Schizophrenia.com - Site Update
          This is the first newsletter this year and I'd like to start it with 
            a note of thanks to all of you that have supported the Schizophrenia.com 
            web site in the past year; as donors and volunteers. I had wanted 
            to send each of the donors a thank you note personally for your assistance 
            this past year, unfortunately because we are a project under a larger 
            nonprofit organization it was going to be very difficult for me to 
            get the names. 
          So, I want to thank you today for your assistance during what I know 
            has been a difficult year for many people economically. With donations 
            and a little advertising revenue we managed to keep the web site up 
            yet another year (just barely).
          I think we're on our 8th year now! Late last year we managed to scrape 
            together enough money for a new server for the discussion areas - 
            so if you visit them now, you'll notice that its now very fast to 
            post new messages as well as to search for old ones. We encourage 
            you to join in the discussion areas (on-line support areas and chat) 
            if you haven't been lately. We now have over 22,000 registered users 
            of the on-line support areas.
          During this past year we've been very busy upgrading the schizophrenia.com 
            web site (please check out the new design and all the new information 
            we've added - at www.schizophrenia.com).
          Web Logs - Assistance Needed. This year one of my top priorities 
            is to expand the Schizophrenia Web Logs (or Blogs for short) at the 
            site, to allow you - the visitors to the site - a much more active 
            hand in the development of the site. We've already got two great web 
            logs up and running - including one by the noted writer (Pamela Wagner) 
            and an India resident by the name of Puzli. Both Pam and Puzli suffer 
            from schizophrenia. I encourage you to check out the writings of these 
            two - and I hope you'll consider starting your own Blog to help educate 
            the world about schizophrenia with your own insights and experiences. 
            We'd love to get some assistance from Universities (students and professors 
            working in the area of schizophrenia), as well as from professionals. 
            For information on starting your own blog - please go to: http://www.schizophrenia.com/blogintro.htm
          Internet Videos - Another high priority is to offer a lot 
            more Internet-based videos related to schizophrenia, right on the 
            schizophrenia.com web site. We are very actively seeking donations 
            of high quality public-domain educational videos on schizophrenia 
            that we will then convert to Internet format so that anyone can access 
            them at our web site any time of the day , from anywhere in the world. 
            We'd also like to get video and audio recordings of good conferences 
            and the presentations associated with them (ie. the powerpoint files) 
            so that we could convert these also to Internet-based formats. Examples 
            of the types of video and audio files that we'd like to get include 
            NIMH symposiums, University Presentations, NAMI or other schizophrenia 
            organization annual meeting presentations, and similar such events. 
            Please send us an email if you can suggest anyone we might talk to 
            about source materials such as this.
          Related to the desire to add more videos to our web site - we've 
            also begun linking to more Internet-based videos on other web sites. 
            The recently updated "Advanced Information" part of the 
            web site now has many new videos on the latest schizophrenia research 
            symposiums. See : http://www.schizophrenia.com/research/
          We at schizophrenia .com wish you the best for 2004, and look forward 
            to conveying to you the latest progress in the battle against schizophrenia.
          Sincerely,
            
            The Schizophrenia.com Team
          
          Letters to the Editor
          "Orthomolecular Psychiatry"/Vitamin 
            Therapies for Schizophrenia?
          Do you have more information on Orthomolecular psychiatric in treating 
            schizophrenia? I am looking for critical information (I can get tons 
            on positive glowing but typically very biased reports on Orthomolecular 
            psychiatric on the net). I also have access to a local medical library 
            and so I can go to the "source" if I need to. 
            
            You mentioned the American Psychiatric Association Task Force Report, 
            July 1973 already. Are there other good evaluation materials also?
            
            I am asking this because I keep on running into this "vitamin" 
            therapy stuff (and many variations of it). This is very important 
            for me because I am also a volunteer instructor for a local NAMI Family 
            to Family class (for family who struggle with serious mental illness). 
            What I need is some good material backing me up in terms of the ineffectiveness 
            of Orthomolecular psychiatry, especially with regard to schizophrenia.
            ---------------------------- 
          Dear Don,
          I have seen information on this "Orthomolecular Psychiatry" 
            and have read about a number of recent and serious law suits in Canada 
            against hucksters on the Internet who have marked vitamin C and others 
            as "cures" to schizophrenia. Everything I've read on the 
            subject has been very negative - and Dr. Irwin of Vancouver, Canada 
            has stated that Orthomolecular Psychiatry is "an approach which 
            Dr. Abram Hoffer and others developed in the 1950s, but which by the 
            1970s was proven to be fruitless. The work of Dr. Hoffer and others 
            is discussed in detail in the American Psychiatric Association Task 
            Force Report, July 1973, which points out methodological flaws in 
            the early work and reviews later studies which failed to show any 
            benefit for such treatments." 
          I thought that the issue was so old and dead that it wasn't worth 
            addressing any further - but you are right, families with schizophrenia 
            are frequently desperate and there doesn't seem to be much public 
            literature on this. Also - and please if there are some researchers 
            out there who are familiar with this, please let us know more - but 
            it seems like there are two aspects to vitamins as they relate to 
            schizophrenia. Recent research seems to suggest that EPA and Omega-3 
            fish oils do provide some (relatively minor, but statistically significant) 
            relief from some schizophrenia symptoms but in my opinion in absolutely 
            no sense do they (or any other vitamins) provide any type of "cure" 
            or even significant relief from schizophrenia - and should not be 
            used as the only treatment for schizophrenia. This is very different 
            than the "cures" that Dr. Hoffer and others have been claiming 
            for decades (as Dr. Irwin suggests above). If any scientists have 
            any further information on this, please let us know.
          If anyone out there knows about, or has access to, the report that 
            is mentioned above or any other good reviews or information on the 
            literature related to this subject - please email us. We'll be providing 
            an update on this in a future newsletter.
          
          
          Scholarships or grants for offspring of 
            schizophrenics?
          Perhaps you can help me, or direct me in the right direction. My 
            mother is a paranoid schizophrenic who refuses treatment. As you probably 
            know, treatment cannot be legally forced on her, but she has been 
            hospitalized several times. She refuses to live with my father (who 
            has custody of me), and so they are separated- but she also is unable 
            to function well enough to have a job of any kind. The hospital bills, 
            psychiatrist bills, and payments associated with fully supporting 
            two separate residences have put great financial stress on my father's 
            modest income. 
          My question is, do you know of any way I can get any sort of help 
            in furthering my education? 
            Any sort of scholarship or grant dealing with my issue? Even if you 
            could only direct me in the right direction, your help would be greatly 
            appreciated. Although I have sought help, I am quite lost in the issue 
            and refuse to believe that there is not some way to get aid in my 
            very rare and very serious situation. Thank you very much for your 
            time and concern.
          
          Sincerely, B Parker 
          RESPONSE: I'm Sorry - I don't have any such information. If any of 
            the readers of this newsletter do - please send it to me and we'll 
            forward it to the student.
          
          The following is a fund raising film festival that seems like something 
            that schizophrenia groups around the world could do to raise awareness 
            and money.
          
          Toronto, Ontario, Canada film festival:
          The schedule and list of films for the Rendezvous with Madness Film 
            Festival (Nov 14-23) online at: 
            http://www.rendezvouswithmadness.com
          
         
         
          
          Bird Brains, by E. Fuller Torrey
          You might not know this, but the National Institute of Mental Health 
            (NIMH), the federal agency responsible for research on mental illnesses, 
            is the world's leading center for study on how pigeons think. In fact, 
            the agency funded 92 research projects on pigeons from 1972 to 2002.
          During the same period, by contrast, NIMH funded only one project 
            on postpartum depression, a devastating mental illness that affects 
            women like Andrea Yates, who killed her five children in Texas in 
            2001.
          NIMH clearly has its priorities wrong. Serious mental illnesses like 
            Yates's account for 58 percent of the total costs of mental illnesses 
            in the U.S. Yet NIMH spends just 5.8% of its resources on real search 
            that could lead to more effective treatment of schizophrenia, bipolar 
            disorder, severe depression, and other serious mental afflictions. 
            Worse still, a new study from the Treatment Advocacy Center (a group 
            I am affiliated with) shows that the percentage of NIMH research resources 
            devoted to serious mental illnesses actually fell over the past five 
            years, even as the institute's budget doubled from $661 million to 
            $1.3 billion. At the same time, federal costs for the care of seriously 
            mentally ill individuals have gone through the roof; they now total 
            $41 billion yearly and are rocketing upward at a rate of $2.6 billion 
            a year. Expenditures on the mentally ill are a big factor in the surging 
            costs of Medicaid and Medicare. Putting aside the fact that men and 
            women with untreated serious mental illnesses make up a third of the 
            homeless population and crowd our jails and prisons-transforming them 
            into our de facto mental institutions-we should, on economic grounds 
            alone, be investing heavily in research on the causes and treatment 
            of these diseases. Breakthroughs could save billions of dollars a 
            year.
          But NIMH doesn't see it that way. During the past five years, it 
            has funded research on how Papua New Guineans think but refused to 
            pay for a treatment trial for schizophrenia; bankrolled research on 
            self-esteem in college students but nixed funding for research on 
            bipolar disorder in children; and paid for a study on how electric 
            fish communicate but not for research on why some individuals with 
            schizophrenia refuse to take their medication. If NIMH were an individual, 
            a psychiatric assessment would be in order.
          The diagnosis would be terminal grandiosity. According to long-standing 
            NIMH culture, the institute's mission concerns mental health-and that 
            means that all forms of human behavior and social problems are legitimate 
            research topics. From NIMH's perspective, mental illness is only a 
            small, and not very interesting, part of its lofty purpose.
          Since we can't call a psychiatrist to examine NIMH, we should at 
            least get Congress to take a closer look. Congressional hearings should 
            assess NIMH's priorities and require that a minimum percentage of 
            the institute's budget-50%, say-fund research on serious mental illnesses. 
            Furthermore, the General Accounting Office, charged with evaluating 
            federal programs, should also critically examine NIMH's work.
          Among many dubious recent NIMH research projects are several on the 
            idea of happiness, including "Cultural Differences in Self-Reports 
            of Well-Being." If the money spent on researching happiness had 
            gone instead toward developing better treatments for depression, the 
            NIMH likely would have added a lot more to the sum of human felicity.
          Dr. Torrey, president of the Treatment Advocacy Center in Arlington, 
            Va., is author of Surviving Schizophrenia (Quill, 4th ed., 2001). 
            This is adapted from the latest City Journal.
          Full report on NIMH Spending on Serious Brain Disorders see:
          A Federal Failure in Psychiatric Research, November, 2003 
            (click on link below)
          http://www.psychlaws.org/nimhreport/federalfailure.htm
          Editor: If you agree with Dr. Torrey - I recommend you contact both 
            your local congressman and your local NAMI office to let them know 
            your thoughts.
          
          Excerpt from: In Mental Health Research, 
            a Clash Over Funding Priorities 
          By Shankar Vedantam
            Washington Post 
            Wednesday, December 24, 2003; Page A13 
          "A recent report criticizing the funding priorities of the federal 
            government's National Institute of Mental Health has reignited controversy 
            over the organization's direction and destiny -- with the top official 
            at the institute echoing some of the criticism himself.
          The percentage of funds devoted to severe mental illnesses has shrunk 
            even as the institute's budget has doubled, according to the report 
            issued last month by psychiatrist E. Fuller Torrey's Treatment Advocacy 
            Center, the Public Citizen Health Research Group and other mental 
            health experts.
          The report has created sharp divisions among the many mental health 
            experts, advocacy groups and professional organizations that have 
            stakes in the agency's mission and direction, and has illustrated 
            the growing gap between scientific and popular visions of mental health 
            research. Ultimately, the issue may be decided not within the NIMH 
            but on Capitol Hill."
          Source: http://www.washingtonpost.com/wp-dyn/articles/A26270-2003Dec23.html
          
          
          
          Schizophrenia and Sunlight
          The chance of developing schizophrenia may be directly linked to 
            how sunny it was in the months before a person's birth, research suggests. 
          
          A lack of sunlight can lead to vitamin D deficiency, which scientists 
            believe could alter the development of a child's brain in the womb. 
            according to an article in the New Scientist in 2002, research suggests 
            people who develop schizophrenia in Europe and North America are more 
            likely to be born in the spring. 
          A psychiatrist at the Queensland Centre of Schizophrenia Research 
            in Brisbane, Australia, made similar findings, suggesting a lack of 
            UV light during pregnancy tips the balance towards schizophrenia in 
            genetically susceptible people. 
          
          
          Note: The following is a short 
            summary of a very good article from Scientific American Magazine that 
            is freely available on the internet. To read the full article (which 
            we highly recommend) please click on the link at the end of the summary.
          December 15, 2003 
            
            Decoding Schizophrenia 
            
            A fuller understanding of signaling in the brain of people with this 
            disorder offers new hope for improved therapy 
            
            By Daniel C. Javitt and Joseph T. Coyle 
            
            Today the word "schizophrenia" brings to mind such names 
            as John Nash and Andrea Yates. Nash, the subject of the Oscar-winning 
            film A Beautiful Mind, emerged as a mathematical prodigy and eventually 
            won a Nobel Prize for his early work, but he became so profoundly 
            disturbed by the brain disorder in young adulthood that he lost his 
            academic career and floundered for years before recovering. Yates, 
            a mother of five who suffers from both depression and schizophrenia, 
            infamously drowned her young children in a bathtub to "save them 
            from the devil" and is now in prison. 
          The experiences of Nash and Yates are typical in some 
            ways but atypical in others. Of the roughly 1 percent of the world's 
            population stricken with schizophrenia, most remain largely disabled 
            throughout adulthood. Rather than being geniuses like Nash, many show 
            below- average intelligence even before they become symptomatic and 
            then undergo a further decline in IQ when the illness sets in, typically 
            during young adulthood. Unfortunately, only a minority ever achieve 
            gainful employment. In contrast to Yates, fewer than half marry or 
            raise families. Some 15 percent reside for long periods in state or 
            county mental health facilities, and another 15 percent end up incarcerated 
            for petty crimes and vagrancy. Roughly 60 percent live in poverty, 
            with one in 20 ending up homeless. Because of poor social support, 
            more individuals with schizophrenia become victims than perpetrators 
            of violent crime. "
          
            ... 
            --------------------------------------------------------------------------------
            DANIEL C. JAVITT and JOSEPH T. COYLE have studied schizophrenia for 
            many years. Javitt is director of the Program in Cognitive Neuroscience 
            and Schizophrenia at the Nathan Kline Institute for Psychiatric Research 
            in Orangeburg, N.Y., and professor of psychiatry at the New York University 
            School of Medicine. His paper demonstrating that the glutamate-blocking 
            drug PCP reproduces the symptoms of schizophrenia was the second-most 
            cited schizophrenia publication of the 1990s. Coyle is Eben S. Draper 
            Professor of Psychiatry and Neuroscience at Harvard Medical School 
            and also editor in chief of the Archives of General Psychiatry. Both 
            authors have won numerous awards for their research. Javitt and Coyle 
            hold independent patents for use of NMDA modulators in the treatment 
            of schizophrenia, and Javitt has significant financial interests in 
            Medifoods and Glytech, companies attempting to develop glycine and 
            D-serine as treatments for schizophrenia. 
          
          For the Full Article - go to: 
          http://www.sciam.com/article.cfm?articleID=000EE239-6805-1FD5-A23683414B7F0000&pageNumber=1
          
          
          Out of the Asylum, into the Cell
          By Sally Satel, M.D. 
          
          A new report by Human Rights Watch has found that American 
            prisons and jails contain three times more mentally ill people than 
            do our psychiatric hospitals. The study confirmed what mental health 
            and corrections experts have long known: incarceration has become 
            the nation's default mental health treatment. And while the report 
            offers good suggestions on how to help those who are incarcerated, 
            a bigger question is what we can do to keep them from ending up behind 
            bars at all.
          The Los Angeles County jail, with 3,400 mentally ill 
            prisoners, functions as the largest psychiatric inpatient institution 
            in the United States. New York's Rikers Island, with 3,000 mentally 
            ill inmates, is second. According to the Justice Department, roughly 
            16 percent of American inmates have serious psychiatric illnesses 
            like schizophrenia, manic-depressive illness and disabling depression.
          Life on the inside is a special nightmare for these 
            inmates. They are targets of cruel manipulation and of physical and 
            sexual abuse. Bizarre behavior, like responding to imaginary voices 
            or self-mutilation, can get them punished--and the usual penalty, 
            solitary confinement, only worsens hallucinations and delusions.
          How did we get here? Actually, with the best of intentions.
          Forty years ago yesterday, President John F. Kennedy 
            signed the Community Mental Health Centers Act, under which large 
            state hospitals for the mentally ill would give way to small community 
            clinics. He said of the law that the "reliance on the cold mercy 
            of custodial isolation will be supplanted by the open warmth of community 
            concern and capability."
          Kennedy was acting in response to a genuine shift in 
            attitudes toward the mentally ill during the postwar years. The public 
            and lawmakers had become aware of the dreadful conditions in the state 
            hospitals, largely though exposes like Albert Deutsch's book The Shame 
            of the States and popular entertainment like the movie The Snake Pit, 
            both of which appeared in 1948. In addition, Thorazine, an anti-psychotic 
            medication, became available in the mid-50's and rendered many patients 
            calm enough for discharge.
          Between Kennedy's signing of the mental health law in 
            1963 and its expiration in 1980, the number of patients in state mental 
            hospitals dropped by about 70 percent. But asylum reform had a series 
            of unintended consequences. The nation's 700 or so community mental 
            health centers could not handle the huge numbers of fragile patients 
            who had been released after spending months or years in the large 
            institutions.
          There were not enough psychiatrists and health workers 
            willing to roll up their sleeves and take on these tough cases. Closely 
            supervised treatment, community-supported housing and rehabilitation 
            were given short shrift. In addition, civil liberties law gained momentum 
            in the 70's and made it unreasonably hard for judges to commit patients 
            who relapsed but refused care. Those discharged from state hospitals 
            were often caught in a revolving door, quickly failing in the community 
            and going back to the institution. And they were the lucky ones--many 
            others ended up living in flop-houses, on the streets or, as Human 
            Rights Watch has reminded us, in prison.
          Reforms like segregating mentally ill prisoners in treatment 
            units would help. Of course, the ultimate solution is keeping psychotic 
            people whose criminal infractions are a product of their sickness 
            out of jails in the first place. This requires a two-part approach. 
            The first entails repairing a terribly fragmented mental health care 
            system. The most important change would be liberating states from 
            the straitjacket of federal regulations surrounding the use of money 
            from Medicaid and Medicare--programs that account for two-thirds of 
            every public dollar spent on the mentally ill.
          These regulations force many states to make rigid rules 
            dictating what services will and won't be reimbursed, which forces 
            practitioners and administrators to perform bureaucratic gymnastics 
            to circumvent them. For example, Medicaid will not pay for clinicians 
            who provide "assertive community treatment"--a system in 
            which professionals work as a team, making home visits, checking on 
            medication and helping patients with practical day-to-day demands. 
            Yet such teams have been proved to reduce re-hospitalization rates 
            by up to 80 percent.
          Relaxing regulations would be great progress in helping 
            those mentally ill people who seek treatment. Unfortunately, about 
            half of all untreated people with psychotic illness do not recognize 
            that there is anything wrong with them. Thus the second part of any 
            sensible reform would be finding ways to help patients who have a 
            consistent pattern of rejecting voluntary care, going off medication, 
            spiraling into self-destruction or becoming a danger to others.
          One approach is encouraging their cooperation with "treatment 
            through leverage." This process, not new but underused, involves 
            making social welfare benefits, like subsidized housing and Social 
            Security disability benefits, conditional to participation in treatment.
          A more formal approach is to have civil courts order 
            people to enter community treatment. New York State's Kendra's Law, 
            named in memory of a woman killed in 1999 after being pushed into 
            the path of a subway train by a man with schizophrenia, is a good 
            model. From 1999 to 2002, about 2,400 people spent at least six months 
            in mandatory community treatment under the law.
          And for those who end up committing crimes, some states 
            have developed special mental-health courts that can use the threat 
            of jail to keep minor offenders with psychosis in treatment and on 
            medication at least long enough for the offenders to make informed 
            decisions about treatment. Such efforts may get help from Washington: 
            last Monday the Senate approved a bill authorizing $200 million for 
            states to develop more mental-health courts and other services for 
            nonviolent, mentally ill offenders; it awaits action in the House.
          For many thousands of mentally ill people, America has 
            failed to make good on John F. Kennedy's promise of 40 years ago. 
            Releasing them from the large state institutions was only a first 
            step. Now we must do what we can to free them from the "cold 
            mercy" that comes with criminalizing mental illness. 
          Sally Satel, a psychiatrist and resident scholar at 
            the American Enterprise Institute, is coauthor of the forthcoming 
            One Nation Under Therapy.
          Source: American Enterprise Institute
            http://www.aei.org/news/newsID.19406/news_detail.asp
          U.S. Senate Passes Mentally Ill Offender 
            Treatment and Crime Reduction Act
            
            (New York, November 5, 2003) Human Rights Watch welcomes the U.S. 
            Senates passage on October 29, 2003 of the Mentally Ill Offender 
            Treatment and Crime Reduction Act. Introduced in the Senate by Senator 
            Mike Dewine (R-Ohio), the bipartisan bill was cosponsored by Senators 
            Patrick Leahy (D-VT), Maria Cantwell (D-WA), Pete Domenici (R-NM), 
            Charles Grassley (R-IA), and Orrin Hatch (R-UT). The legislation authorizes 
            federal grants to support collaborations between mental health, criminal 
            justice, juvenile justice, and corrections systems to reduce the number 
            of mentally ill offenders in the criminal justice system, to improve 
            the mental health care received by those who are incarcerated, and 
            to increase the number of transitional and discharge programs to help 
            reduce the rate of recidivism of mentally ill offenders discharged 
            from prison and jail.
            
            Human Rights Watch urges enactment of the Mentally Ill Offender Treatment 
            and Crime Reduction Act. The legislation reflects a realization that 
            a criminal justice approach, and particularly incarceration, may be 
            both unnecessary and counterproductive in many cases of nonviolent 
            misconduct by persons with mental illness. In addition, the legislation 
            moves beyond a purely punitive approach to conditions in prisons and 
            jails, recognizing that individuals as well as society are best served 
            when those mentally ill offenders who are behind bars are provided 
            necessary mental health services and programs while incarcerated and 
            post-release support upon release. 
          
          U.S. Representative Ted Strickland (D-OH) introduced the bill in 
            the House. With passage by the Senate, Human Rights Watch hopes the 
            House of Representatives will move swiftly to pass it. We urge people 
            to write their representatives to urge them to support the Mentally 
            Ill Offenders Treatment and Crime Reduction Act. 
            
            --------------------------------------------------------------------------------
            Related Material
          FULL 
            REPORT: Ill-Equipped: U.S. Prisons and Offenders with Mental Illness 
            
            HRW Report, November 5, 2003 
          Mentally 
            Ill Offender Treatment and Crime Reduction Act (Note: Large PDF 
            File - slow to download)
            As introduced in U.S. Senate, June 5, 2003 
          
           
            
          
          
           
             
               
                 
                   
                     Faulty 
                      wiring in the brain may cause early-onset schizophrenia
                    CHICAGO  Using diffusion tensor imaging (DTI) to 
                      look into the brains of children with schizophrenia, researchers 
                      have discovered abnormalities in the white matter of the 
                      frontal lobe that disrupt the transmission of signals regulating 
                      behavior, according to a study presented today at the 89th 
                      Scientific Assembly and Annual Meeting of the Radiological 
                      Society of North America (RSNA). 
                    
                    "Until now there's been no sophisticated method of 
                      finding abnormalities in the white matter of the brain," 
                      said the study's lead author Manzar Ashtari, Ph.D., associate 
                      professor of radiology and psychiatry at North Shore-Long 
                      Island Jewish Health System and Albert Einstein College 
                      of Medicine in New York. "Conventional magnetic resonance 
                      (MR) imaging is limited in its ability to reveal brain myelination, 
                      but DTI enables us to measure the myelination process." 
                    
                    Myelin is the covering of nerve bundles that protects neurons 
                      and increases their transmission efficiency. The accumulation 
                      of myelin around these neurons is called myelination. In 
                      the human developmental process, myelination correlates 
                      with maturing patterns of behavior. In patients with schizophrenia, 
                      the cells that carry out the process of myelination are 
                      defective. 
                    Myelination activity is at its strongest during the teen 
                      years. "This is a critical time for adolescents who 
                      are still maturing emotionally," Dr. Ashtari said. 
                      "During the myelination process, microstructural damage 
                      to developing white matter fiber tracts may lead to developmental 
                      abnormalities. These are the types of abnormalities we observed 
                      in the frontal white matter regions in the children with 
                      schizophrenia." 
                    DTI can identify white matter abnormalities before major 
                      symptoms are apparent. "Our goal is to detect and treat 
                      this disease early, so we can stop the progression before 
                      full-fledged symptoms develop," Dr. Ashtari said. 
                    Co-authoring the study with Drs. Ashtari and Kumra are 
                      Marjorie McMeniman, Ph. D., Joshua Vogel, Alan Sloan Diamond, 
                      M.D., and Philip Szeszko, Ph.D. 
                   
                 
               
            
           
          
          Drug Implant Offers New 
            Hope for People with Schizophrenia
          
          By Ellen Barry, Globe Staff, 9/26/2003
          " Researchers said yesterday that they are prepared to seek 
            FDA approval of a surgically implanted tablet that could deliver daily 
            doses of psychiatric medication for as long as a year.
          The implants might revolutionize treatment of chronic mental illnesses 
            like schizophrenia, which now require patients to take daily cocktails 
            of powerful medications.
          For some, the implant of haloperidol, a powerful antipsychotic drug, 
            promises to stop the destructive spirals of psychosis that occur when 
            patients stop taking medication because of side effects, logistical 
            barriers, or lapses in memory. But patients' rights advocates say 
            that implants of psychiatric medication would give the state coercive 
            power unmatched since the age of the lobotomy.
          Dr. Steven Siegel, the University of Pennsylvania researcher who 
            is leading the development of the implant, gathered with advocates 
            yesterday to debate its impact on the rights of people with mental 
            illness.
          "This is very doable technology," said Siegel, director 
            of the Stanley Center for Experimental Therapeutics in Psychiatry. 
            "It's not the science that is limiting. If there really is interest, 
            then I think drug companies and other groups" would be happy 
            to move forward with implants.
          The implant consists of a biodegradable polymer disk about 1 centimeter 
            in diameter and 1 millimeter thick, which would be inserted during 
            a 15-minute outpatient surgical procedure, he said.
          The disk, which could also contain antidepressants or other medications, 
            gradually disappears over the course of a year, slowly releasing the 
            drug as it dissolves.
          If the patient needed to be taken off the drug, its effects would 
            immediately cease when the tablet was removed, Siegel added. Currently, 
            the nearest alternative is an antipsychotic injection, which is not 
            reversible and lasts for only a month.
          Siegel said he envisions that the implant would be used only on a 
            voluntary basis, by people who have made the decision to accept medication 
            for a year.
          But Jonathon Stanley, a lawyer and activist whose parents founded 
            the Stanley Foundation after he became severely psychotic as a young 
            man, said he sees the implant as useful only for people who refuse 
            medication.
          "I would not get [an implant] right now, because I sometimes 
            change the [dosage] a little" to adjust to mood, said Stanley, 
            who has pushed for tougher laws compelling people to take psychiatric 
            medication.
          But he said he could have used an implant as a young man, when "the 
            only reason I was able to take my pills was because my parents were 
            there watching me like a 2-year-old."
          Excerpted from: The Boston Globe, 9.26.3003
          
          
          
          
          
          
          
          
          
          
          
          
          
          ----------------------
          More info on Schizophrenia Drug Delivery Implant
          This drug delivery system may not be developed if people don't let 
            the University of Pennsylvania know that this is a valuable addition 
            to the options available for treatment of schizophrenia.
          Note: I see this as good news for helping the many people who have 
            schizophrenia and who - because of the damage to the brain caused 
            by schizophrenia - find it very difficult to remember to take medications 
            on a regular basis. This effort is supported by the Stanley Research 
            Foundation - a leading Non-profit that supports a great deal of schizophrenia 
            research to improve treatment for people with schizophrenia. - Editor.
          For More information on this new drug delivery system - see:
          http://stanley.med.upenn.edu/
          For more information on the Stanley Foundation Schizophrenia Research 
            programs, see:
          http://www.stanleyresearch.org/programs/stanley_research.asp
          
          
          State Lawmakers Preview Award-Winning Documentary 
            of Artist's Struggle With Schizophrenia at NCSL Annual Health Policy 
            Forum 
          12/10/03 6:02:00 PM 
          WASHINGTON, Dec. 10 /U.S. Newswire/ -- Artist John Cadigan today 
            shared his story of his struggle with schizophrenia with more than 
            400 members of the National Council of State Legislatures, comprised 
            of state legislators and staff from across the country at their annual 
            Fall Forum to discuss health policy. In an effort to challenge existing 
            negative stereotypes about those who struggle with severe mental illnesses, 
            Cadigan filmed his life for over 10 years. 
          Cadigan's story came to life at the NCSL's annual Fall Forum through 
            a preview of excerpts from the artist's documentary, People Say I'm 
            Crazy. The documentary has been sweeping film festivals throughout 
            North America, winning major awards such as the Humanitarian Award 
            at the Vancouver International Film Festival and the Best Documentary 
            award at the Chicago International Film Festival. The documentary 
            has recently been purchased by HBO/Cinemax for airing in summer 2004. 
          
          In addition to the preview, Cadigan's unique art depicting his vision 
            was also displayed at the NCSL meeting. A relief printmaker, Cadigan 
            has exhibited his woodcuts in galleries and museums nationwide.
          "Society turns away from those who suffer from mental illnesses 
            such as schizophrenia," Cadigan said. "Fifty-five million 
            Americans suffer from some form of mental illness. It is important 
            that we foster understanding within society that these are brain disorders 
            and these disorders can be successfully treated, so there is hope 
            for people to return to productive lives."
          As states confront the worst budget shortfalls since World War II, 
            investment in mental health services is in great jeopardy. According 
            to the National Mental Health Association (NMHA), nearly two-thirds 
            of states cut funding for mental health services in 2002. 
          "States can choose to invest in effective, community-based services 
            or pay a greater price through increased emergency room visits, homelessness 
            and an overburdened criminal justice system," said Senator Peter 
            Knudson, assistant majority whip for the Utah State Senate and emcee 
            of the event. "John Cadigan's story shows us how important it 
            is to provide timely and appropriate treatment for those who suffer 
            from mental health disorders."
          "The search for appropriate treatment was extremely difficult 
            for my family and me," Cadigan said. "My story is not unique, 
            but sharing it puts a face on the thousands of other sufferers out 
            there who need timely and effective care. We must encourage decision 
            makers to dramatically improve the quality and availability of mental 
            health services which saves society an enormous amount of taxpayer 
            resources in the long term." 
          Cadigan, now 33, was diagnosed with schizophrenia in 1991 while he 
            was a senior at Carnegie Mellon University. From the beginning of 
            his illness, he decided to document his experiences on film. His sister, 
            Katie Cadigan, a professional documentary film producer and director 
            who has taught film at Stanford University, used her knowledge to 
            teach John how to film himself so that he could explore what was happening 
            to him. 
          The film follows Cadigan and his family as he battles schizophrenia, 
            and captures his setbacks and milestones on his journey to build a 
            stable life. Cadigan's blunt honesty helps audiences to understand 
            the overwhelming challenges facing those with severe mental illnesses.
          The film was made possible in part through a grant from the National 
            Endowment for the Arts, and through an unrestricted educational grant 
            from AstraZeneca as part of its commitment to foster greater understanding 
            and compassion about mental illness. 
          People Say I'm Crazy was co-produced by Academy Award winning producer 
            Ira Wohl. The film is scheduled for theatrical release in New York 
            in April 2004. It is currently in educational distribution. 
          For more information about People Say I'm Crazy, log onto http://www.peoplesayimcrazy.org