109th CONGRESS
1st Session
H. R. 181
To prohibit the use of Federal funds for any universal or mandatory
mental health screening program.
IN THE HOUSE OF REPRESENTATIVES
January 4, 2005
Mr. PAUL (for himself and Mr. FEENEY) introduced the following bill; which
was referred to the Committee on Energy and Commerce, and in addition to the
Committees on Education and the Workforce and Ways and Means, for a period
to be subsequently determined by the Speaker, in each case for consideration
of such provisions as fall within the jurisdiction of the committee concerned
A BILL
To prohibit the use of Federal funds for any universal or mandatory
mental health screening program.
Be it enacted by the Senate and House of Representatives of the United
States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the `Parental Consent Act of 2005'.
SEC. 2. FINDINGS.
The Congress finds as follows:
(1) The United States Preventive Services Task Force (USPSTF) issued findings
and recommendation against screening for suicide that corroborate those
of the Canadian Preventive Services Task Force. `USPSTF found no evidence
that screening for suicide risk reduces suicide attempts or mortality. There
is limited evidence on the accuracy of screening tools to identify suicide
risk in the primary care setting, including tools to identify those at high
risk.'.
(2) The 1999 Surgeon General's report on mental health admitted the serious
conflicts in the medical literature regarding the definitions of mental
health and mental illness when it said, `In other words, what it means to
be mentally healthy is subject to many different interpretations that are
rooted in value judgments that may vary across cultures. The challenge of
defining mental health has stalled the development of programs to foster
mental health (Secker, 1998). . . .'.
(3) The Surgeon General's report also says, `The diagnosis of mental disorders
is often believed to be more difficult than diagnosis of somatic or general
medical disorders since there is no definitive laboratory test or abnormality
in brain tissue that can identify the illness.'.
(4) Accurate mental health diagnosis of children is difficult as admitted
by the Surgeon General's report that says, `The science is challenging because
of the ongoing process of development. The normally developing child hardly
stays the same long enough to make stable measurements. Adult criteria for
illness can be difficult to apply to children and adolescents, when the
signs and symptoms of mental disorders are often also the characteristics
of normal development.'.
(5) Authors of the bible of psychiatric diagnosis, the Diagnostic and Statistical
Manual, admit that the diagnostic criteria for mental illness are vague,
saying, `DSM-IV criteria remain a consensus without clear empirical data
supporting the number of items required for the diagnosis. . . . Furthermore,
the behavioral characteristics specified in DSM-IV, despite efforts to standardize
them, remain subjective. . . .' (American Psychiatric Association Committee
on the Diagnostic and Statistical Manual (DSM-IV 1994), pp. 1162-1163).
(6) Because of the subjectivity of psychiatric diagnosis, it is all too
easy for a psychiatrist to label a person's disagreement with the psychiatrist's
political beliefs a mental disorder.
(7) At least one federally-funded school violence prevention program has
suggested that a child who shares his or her parent's traditional values
may be likely to instigate school violence.
(8) Despite many statements in the popular press and by groups promoting
the psychiatric labeling and medication of children, that ADD/ADHD is due
to a chemical imbalance in the brain, the 1998 National Institutes of Health
Consensus Conference said, `. . . further research is necessary to firmly
establish ADHD as a brain disorder. This is not unique to ADHD, but applies
as well to most psychiatric disorders, including disabling diseases such
as schizophrenia. . . . Although an independent diagnostic test for ADHD
does not exist. . . . Finally, after years of clinical research and experience
with ADHD, our knowledge about the cause or causes of ADHD remains speculative.'.
(9) There has been a precipitous increase in the prescription rates of psychiatric
drugs in children:
(A) A 300-percent increase in psychotropic drug use in 2 to 4 year old
children from 1991 to 1995 (Journal of the American Medical Association,
2000).
(B) A 300-percent increase in psychotropic drug use in children from 1987
to 1996 (Archives of Pediatric & Adolescent Medicine, 2003).
(C) More money was spent on psychiatric drugs for children than on antibiotics
or asthma medication in 2003 (Medco Trends, 2004).
(10) A September 2004 Food and Drug Administration hearing found that more
than two-thirds of studies of antidepressants given to depressed children
showed that they were no more effective than placebo, or sugar pills, and
that only the positive trials were published by the pharmaceutical industry.
The lack of effectiveness of antidepressants has been known by the Food
and Drug Administration since at least 2000 when, according to the Food
and Drug Administration Background Comments on Pediatric Depression, Robert
Temple of the Food and Drug Administration Office of Drug Evaluation acknowledged
the `preponderance of negative studies of antidepressants in pediatric populations'.
The Surgeon General's report said of stimulant medication like Ritalin,
`However, psychostimulants do not appear to achieve long-term changes in
outcomes such as peer relationships, social or academic skills, or school
achievement.'.
(11) The Food and Drug Administration finally acknowledged in September
2004, that the newer antidepressants are related to suicidal thoughts and
actions in children and that this data was hidden for years. The Food and
Drug Administration had over 2000 reports of completed suicides from 1987
to 1995 for the drug Prozac alone, which by the agency's own calculations
represent but a fraction of the suicides. Prozac is the only such drug approved
by the Food and Drug Administration for use in children.
(12) Other possible side effects of psychiatric medication used in children
include mania, violence, dependence, weight gain, and insomnia from the
newer antidepressants; cardiac toxicity including lethal arrhythmias from
the older antidepressants; growth suppression, psychosis, and violence from
stimulants; and diabetes from the newer anti-psychotic medications.
(13) Parents are already being coerced to put their children on psychiatric
medications and some children are dying because of it. Universal or mandatory
mental health screening and the accompanying treatments recommended by the
President's New Freedom Commission on Mental Health will only increase that
problem. Across the country, Patricia Weathers, the Carroll Family, the
Johnston Family, and the Salazar Family were all charged or threatened with
child abuse charges for refusing or taking their children off of psychiatric
medications.
(14) The United States Supreme Court in Pierce versus Society of Sisters
(268 U.S. 510 (1925)) held that parents have a right to direct the education
and upbringing of their children.
(15) Universal or mandatory mental health screening violates the right of
parents to direct and control the upbringing of their children.
(16) Federal funds should never be used to support programs that could lead
to the increased over-medication of children, the stigmatization of children
and adults as mentally disturbed based on their political or other beliefs,
or the violation of the liberty and privacy of Americans by subjecting them
to invasive `mental health screening' (the results of which are placed in
medical records which are available to government officials and special
interests without the patient's consent).
SEC. 3. PROHIBITION AGAINST FEDERAL FUNDING OF UNIVERSAL OR MANDATORY MENTAL
HEALTH SCREENING.
(a) Universal or Mandatory Mental Health Screening Program- No Federal funds
may be used to establish or implement any universal or mandatory mental health
screening program.
(b) Refusal to Consent as Basis of a Charge of Child Abuse or Education Neglect-
No Federal education funds may be paid to any local educational agency or
other instrument of government that uses the refusal of a parent or legal
guardian to provide express, written, voluntary, informed consent to mental
health screening for his or her child as the basis of a charge of child abuse
or education neglect until the agency or instrument demonstrates that it is
no longer using such refusal as a basis of a child abuse or education neglect
charge.
(c) Definition- For purposes of this Act, the term `universal or mandatory
mental health screening program'--
(1) means any mental health screening program in which a set of individuals
(other than members of the Armed Forces or individuals serving a sentence
resulting from conviction for a criminal offense) is automatically screened
without regard to whether there was a prior indication of a need for mental
health treatment; and
(A) any program of State incentive grants for transformation to implement
recommendations in the July 2003 report of the President's New Freedom
Commission on Mental Health; and
(B) any student mental health screening program that allows mental health
screening of individuals under 18 years of age without the express, written,
voluntary, informed consent of the parent or legal guardian of the individual
involved.
END