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All about PSY DREAM. Psychiatric Drug Registration, Evaluation & All-inclusive Monitoring*

Published online by Cambridge University Press:  11 October 2011

Peter Lehmann
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Summary

Aims — In this article the author – board-member of the European Network of (ex-) Users and Survivors of Psychiatry (ENUSP) -explains, what is needed to guarantee a minimal level of involvement of users and survivors of psychiatry into issues relating to psychiatric drugs. Methods – He reflects demands of their organisations, and compares these demands with the current involvement level. Considering the concrete circumstances in psychiatry, he reflects the risks and dangers of the administered drugs -especially the widely used neuroleptics –for example enhanced breast cancer risk in women, suicidal effects, receptor changes, tardive dyskinesia and other toxic reactions. Results – Considering the unique situation of psychiatric patients to receive treatment in general without informed consent and in a violent way or through bullying and threat, he argues for to provide their involvement in all aspects of psychiatric drug issues -especially registration and monitoring, for example by their involvement in creating and running a suicide register. And he argues for involvement in ethics committees, licensing processes and providing guidelines and decision making about effectiveness and reimbursement of costs. Conclusions – As first steps towards these aims he proposes independent and user-controlled research, independent and user-controlled education and independent and user-controlled information about the effects of psychiatric drugs.

Declaration of Interest: the Author did not receive any grants and financial support for the study; any forms of financing (included pharmaceutical company support and any honoraria for consultancies or interventions in the last two years); any other involvements that might be considered a conflict of interest in connection with the submitted article.

Keywords

psychiatric drugsinvolvement of usersregistrationevaluationmonitoring
Type
Inclusion and Mental Health in the New Europe
Information
Epidemiology and Psychiatric Sciences , Volume 14 , Issue 1: Inclusion and Mental Health in the New Europe , March 2005 , pp. 15 - 21
Copyright
Copyright © Cambridge University Press 2005

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Footnotes

*

(Worked-over) key note lecture at the conference “Inclusion and Mental Health in the New Europe.” run by the European Network for Mental Health Service Evaluation, London. September 3-5, 2004. Translations of the German citations by Peter Lehmann.

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