38:49 AM EST
To: cfic@nyct.net
Subject: URGENT: info for religious or vaccine-aware parents
Reply-To: cfic@nyct.net


Friends: The following info is of critical importance to religious
conservatives and/or parents who wish to have consent rights for
vaccinations.

The NYS Senate Code Committee will vote on S4779B Tuesday (tomorrow)
at 10:30 AM in the capitol blding. L

WHY is this bill bad?

It gives a school nurse or MD the power to vaccinate or treat (if
infected) your under-18 year old child with STD vaccinations (Hep-B and
GARDASIL) WITHOUT your "consent or knowledge."

It also seems flawed. Are there provisions in state law that
defines one who has a "capacity" to consent to a vaccination? If not, then
how can this law be implemented? And what would prevent a school nurse from
vaxxing a 6 yr old student? And how could a 6 yr old "consent" to
obtaining a vaccine?

This is the applicable excerpt:

QUOTE
This section also provides that a health care practitioner may
provide health care related to the prevention of a sexually transmissible
disease, including administering vaccines, to a person under age eighteen
without the consent or knowledge of his or her parents or guardians,
provided such person has capacity to, consent to the care, without regard to
the person's age, and the-person consents.
UNQUOTE

There are other problems with this bill. But here's the wording for
you to judge:

BILL NUMBER: S4779B

TITLE OF BILL : An act to amend the public health law, in relation
to providing medical care to minors for sexually transmitted diseases
without a parent's or guardian's consent

PURPOSE OR GENERAL IDEA OF BILL : To ensure that the immunization
against HPV is administered to people at a time when it is most effective.

SUMMARY OF SPECIFIC PROVISIONS : Section one amends section 2305 of
the public health law to provide that no person other than a health care
practitioner shall diagnose, treat or prescribe for a person who is infected
with a sexually transmissible disease, or who has been exposed to infection
with a sexually transmissible disease, or dispense or sell a drug, medicine
or remedy for the treatment of such person except on prescription of a
health care practitioner.

Section two amends subdivision 2 of section 2305 of the public
health law to provide that a health care practitioner may diagnose, treat or
prescribe treatment for a sexually transmissible disease for a person under
age eighteen without the consent or knowledge of his or her parents or
guardians where such person is infected with a sexually transmissible
disease or has been exposed to infection with a sexually transmissible
disease.

This section also provides that a health care practitioner may
provide health care related to the prevention of a sexually transmissible
disease, including administering vaccines, to a person under age eighteen
without the consent or knowledge of his or her parents or guardians,
provided such person has capacity to, consent to the care, without regard to
the person's age, and the-person consents. The section provides further that
any release of patient information regarding vaccines provided under this
section shall be consistent with sections 17 and 18 of the public health law
and other applicable laws and regulations.


ACTION TO TAKE:

from Lisa Rudley:

Please ACT NOW as there is an important vote going through this
Tuesday
(2/9/10) that would further this very DESTRUCTIVE bill! One phone
call, one
fax will make all the difference. We have defeated these types of
bills
before, but we need every concerned New Yorker contacting their
legislators
immediately.

I will be going to Albany early Tuesday morning, please let me know
if
anyone wants to join me. Let's protect our kids together!!! Please
forward
the below alert to all your lists immediately.

Help Stop the Destruction of Parental Rights in New York Regarding
Vaccines



Help DEFEAT Proposed Bills that Would:

1. Permit ALL Present and Future Vaccines and Drugs for Sexually
Transmitted
Diseases to be Given to New York Children WITHOUT Parental
Consent
(S4779 and A6702
)

2. Legally Force Controversial HPV Vaccine on 6th Grade New York
Schoolchildren (A0778 )

Spending Just a Few Minutes Can Make a Difference:


1. IMMEDIATELY Forward this note to everyone you know in New York
state

2. Ask your elected Senator and Assembly Member to OPPOSE S4779,
A6702 and
A0778!

* Use the "Find My Senator" section on
http://www.nysenate.gov/ and
the "Member Search by Zip Code" on http://assembly.state.ny.us/mem/

* Use the contact information to CALL, EMAIL, and FAX to
send the
strongest message

3. Request members of the Senate Codes Committee vote AGAINST S4779
before
the committee hearing on Tuesday 2/9/10

Chair: Sen. Eric T. Schneiderman, (518) 455-2041,
schneide@senate.state.ny.us, fax (518) 426-6847

Sen. John J. Bonacic, (518) 455-3181, bonacic@senate.state.ny.us,
fax (518)
426-6948

Sen. Neil D. Breslin, (518) 455-2225, breslin@senate.state.ny.us,
fax (518)
426-6807

Sen. John A. DeFrancisco , (518) 455-3511,
jdefranc@senate.state.ny.us, fax
(518) 426-6952

Sen. Thomas K. Duane, (518) 455-2451, duane@senate.state.ny.us, fax
(518)
426-6846

Sen. John J. Flanagan, (518) 455-2071, flanagan@senate.state.ny.us,
fax
(518) 426-6904

Sen. Martin J. Golden, (518) 455-2730, golden@senate.state.ny.us,
fax (518)
426-6910

Sen. Shirley L. Huntley, (518) 455-3531,
shuntley@senate.state.ny.us, fax
(518) 426-6859

Sen. Jeffrey D. Klein, (518) 455-3595, jdklein@senate.state.ny.us,
fax (518)
426-6847

Sen. Andrew J Lanza, (518) 455-3215, lanza@senate.state.ny.us, fax
(518)
426-6852

Sen. Kevin S. Parker, (518) 455-2580, parker@senate.state.ny.us, fax
(518)
426-6843

Sen. Bill Perkins,( 518) 455-2441, perkins@senate.state.ny.us, fax
(518)
426-6809

Sen. Stephen M. Saland, (518) 455-2411, saland@senate.state.ny.us,
fax (518)
426-6920

Sen. John L. Sampson, (518) 455-2788, sampson@senate.state.ny.us,
fax (518)
426-6806

Sen. Daniel L. Squadron, (518) 455-2625,
squadron@senate.state.ny.us, fax
(518) 426-6956

Sen. Dale M. Volker, (518) 455-3471, volker@senate.state.ny.us, fax
(518)
426-6949

4. Please send a copy of your letter and any responses you receive
to
nyvaccinechoice@gmail.com


Key Talking Points:


Oppose S4779 and A6702 which permit ALL present and future vaccines
and
drugs for sexually transmitted diseases to be given to New York
children
WITHOUT parental consent


* These bills remove parental rights for all New York
parents

* If a child has a drug or vaccine reaction, the parents
won't know
what is happening or how to help

* These bills apply to ALL children - there is NO age limit

* A child's has a limited capacity to understand
pharmaceutical drug
and vaccine risks and identify side effects they may experience

* Unknown vaccine administrators don't know the child's
medical
history, vaccine contraindications, allergies, and past vaccine
reactions

* Children unknowingly are giving up their legal rights when
asking
for a vaccine because Federal


QUESTIONS?

contact Lisa Rudley, Heather Walker, and John Gilmore for additional
instructions on what can be done:
Lisa Rudley , Heather Walker
, John Gilmore


Gary Krasner, Director
Coalition For Informed Choice
188-34 87th Drive, Suite 4B
Holliswood, NY 11423
718-479-2939
CFIC@nyct.net
www.CFIC.us

NOTE -- Please use only if your message
carries file attachments totaling over 2 MB.

"For a successful technology, reality must take precedence over
public relations, for Nature cannot be fooled" . . . Richard P.
Feynman

DISCLAIMER:
I'm neither a lawyer nor medical physician. It should not be
construed from any materials I distribute that I'm dispensing legal or
medical advice.








List members noted in Green text.


FAIR USE NOTICE: This may contain copyrighted (© ) material the use of which has not always been specifically authorized by the copyright owner. Such material is made available for educational purposes, to advance understanding of human rights, democracy, scientific, moral, ethical, and social justice issues, etc. It is believed that this constitutes a 'fair use' of any such copyrighted material as provided for in Title 17 U.S.C. section 107 of the US Copyright Law. This material is distributed without profit.


The information herein shall not be considered an endorsement of anyone discontinuing psychiatric drugs. If you are stopping taking medication IT IS ADVISABLE TO REDUCE DOSES GRADUALLY WITH EXTREME CAUTION, as it is difficult to predict who will have problems withdrawing. It is worth getting as much information and support as you can, and involving your doctor wherever possible. You will find withdrawal information here: http://theicarusproject.net/


FOR MORE INFORMATION ON WITHDRAWAL:: Get Peter Lehmann's book, Coming off Psychiatric Drugs: Successful Withdrawal from Neuroleptics, Antidepressants, Lithium, Carbamazepine and Tranquilizers. This valuable resource comes in US, UK, Greek. and German editions.

PsychRights' Medicaid Fraud Initiative Against Psychiatric Drugging of Children & Youth

PsychRights®
Law Project for
Psychiatric Rights

PsychRights' Medicaid Fraud Initiative Against Psychiatric Drugging of Children & Youth
Model Medicaid Fraud Complaint

United States ex rel Law Project for Psychiatric Rights v. Matsutani, et al.

Summary Analysis
Medicaid
False Claims Act
Model Qui Tam Complaint
Links
Utah Attorney General Correspondence

February 24, 2010 Webinar on PsychRights' Medicaid Fraud Initiative Against Psychiatric Drugging of Children & Youth


Summary

The massive psychiatric drugging of America's children, particularly poor, disadvantaged children & youth through Medicaid and in foster care is an unfolding public health catastrophe of massive proportions. This catastrophe is being caused by the fraudulent promotion of these harmful practices by pharmaceutical companies sacrificing children and youth's health, futures and lives on the altar of corporate profits. In 2009, Eli Lilly agreed to pay $1.4 Billion in criminal and civil penalties for such off-label promotion of Zyprexa and Pfizer agreed to pay $2.3 Billion for the illegal off-label promotion of Geodon and other drugs, yet the practice has not stopped. It is merely a cost of doing business to these pharmaceutical Goliaths and, in fact, caps their liability for these crimes. Most importantly, these settlements have not stopped the practice of child psychiatrists and other prescribers giving these drugs to children and youth and Medicaid continuing to pay for these fraudulent claims.

PsychRights' Medicaid Fraud Initiative Against Psychiatric Drugging of Children & Youth is designed to address this problem by having lawsuits brought against the doctors prescribing these harmful, ineffective drugs, their employers, and the pharmacies filling these prescriptions and submitting them to Medicaid for reimbursement. Once one sues over specific offending prescriptions, all of such prescriptions can be brought in, which means that any psychiatrist on the losing end of such a lawsuit will almost certainly be bankrupted, because each offending prescription carries a penalty of between $5,500 and $11,000. This is why it is expected that once this financial exposure becomes known to the prescribers they will quit the practice. Each prescriber may have a million dollars or few, at most, to lose, but the pharmacies' financial exposure can run into the hundreds of millions of dollars and it is hoped this will attract attorneys to take these cases. Anyone with knowledge of specific offending prescriptions can sue on behalf of the government to recover for such Medicaid Fraud, and receive a percentage of the recovery, if any.

Of course, it can be expected that the defendants will vigorously contest everything, and there are no guarantees of success. However, PsychRights believes what is presented here is accurate. PsychRights has published a PowerPoint Presentation that goes through the requirements and identifies the major issues.

The Model Qui Tam Complaint PsychRights has put together is set up for former foster youth to sue the doctors who prescribed the drugs to them, their employers, and the pharmacy(ies) submitting the false claims, but it can be easily modified for anyone else to file such a complaint, such as parents, teachers, therapists, etc. PsychRights stands ready to to help people interested in bringing such suits and interested people can e-mail us, or call at (907) 274-7686, or write to 406 G Street, Suite 206, Anchorage, AK 99501.

Analysis

Medicaid

In 42 USC 1396R-8(k)(3), as relevant here, Congress prohibited reimbursement under Medicaid for any outpatient drugs "used for a medical indication which is not a medically accepted indication." 42 USC 1396R-8(k)(6) then defines "medically accepted indication" as follows:

The term “medically accepted indication” means any use for a covered outpatient drug which is approved under the Federal Food, Drug, and Cosmetic Act [21 U.S.C.A. § 301 et seq.], or the use of which is supported by one or more citations included or approved for inclusion in any of the compendia described in subsection (g)(1)(B)(i) of this section.

42 USC 1396R-8(g)(1)(B)(i), in turn, designates the Compendia as:

(I) American Hospital Formulary Service Drug Information;

(II) United States Pharmacopeia-Drug Information (or its successor publications); and

(III) the DRUGDEX Information System
An indication not approved by the FDA is often referred to as "off-label." Congress didn't prohibit reimbursement by Medicaid for all off-label prescriptions, but specifically limited reimbursement for off-label prescriptions to those that have sufficient scientific "support," as documented in one of the Compendia. A couple of illustrations: Geodon is not (yet) approved for any use in children and not supported by any citation in any of the Compendia. Thus, any Geodon prescriptions to children and youth submitted to Medicaid constitute fraud. Similarly, I have seen neuroleptics such as Abilify, Risperdal, Seroquel, & Zyprexa, prescribed for "Oppositional Defiant Disorder," and even for sleep. Such prescriptions are not for "medically accepted indications," and thus automatically constitute Medicaid Fraud.

There are a a lot of technical requirements that must be met, such as the lawsuit must be based on "non-public" information, which in this case is satisfied by having knowledge of offending prescriptions and the cases must initially be filed under seal (in secret).

False Claims Act

Under the False Claims Act:

It is a False Claim to knowingly (A) present, or cause to be presented, a false or fraudulent claim for payment or approval, or (B) make, use, or cause to be made or used, a false record or statement material to a false or fraudulent claim to the Federal Government. 31 USC §3729(a)(1)

"Knowingly" is defined as (i) actual knowledge; (ii) deliberate ignorance of the truth or falsity; or (iii) reckless disregard of the truth or falsity, and no proof of intent to defraud is required. 31 U.S.C. §3729(b)(1)(a)
Every Medicaid provider is presumed to know what Medicaid's billing and coverage policies require. Heckler v. Community Health Services, 467 U.S. 51, 63-64 (1984).
Claims of ignorance are an untenable bases for the doctor's failure to live up to his duty to familiarize himself with the Medicaid requirements and observe his legal duty to submit truthful claims. United States v. Nazon, 940 F.2d 255, 259 (7th Cir. 1991).
"The applicant for public funds has a duty to read the regulations or be otherwise informed of the basic requirements of eligibility." Coop. Grain, 476 F.2d at 55-60.
Links

United States ex rel Law Project for Psychiatric Rights v. Matsutani, et al.
PowerPoint Presentation: PsychRights' Medicaid Fraud Initiative Against Psychiatric Drugging of Children & Youth.
Medically Accepted Indications Chart
CriticalThinkRx Curriculum
Report on Mental Health Services and Foster Care, by Facing Foster Care in Alaska.
PsychRights Launches Campaign Against Medicaid Fraud With Model Lawsuit, July 27, 2009.
Model Qui Tam Complaint
Microsoft Word Version
Massive Medicaid Fraud Exposed: PsychRights Calls on Members of Congress for Assistance, May 5, 2009.
Letter to Senator Charles Grassly
Letter to Senator Herb Kohl
Letter to Congressman Henry Waxman
Letter to Congressman Bart Stupak
Letter to Congressman John Dingell
Letter to Congressman Barney Frank
Utah Attorney General's Office Correspondence

October 22, 2007, letter from Utah Assistant Attorney General David Stallard to the Centers for Medicare & Medicaid Services (Medicaid)
December 6, 2007, response from Medicaid to Utah Assistant Attorney General David Stallard
December 17, 2007, follow-up letter from Utah Assistant Attorney General David Stallard to Medicaid
January 30, response from Medicaid to Utah Assistant Attorney General David Stallard

http://psychrights.org/Education/ModelQuiTam/ModelQuiTam.htm