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Children's Mental Health Site of the Month

 

 

 

Implants May Stabilize Schizophrenia Patients for a Year 



Source: http://unisci.com/stories/20022/0530024.htm


30-May-2002 - By Ellen O'Brien

One of the greatest difficulties in treating schizophrenia has always been helping patients to stay on their medication. Now, that problem is closer to being solved.

Scientists at the University of Pennsylvania's School of Medicine have designed an implantable device capable of delivering anti-psychotic medication for a period of five months, and continuing work at Penn indicates that such devices may work for up to a full year.

The device has been proven effective in initial laboratory studies, and more research is underway (in collaboration with the University of Pittsburgh School of Medicine) to lead to potential clinical trials.

Findings from the small-mammal study appear in the current issue of the scientific journal Neuropsychopharmacology. If the device can be demonstrated to work effectively in human subjects in future trials, it will offer a medical alternative that may relieve many patients of the threat of psychosis and chronic social instability.

"Schizophrenia destroys an individual's grasp of reality, robbing him of his identity and devastating his family," said Steven Siegel, MD, PhD, of the Division of Neuropsychiatry in Penn's Department of Psychiatry. This device could relieve those threats, by assuring medical stability.

"Patients who need anti-psychotic drugs often fail to comprehend the profound severity of their illness, and may stop taking their medication during temporary periods of impaired judgment. But when the majority of patients with psychiatric disorders take appropriate medicine, they do achieve periods of remission from psychotic symptoms."

Siegel said, "The advantage of relying on an implantable anti-psychotic medicine is that patients are able to make decisions about the future course of their treatment during periods of relative health, but if a medical reason arises that necessitates curtailing treatment, the implant can be easily removed."

The delivery device consists of a surgically-implantable disc made of biodegradable polymers (a series of linked molecules) combined with medication. In the trials, a traditional anti-psychotic medicine, Haloperidol, was used.

The discs have been modeled in a fashion that allows each type of polymer to disintegrate at a specific rate, so that exactly the prescribed volume of medication is released into the bloodstream each day for up to a year.

About the size of a quarter, the device is held in place under the skin with a single surgical stitch. According to Siegel, the implantation procedure (and removal procedure) can be performed in about 15 minutes under local anesthetic.

Other Penn researchers who collaborated in the study are: Karen I. Winey, PhD, Department of Materials Science and Engineering; Raquel Gur, MD, PhD, and Robert H. Lenox, MD, Department of Psychiatry; Warren B. Bilker, PhD, Department of Biostatistics and Epidemiology, and Debbie Ikeda, Neel Gandhi, and Wen-Xiao Zhang, MS, also of Psychiatry.

Siegel's work is supported by the Stanley Foundation, an advocacy organization for families of individuals afflicted with schizophrenia. He has been named director of the newly formed Stanley Center for Experimental Therapeutics in Psychiatry at Penn.

A patent for the implant technology is pending.

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Although some may benefit from a long term medication solution such as this, we feel that they should be aware of the risks when they make their decision.  We do not feel that such a treatment should ever be forced, or made a condition for living in the community due to those risks.   David Oaks, of Support Coalition International, wrote:

What a truly horrible, frightening development.

Note that Raquel Gur was part of this. She knows that taking long-term neuroleptics is linked to structural changes in the brain. In an e-mail debate with her, she claimed that those raising this problem were trying to claim "conclusive causation" which almost no scientist ever does, anywhere, for any hazard. No, we were saying there was a reasonable red flag... and so she stopped responding.

Also note that Stanley Foundation funded this.... The same folks funding Treatment Advocacy Center push for more forced psychiatry.

If they ran around with an ice pick and forcibly lobotomized people at least it would be more obvious....


- David

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Move Over Mengele, It's Fuller Time Now
by Vicki Fox Smith

I'm trying to see an upside to the announcement that researchers are ready to begin human trials on an implanted drug delivery system designed to drip antipsychotics drugs into us. Social control the modern way. Eugenics the modern way. Move over Mengele, Fuller Torrey is the mad doctor for the new age. The only thing I can come up with is that at least now when a disheveled individual accosts me in the streets talking about evil doctors and a conspiracy to control his thoughts through implants under his skin I will know (rather than merely suspecting) that it is true.

Funded by Stanley Foundation dollars, mad psychiatrist E. Fuller Torrey has shaped a research agenda that has resulted in the development of a device, now ready for human trials, designed to be implanted under the skin where, like a ticking time bomb, it will release a steady stream of anti-psychotic medication into its victims blood stream for 5 ½ months to a year.

I have no doubt there are people who will volunteer to be the human guinea pigs for the clinical trials. Offer a homeless person a few hundred bucks a month and you too can get informed consent for horrific experimentation. I also have no doubt that with forced treatment laws in place thousands more will be implanted against their will.

Think about the savings though. The police can round up folks who are socially unacceptable, the mental health courts can sentence them to implantation, and a technician can probably perform the procedure the very same day. Think how much quieter our prisons will be when ¼ of the inmates get their implants. Those kids in Connecticut who are being screened for early signs of schizophrenia and being "preventatively" medicated-why we can save so much time by implanting them now.

It's a simple procedure; really it is.

(http://www.madnation.cc)

Read the announcement of the implant research:
http://unisci.com/stories/20022/0530024.htm

 

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