Mental Health Advocacy: Has it contributed to a medication management monopoly?

By Maria Mangicaro

This ad, sponsored in part by NAMI, is one that I find very disturbing.  It was published weekly in the Sunday newspaper in Naples, Florida.

The term “Mental Illness” involves a broad spectrum of conditions and disorders.  Main stream mental health advocates promote a “treatment” approach that focuses on a medication management regime.  They have contributed to a medication management monopoly in mental health care.

Many psychiatric patients are not afforded equal protection under the law, due in part to the advocacy agenda of NAMI.

A forced psychiatric treatment agenda interferes with a patient’s right to contract services for appropriate, cost-effective care.

Advocacy for forced psychiatric treatment proliferates the belief “mental illness” can only be diagnosed and treated effectively by psychiatrists using a medication management protocol.  Advocates in favor of forced psychiatric treatment fail to recognize psychiatric diagnoses are descriptive labels only for phenomenology, not etiological or mechanistic explanation for syndromes.  Coercive psychiatry forces patients labeled “mentally ill” to contract costly services of selected providers and facilities, as well as forces patients to purchase and consume products that have potentially lethal side effects.
Individuals labeled with “severe mental illness” are a marginalized population who are being strategically deprived equal protection and liberty to contract by their advocates.   Mental health advocacy must support informed consent, treatment options and the right to contract.

Mainstream mental health advocates ignore critical evidence between childhood exposure to lead and criminal behavior later in life.   Author Pete Earley recently posted the salaries of nonprofit mental health leaders.  Click here to read more.  Pete also makes a living from the topic of severe mental illness and has deliberately ignored the fact underlying medical conditions and substances can be contributing factors.

Association of Prenatal and Childhood Blood Lead Concentrations with Criminal Arrests in Early Adulthood


Childhood lead exposure is a purported risk factor for antisocial behavior, but prior studies either relied on indirect measures of exposure or did not follow participants into adulthood to examine the relationship between lead exposure and criminal activity in young adults. The objective of this study was to determine if prenatal and childhood blood lead concentrations are associated with arrests for criminal offenses.

Methods and Findings

Pregnant women were recruited from four prenatal clinics in Cincinnati, Ohio if they resided in areas of the city with a high concentration of older, lead-contaminated housing. We studied 250 individuals, 19 to 24 y of age, out of 376 children who were recruited at birth between 1979 and 1984. Prenatal maternal blood lead concentrations were measured during the first or early second trimester of pregnancy. Childhood blood lead concentrations were measured on a quarterly and biannual basis through 6.5 y. Study participants were examined at an inner-city pediatric clinic and the Cincinnati Children’s Hospital Medical Center in Cincinnati, Ohio. Total arrests and arrests for offenses involving violence were collected from official Hamilton County, Ohio criminal justice records. Main outcomes were the covariate-adjusted rate ratios (RR) for total arrests and arrests for violent crimes associated with each 5 μg/dl (0.24 μmol/l) increase in blood lead concentration. Adjusted total arrest rates were greater for each 5 μg/dl (0.24 μmol/l) increase in blood lead concentration: RR = 1.40 (95% confidence interval [CI] 1.07–1.85) for prenatal blood lead, 1.07 (95% CI 0.88–1.29) for average childhood blood lead, and 1.27 (95% CI 1.03–1.57) for 6-year blood lead. Adjusted arrest rates for violent crimes were also greater for each 5 μg/dl increase in blood lead: RR = 1.34 (95% CI 0.88–2.03) for prenatal blood lead, 1.30 (95% CI 1.03–1.64) for average childhood blood lead, and 1.48 (95% CI 1.15–1.89) for 6-year blood lead.


Prenatal and postnatal blood lead concentrations are associated with higher rates of total arrests and/or arrests for offenses involving violence. This is the first prospective study to demonstrate an association between developmental exposure to lead and adult criminal behavior.

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