24 year old dies in Cygnet after 11 forced Olanzapine injections in 10 days



Jonathan Malia a father, keen rugby player, and fitness fanatic studying to be a sports therapist.

Was described as “a fun-loving, manageable, intelligent young man,”

He had been diagnosed with bipolar but had been fine for years.

But when he started to feel depressed and couldn’t cope, he sought help, assuming he would be a voluntary patient, instead he was sectioned .

Two weeks, and 3 hospitals later, he died from a “massive pulmonary embolism”.

His girlfriend had rang the hospital on his second day of detention-, he was not allowed to make phone calls or see anyone- and staff told her he was “being aggressive”.

Wouldn’t you be, if you’d asked for help, but found yourself drugged and locked up, incognito, in your second hospital .

Jonathan was then transited 97 miles to the Chamberlain Ward in Cygnet Hospital, a unit that specialised in ‘treating’ patients with “an acute episode of mental illness that requires assessment and stabilisation”.

This appears a fairly common start to inpatient ‘help’ .

‘Stabilisation’ is achieved by the use of high doses of anti psychotics and/or other drugs. .

During the following 10 days, his girlfriend rang the hospital daily, only to be told Jonathan wasn’t in a fit enough state to get to the phone.

She rang on the 11th day and was told, he’d collapsed and been rushed to the nearby Lister Hospital were he was pronounced dead.

A massive thrombosis had triggered a pulmonary embolism.

When Johnathan had been admitted to Lister Hospital, he had had bruises on his head, arms and legs..

Four days of his fluid intake charts were missing.

Vital samples taken from at his post mortem and actioned by the coroner for analysis, were not, instead they were left to deteriorate in a fridge for three weeks and discarded.

There was no paramedic report available at the inquest.

The coroner ignored evidence that his death might have been caused or contributed to, by 11 restraints and injections of Olanzapine, which drug per se, has been linked to causing deep vein thrombosis.

And the Coroner ruled Johnathan died of natural causes.

Johnathan’s aunty said.’There has been a massive cover up – we also feel the verdict had been decided before the inquest ever began’.

Errol Robinson, a Birmingham solicitor who is acting for the family commented:

“Several features about the evidence that came out at the inquest give cause for concern.

One relates to the sample that was taken for analysis by the pathologist which was instructed by the coroner but not actioned. This deteriorated and was discarded, which is wholly unsatisfactory.

Also, the coroner did not accept the need to make any recommendation in relation to the development of deep vein thrombosis in patients taking such therapeutic drugs’

Johnathan’s aunty said;
“Our evidence as a family was disregarded by the coroner who I felt was very disrespectful to us. At one point he told me that my statement was irrelevant.”

“So many questions have gone unanswered – why was Jonathan given 11 injections of the drug. Why did he have bruises on his head, legs and arms when he was admitted to Lister Hospital? Why were there fluid charts missing ? Why were samples from his body left to deteriorate before anyone had analysed them? The questions go on and on.”


Despite a campaign, petition, and letters to the GMC and MOJ and relevant authorities, his family are still waiting for answers they will never get.

It is unknown how many deaths are even investigated internally in mental health care.

We know from the LLB Campaign, SLOVEN only investigated !% of their LD deaths, and this was not an outlier for public mental hospitals.

We have no statistics for private hospitals and/or residential care provision..

There is no check, or, accountability for the use, or dosage of drugs used in private mental health care.

NICE Guidelines can, and are, being ignored, and prescribing psychiatrists are employed by private  for profit mental care providers, and subject to stringent Codes of Conduct and appraisals.

Patients nor family have any control over the medication used.

Coroners inquests are the only possible independent investigation, and these are decreasing ,with no legal aid available to families.

That is if they have not been gagged and cut out by the MCA ,

Narrative verdicts are increasing .

MENCAP reported 3 years ago, that 3 learning disabled die needlessly in state care every day.

We can add to that, those like Johnathan, who ask for help.

Government statistics show that mental health service users account for 60% of those who die in the care of the state

And nothing is being done.

Latest statistics from CQC  on those detained under MHA.






Payers of $8.4 million for false claims Universal Health Services take over Cygnet Health Care for £205 Million.


Cygnet Health Care is one of the three controlling providers of mental health services in England.

In 2014 Cygnet was bought by USA’s Universal Health Services (UHS) for £205 million..

Cygnet Health Care then increased UHS’s UK mental health footprint by a £95 million acquisition of Alpha Hospitals .


In September 2012, UHS, and its subsidiaries, Keystone Education and Youth Services LLC and Keystone Marion LLC,Keystone Marion Youth Center, agreed to pay over $6.9 million, to settle allegations that they had submitted false and fraudulent claims to Medicaid.

Between October 2004 and March 2010, these subsidiaries, had provided substandard psychiatric counselling and treatment to adolescents in breach of Medicaid requirements.

And, the United States alleged, that UHS had falsely represented Keystone Marion Youth Centre, as a residential treatment facility, providing inpatient psychiatric services to Medicaid enrolled children, when in fact, it was a juvenile detention facility.

It further alleged, that neither a medical director, nor, licensed psychiatrist provided the required direction for psychiatric services or for the development of initial or continuing treatment plans.

The settlement also settled allegations, that the service providers filed false records or statements to Medicaid, when they filed treatment plans, that falsely represented the level of services that would be provided to the patients.

See below under Other Medicaid Matters p33.


In July 2002, the New York State Insurance Department fined United Health Care $1.5 million for ‘cheating patients out of money’.

Is this the sort of ethos that should now control a quarter of public, enforced, secret ,unaccountable services to our most vulnerable, and receive a tenth of our NHS budget ?

In 2011 Cygnet was warned by the Care Quality Commission that staffing levels at Cygnet Wing Blackheath were inadequate..


Improvements were still required at the CQC inspection in April 2014.

In 2013 the Care Quality Commission issued a warning to Cygnet Hospital Bierley because the service was failing to ensure that appropriate records were kept.

John Hughes, an American, founded Cygnet in 1987 after turning the Priory around.

In 2004 Cygnet was valued at £120m in a deal with Barchester Healthcare, which earned Hughes a £19m cash windfall.

Barchester, is part-owned by John Magnier and JP McManus, the Irish racing tycoons, who owned Winterbourne View’s Castlebeck,.

They bought a quarter of Cygnet’s business for £30m, and Hughes, and a fellow director took a £7m stake in Barchester.

Hughes completed a £340m buy-out in 2008, backed by Mr Wilson’s health care group Grove, which had bought a 25pc stake in Cygnet years earlier.

And would have received another windfall.

In 2014 Hughes’ sale to UHS earned him a £30 million windfall.


So tycoons have made millions from mental health services , now 87% financed by public NHS money, whilst public trusts are cash strapped and in debt.

And, are set to make far more profit from the governments drive ‘to parity with physical health’, and spend a quarter of the NHS budget on their private services.

Robert Kehoe , psychiatrist, advertises himself, as an ‘expert witness’, is now the medical director of Cygnet, and, has apparently, advertised some of their units as being for ‘resistant service users’.



Dr Kehoe , was an NHS Consultant for nine years and Assistant Medical Director at Airedale NHS Trust and produces 80 to 100 psychiatric reports per year for Courts and Tribunals.

He is also responsible office for Cygnet Healthcare with national responsibilities for the regulation and revalidation of medical practitioners.

So, one expert, now controls the appraisals and code of conduct of all psychiatrist services and opinions in a multimillion pound conglomerate, serving a quarter of all mental health services.

Universal Health Services and Cygnets’ overriding ethos, is to make as much profit as possible for its directors, managers and investors.

Does this not conflict with the professional independence of the psychiatrists, psychologists, practitioners, who work for Cygnet, and are subject to Cygnet’s stringent codes of conduct and continual appraisal systems ?

And how does this promote, the diversity of opinion needed for best practice, particularly, in the uncertain arena of psychiatric medicine ?

Amy’s Story- Nearly a Million spent on education, and torture/ death in the Priory.

Everyone said, ‘In there at least she’s going to get help’ but she didn’t 99641453_amy-el-keria-news-large_transqvzuuqpflyliwib6ntmjwfsvwez_ven7c6bhu2jjnt8get anything at all.”

Amy’s mother on her removal to the Priory Hospital Ticehurst House, in August 2012.

3 months later 14 year old Amy was dead.

Amy was a troubled, confused teenager, but why ?

Her mother described her as having ‘ a warm heart and a great sense of humour.

’ She never liked to see people treated unfairly and would be the first to stand and say ‘that’s not right’’

But the tragic irony was, that Amy herself was treated beyond unfairly, and no one, systemically, could stand up for her.

Amy’s forthrightness and conviction, contributed to her CAMH’s diganoses of oppositional defiant disorder (ODD), defined as a pattern of angry/irritable mood, argumentative/defiant behaviour.

And Conduct disorder(CO) a range of antisocial types of behaviour displayed in childhood or adolescence.

It appears normal teenage behaviour, could per se, constitute a ‘disorder’.

It is unknown, what is within this ‘range’ of ‘antisocial’ behaviours, let alone, what would be a normal reaction to living in an enforced residential ‘special needs’ school .

But High Close School, run by Barnados, had had enough of Amy, despite her £200,000 tax free a year income, and, the only place that remained, on Amy’s sad slippery slope, was a £1000 a day Priory Hospital Room.

But what did Amy’s ‘special ‘ education do for the equivalent of the cost 4 Eton places ?

And why, without learning disability diagnoses, are Amy, and ever more ‘troubled’ teenagers, excluded from ordinary schools and placed in such expensive residential care?.

High Close does not appear to have had any pupils attaining a single GCSE, and a parent comment the only I could find states,

poor School
Mark Rating:
I have a child in this School and have come to the conclusion that the place offers a poor teaching environment and the unit staff lie and cover for each other when things go wrong.


As in my daughter’s National Autistic Residential School, ‘pupils’, only obtain P Scales , as teaching appears not to be towards the National Curriculum.

As Amy appeared intelligent, might not boredom/inappropriate education, have lead to her third label, attention deficit hyperactivity disorder (ADHD), a rare, some say non existent condition, that, has now been extended into a  pharma lucrative epidemic, see
ADHD The Disorder The Drugs The Inside Story. By Alan Schwarz.

Tourette’s, and gender identity dysphoria, distress at the gender assigned at birth, recently made a DSM mental disorder, and now increasingly diagnosed in children, were  added to Amy’s list.

Yet despite all these ‘disorders’, Amy must have managed to be chirpy, as depression was not added.

Despite Amy, being so unhappy in school, she had drawn a picture of herself killing herself and had written underneath: ‘If only this could happen, but I haven’t got the guts.’

Exactly as George Werb had done, when he had been trapped by the Priory and his medication..

Why hadn’t her school tried to help such an unhappy child ?

Amy and her mother, would have been unable to systemically complain .

As a care order, enforcing any chosen state provision would have been obtained.

So what was life like for this unhappy, and officially disordered child in the Priory ?

Did she receive any kindness or understanding, in her troubled isolation, living alone with strangers ?

In less than three months of being there, Amy was subjected to at least six incidents of restraint, sometimes involving forced injections.

The first restraint happened just 48 hours after her admission; the last  the day before her death, when she was held by five staff members, and orally sedated

Her inquest heard of several incidents, when she had been physically restrained by staff, sometimes for 15 minutes at a time.

The Priory had a high reliance on agency staff, including some with no psychiatric experience.

They had insufficient time even to read patients’ paperwork or clinical notes, let alone get to know Amy.

Amy was also being bullied, and the Priory had failed to deal with this, or, even care enough to share details of the many times she had said she wanted to kill herself.

Staff admitted, they were under so much pressure, they had not always been able to give the teenager one-to-one time.

So much so, a Jury ruled staffing levels were inadequate, and a lack of one-to-one time caused, or contributed to Amy’s death in a ‘significant’ way

Even basic training for her Tourettes was not given, a member of senior staff had ‘put on training on Tourette’s, but nobody had attended’.

So Amy was alone, ignored, no doubt on medication, bullied, subject to continual excessive prolonged restraints, and crying out continually for help, in the only way she could, by threatening her own life, and was still ignored.

Her last cry for help killed her.

3 months after entering the Priory Amy yet again, told a member of staff she wanted to kill herself.

Only the evening before she had been restrained by 5 members of staff and sedated.

Staff did not assess the risk of her being able to take her own life in her room; and opportunities were missed to help Amy in her room before her death, she was left alone, and this was held by a jury to have caused, or contributed ‘significantly’ to her death.

On the day she died, her risk rating was downgraded to medium.

And a  delay in checking on her in the evening, contributed significantly to her death, at a time when she should have been under even closer scrutiny.

A care assistant eventually belatedly, checked on her in her room and found Amy unconscious, a football scarf tied around her neck.

The scarf had been seen in her room two weeks earlier, but not removed, as the hospital had no list of banned items.

A panic ensued, and staff delayed calling 999, and didn’t summon a doctor immediately .

They also had not been trained in resuscitation, though one care assistant had requested the training.

Amy was vomiting profusely.

When paramedics eventually arrived, an oxygen mask was two small to fit over her mouth, and the lift too small to take a stretcher, so she had to be placed on a body board.

The Jury found that but for all this, her life might have been saved.

Amy’s unhappy last years, culminated in an excruciating death, after 3 months of bullying , restraint, injections and torture .

And, the Priory will have claimed a £1000 for that day’s ‘care’.

Less than a year later George Webb was sectioned to the Priory, as were many more who are now dead.

Freedom of Information request show the Government has no idea how many young people killed themselves while being ‘treated’

Yet do know, a third suffer from a mental ‘disorder’ and want to help them.

And are willing to pay the Priory over £440million a year, £6800 a week ,to do so..

Yet Amy, was not mentally ill, she was merely deemed to have ‘conduct ‘disorders, that private mental services, a quarter of the NHS budget, could make millions out of.




Add 3 more adults and you have the restraint Amy suffered the night before she died.


How The Priory/CAMHS’s Treatment lead to the death of George Werb.

kgeorge-werbI feel completely brain fried 20mg was too much for me and someone should have protected me from myself’. ‘By the way this is the only time in my life I ever strongly felt that suicide was the only option’.

George was referring to his enforced anti psychotic olanzapine.

He had continually asked the dosage be reduced, as had his parents.

The day before his death, George tried to negotiate a reduction in return for the Prozac his consultant added .

And despite this psychiatrist, rarely, making notes of his consultations, preferring ‘an oral hand over’, he did took the time to record;

’I tried to persuade him to persuade him that olanzapine was the answer to his problems not the cause’

George thought he was suffering from various diseases since he was 13, and his parents sought help from various professionals, but had got no where, and were never offered therapy.

Eventually, after a 10 month wait CAMH’s diagnosed him with ‘delusional’ depression.

This is an extremely rare condition, unknown in hormonal teenagers, the delusions appear based on George’s hypochondria, and, usefully, justified treatment with anti psychotic medication.

Within seven weeks George was dead.

Neither the Coroner, nor the Serious Case Review, considered the accuracy of the diagnosis, the role olanzapine and Prozac , and their combination, and George’s enforced hospitalisation, played in his death, even after reading George’s suicide note.

How could they, when such ‘treatment’ is  the only treatment available. And promoted by an all party mental health task force.

Therefore, an open verdict, reflecting the very real likelihood, that medication caused George’s death could not considered, nor a jury verdict risked.

Instead, a narrative verdict was given, blaming the Priory for allowing George home.

Yet, hours before writing his note, George’s mother had picked him up from the Priory Hospital, and was shocked at his wide, staring, expression less eyes, and noticed he could not sit still.

Just after 6am, the next morning, a train driver reported that George, had ‘walked calmly and deliberately’ in front of his high speed train. He was just 15.

George was described by his parents as a popular, active, funny, talented boy;

“We remember George’s incredible life, his amazing achievements, his jovial personality, his very quick wittedness, his integrity, his beautiful smile, his contentedness, but above all we remember his absolute love of his life and his imperative place in our family.

“Living with George brought entertainment to us on a big scale, he was either singing, practicing lines, playing music or playing an instrument. He performed in talent shows, singing competitions, Oliver, and played the role of Bugsy in Bugsy Malone at the town hall, as well as singing in the local church choir and fundraising for the drama club that he belonged. He loved joining clubs and loved his sailing, badminton and karate lessons

“George had aspirations, he wanted to work at the Globe Theatre, either in performing arts or some other job, but it was one of his ambitions. He loved music and wanted to join a rock band. He loved cycling and coming home to tell us that he had found a new path or cycle route. He loved reading about World War One and Two and adventure fiction. He enjoyed school and was on track to achieve high GCSE grades and during May last year and while in hospital, he took biology GCSE and earlier this year we received his certificate and he achieved an A grade.

Read more at http://www.exeterexpressandecho.co.uk/parents-popular-east-devon-student-say-child/story-23056354-detail/story.html#JLvK9Duzh67suM0I.99

But all this zest and enthusiasm would have been removed by the dopomine block of  his anti psychotic, and George knew it was killing him, but no one listened.

Medication and unhappy encagement was the only ‘help’, he was given by CAMHS, and his family  noticed a ‘massive change’ in him.

And he had complained about the terrible way the medication made him feel, and was given melts, when he spat his tablets out.

It was then, that the state decided, he needed hospitalisation, for ‘assessment and treatment’

His parents removed him from the first hospital, as the room was ‘not fit for a dog’, his bed had no sheets, the curtains were too short, he was living out of a suitcase, he looked dishevelled and unclean, and another patient had threatened to kill him.

Despite being paid £800 per day it did not even provide basic accommodation.

George returned home for a short period, but was then sectioned under the MHA to the Priory, for ‘treatment and assessment’,and any objections were  made impossible.

But here, he did not even receive an accurate suicide risk assessment, let alone an assessment of his condition, the Coroner noting

The information used in the assessment was incomplete inaccurate and did not reflect the actual situation’.

And, the only ‘treatment’ he received was medication, which clearly was having a devastating effect on him.

The Priory were being paid £890 a day, including the days of home leave.

Even basic communication was not provided either with his parents, who complained of this from the start.

George was given home leave, but did not want to return, and on his return, was so unhappy he attempted to kill himself with a shower curtain, but his parents were not immediately informed.

When his father visited, George had looked ‘hideous,’ and he thought he was getting worse.

Dr Hoyos, his consultant psychiatrist, who had to be seconded from CAMHS by the Priory, explained, George did not want to be in the hospital, and had disengaged from staff, and refused to go to lessons.

George knew he was trapped now by section and medication, and felt so desperate, he drew pictures of his own suicide with the words ‘game over young lad’.

But this was treated, as part of his disorder, and ignored .

The main points of the Serious Case Review were as follows;

Despite a nurse recording that George was very suicidal on 24 June 2013, a decision was made to allow George on home leave on 27 June 2013, without an up to date risk assessment, and hours after he had been prescribed an anti-depressant, Fluoxetine, which has a known side effect of potentially increasing suicide.

Inadequate records were taken by the consultant psychiatrist following consultations with George

A risk assessment had been incorrectly written changing George’s suicide risk from YES to NO the day before George died

The management plan did not have any note of current or past risk of self-harm or suicide the day after George had made a suicide attempt

A staff meeting had concluded that George posed “no current risk of suicide” two days before he died, contradicting a report given a few days before which noted that George had woken up in a low mood and had felt suicidal.

A referral to the General Medical Council (GMC) was made regarding this consultant’s record-keeping.

However, this was not pursued by the GMC.

See the Coroner’s Report to NHS England and their response.


But George’s death did not affect the NHS use, and funding of the Priory Group, which increased, as public NHS beds are being phased out.

This is the ‘help’ available to the 1 in 4 teenagers purported to have ‘mental health’ issues.

At best George’s death, ensures their treatment makes them unable to end their tortured existence, which will continue, as long as the real reason for their problems, and the affect of medication continues to be ignored.


US Acadia Group pay 1.28bn for The Priory Group .NHS Mental feeds Venture Capital Profit.



US Acadia bought the Priory Group for 1.28 bn in February this year , so it now owns half of all mental services in England..

85% of The Priory Group income is from public funds.

In 2015/16 it received over 250 million from the our NHS.

An expensive media and political campaign, heralded the solution to the  Winterbourne abuse, despite, Winterbourne being privately owned, allowed the phasing out of all public NHS inpatient beds.

Acadia was backed by Advent International, one of the largest private equity investors, controlling €26 billion.

Advent was advised by Rothschild, JP Morgan, Bank of America Merrill Lynch, Barclays, Numis and Freshfields on the transaction.

Advent International completes sale of Priory Group to Acadia Healthcare

Joey Jacobs, Acadia’s chief executive, commented on the deal:

We believe there will be a long-term increase in the need for independent sector support for inpatient behavioural health.”[This] will provide Acadia continuing long-term accretive organic growth and acquisition opportunities.”


Priory Group Sold

Joey Jacobs received 8,241,847 dollars in salary, bonus and stock in 2015.


This was not the first buy out backed by Advent.

In 2011 The Priory Group had been sold by RBS (then 84% publically owned), and Lord Ashcroft, the former deputy chairman, and donor of the Conservative party to Advent International for 925m.

In 2007, Lord Ashcroft, the Conservative party donor, and his investment firm, Global Health Partners had paid around £45m for a 34pc stake in the company.



Scott was the chief executive of Southern Cross, the failed care home, during its rapid expansion using a sale and leaseback property arrangement.

Acadia operates a network of 258 behavioural healthcare facilities with over 9,900 beds.

Its Mental Health services include psychiatric and neuro-rehabilitation, the later remaining its biggest earner, generating revenue of £259.8m in 2014 (2013: £230.6).

Its Craegmoor specialist care, contributed £101m (2013: £93.2m), specialist education delivered £89.3m (2013: £91.1m) and its Amore Care homes for older people £70.5m (2013: £66.2m).


The Priory was once an expensive, exclusive haven for the rich and famous..

It thrived, and demanded in excess of £6,000 a week on the back of its excellent reputation for successful treatment and service.

But this was before the gold rush of NHS guaranteed public income without accountability

But The Priory still charges the NHS on average £6,ooo per week, but now the ‘clients’ are made captive by MHA section, and have no alternative ‘treatment’.

Since then it has been highly criticised , with many deaths and investigated by the CQC.

Now the Priory Group can, and do provide, any possibly  mental health/ conduct disorder service. In four divisions – healthcare, education and children’s services, adult care and older people’s care – which together support the needs of more than 30,000 people every year.

The Group recently cashing in on the extremely lucrative Autism and Aspergers Education Industry.


This merger probably means that half of all our national mental health services are controlled by one of the largest international investment conglomerates.

As Acadia have already  bought Partnerships in Care, the largest NHS income receiver  at £277,421,830 2013-15  in 2014 which meant Acadia now owns 50% of the UK Mental Health Market.


Four Seasons Healthcare Ltd, who  received 111,668.446 NHS money,  was sold to Terra Firma Capital Partners in 2012 for £825 millions.

In 2015 they sold £20 million of their properties to Monarch Alternative Capital, a US investment fund, which claims to specialise in swopping on ‘distressed and bankrupt’ companies.

The other two mental healthcare providers, NHS fund are Cygnet  and St Andrews Healthcare .

So it would appear, all mental health services, bar these two charities are owned by  just 4 venture capital investment groups.

Does this not effectively destroy competition, bidding, and commissioning, of the best services for our most vulnerable ?

Is this not an illegal and dangerous monopoly ?

It surely would not have been allowed by the former Monopolies and Mergers committee.

The Competition and Marketing Committee did raise concerns and is investigating Acadia’s buy out of Priory Group.


And states;

There are relatively few private providers (and no public providers) for many of these services in England and Wales and, if the merger goes ahead, the incentives on providers to continue to supply the NHS with value for money services will reduce. Whilst quality of care is the main consideration when making referral decisions, cost is clearly another important factor when such services are funded by the public purse. The bargaining position of the NHS organisations and local authorities funding the treatment is stronger when they have a choice of providers.’

So,  with a handful of different private providers, the ones that exist, can effectively charge what they like for their services, as there is no alternative, and these services are effectively unaccountable.

The perfect business model for maximum profit.

But, it appears Acadia can avoid investigation by a small ‘diversion’ of its assets and more million pound windfalls for tycoons from NHS funds.



The Priory Chief Executive has been named as the most influential independent health sector leader


Our government, has allowed, those in need to be bought, sold and asset stripped.

And, this has been facilitated by the legislation of all political parties .

The plan hatched over 20 years ago, has now come to fruition- monopoly, unaccountable venture capital public service provision, with captive, mainly enforced, secret consumers.

Paid for by huge amounts of public money on the back of ‘cost cutting’.

This is not capitalism, as there is no competition, no free market, and no accountability, and a secure stream of increasing public income.

This is totalitarian extortion of our money, our services, and our people, for huge profits.

Drugs cannot be Blamed. And enforced for profit medication offers no escape.


Medication is highly toxic.

Yet, on the rare occasion, there is an inquiry, let alone autopsy into the death of those medicated, toxicology reports are not undertaken.

Thomas Rawnsley’s autopsy did not contain a toxicology report, despite his years of high dosage poly pharmacy .

Paula, his mother crowd funded for one.

Why, as if the cause of any death is to be found, the toxic effect of medication must be explored.

But, isn’t, as our third largest industry- pharmaceutical- must be protected.

Despite the fact in 2014 in the USA, 15,778 died from psychiatric drugs, 50% more than the 10,574 dying from heroin.

Psychiatric Medications Kill More Americans than Heroin

And these figures, do not take into consideration, the lives stolen , nor the suicides that resulted from such medication.

Brian, whose son had a successful career and family, and no history of depression, or mental illness, was prescribed citalopram to help work related stress, and six days later took his own life.

The coroner agreed with Brian, that the drug might be to blame, rejecting a suicide verdict, naming citalopram, as a possible cause in his narrative verdict.

Brian’s website documents reports of inquests and criminal courts in Britain, since 2003, link 3,500 suicides, and homicides with antidepressants and anti psychotics.

Welcome to AntiDepAware

These suicides are usually violent – jumping under trains, hanging, shooting, stabbing, often taking others with them, rarely leaving a note .

Unlike Jack Nicholson’s fate, in ‘One Flew Over the Cuckoo’s Nest,’ medication can, and does, worsen behaviour, so that sectioning can, and, is justified, and allows institutionalisation for life.

These institutions are now run for private profit, resulting in ever more medication, and the inevitable creation of serious psychosis .

In the seventies, Jack Nicholson, was not made insane, and, eventually, walked free, now, he would be made psychotic, a captive pharma cash cow, and a £4,000+ per week statistic for private profit.

In her book, ‘The Pill That steals Lives’, Katinka Blackford Newman, describes her own decent into madness and incarceration, after being medicated with the antidepressants escitalopram- brand name Lexapro or Cipralex- and mirtazapine.

Her own GP, had refused to medicate her for depression, during her stressful divorce ,but she had, unfortunately, then spent a few hundred pounds on a 20 minute private psychiatric consultant ,who diagnosed depression, and gave her a private prescription.

Katinka went into a four day toxic delirium, thought she had killed her children, lacerated her arm with a kitchen knife, but remembered nothing about that incident.

Having private insurance, she admitted herself to one of the most expensive hospitals in the country, at £6,000 per week, and was fine, after her insistence, she be taken off escitalopram, but then failed to convince the psychiatrists, that this drug alone, had been her problem, and was diagnosed as a ‘psychotic depressive’, a rare naturally occuring condition, and medicated  with a cocktail of ever more anti psychotics, antidepressants, and sleeping pills.

Within three months, she needed 24 hour care and was unable to wash herself.

Luckily, her medical insurance ran out, and, on the day she had planned to commit suicide, she instead, went to St Charles NHS hospital and got herself sectioned.

As the hospital was publically funded , they removed her from all, bar one of her drugs, and within weeks she was normal again.

As the government, is now phasing out public NHS mental admissions, those affected like Katinka, as profitable commodities, will be incarcerated for life in private hospitals like St Andrews, Northampton, and community living ATUs.

Fluoxetine/Prozac, is the only antidepressant recommended for teenagers and children by NICE.

It was given to Thomas Rawnsley, and my daughter twice, producing in both, an hypnotic trance like state resulting in violent behaviour, which could not be remembered afterwards by Thomas and contributed to his sectioning.

In 1990, a report by two Harvard psychiatrists, entitled,

’ The Emergence of Intense Suicidal Preoccupation during Fluoxetine treatment’ stated;

‘We were especially surprised to witness the emergence of intense, obsessive and violent suicidal thoughts in these patients. Two patients fantasised for the first time about killing themselves with a gun and one actually placed a loaded gun to her head. One patient needed to be physically restrained to prevent self- mutilation’.

And see here, a study on the violence and agitation caused by Zoloft from the Prozac family of anti antidepressants.

The Lilly Suicides

Katinka found many similar stories to her own, and like her ,many had stopped taking the drugs and regained their sanity.

These toxic reactions accord with the neurological affect of serotonin and dopamine super sensitivity already blogged.



But those on enforced medication, unlike Katinka, cannot stop taking the drugs.

And, their deterioration, and even death, is always blamed on their ‘disorder’.

For them there is no escape.

Harmful History of Neuroleptics-antipsychotics


Preclinical Use

1883 Phenothiazines are developed as synthetic dyes.

1934 USDA develop phenothiazines as insecticides

1949 Phenothiazines shown to hinder rope-climbing in rats.

1950 Rhone Poulenc synthesizes chlorpromazine, a phenothiazine, for use as an anaesthetic.

Clinical History

1954 Chlorpromazine marketed in the US as Thorazine, found to induce symptoms of Parkinson’s disease.

1955 Chlorpromazine said to induce symptoms similar to encephalitis lethargica.

1959 First reports of permanent motor dysfunction linked to neuroleptics, later named tardive dyskinesia

1960 French physicians describe a potentially fatal toxic reaction to neurocepltics later named neurocelpetic malignant syndrome.

1962 California Mental Hygiene Department determines that chlorpromazine and other neuroleptics prolong hospitalisation.

1964 Neuroleptics found to impair learning in animals and humans.

1965 A one year follow up of NIMH collaborative study finds drug treated patients more likely than placebo patients to be rehospitalised .

1968 In a drug withrawal study NIMH find a direct relationship between relapse rates and dosage. The higher the dosage patients were on before withdrawal, the higher the relapse rate.

1972 Tardive dyskinesia is said to resemble Huntington’s disease, or ‘postencephalitic brain damage’

1974 Boston researchers report relapse rates are lower in pre- neuroleptic era. And drug treated patients were more likely to be socially dependent.

1977 A NIMH study, that randomised schizophrenic patients into drug and non drug, reports that only 35% of no drug patients, relapsed within a year of discharge, as opposed to 45% drugged patients.

1978 California investigator Maurice Rappaport reports markedly superior three year outcomes in patients treated without neuroleptics.

Only 27% of drug free patients relapsed in the three years following discharge, compared to 62% of drugged patients.

1978 Canadian researchers describe drug induced changes in the brain that make a patient more vulnerable to relapse, and term it ‘neuroleptic induced super sensitive psychosis’

1978 Neuroleptics found to cause 10% cellular loss in the brains of rats.

1979 Prevalence of tardive dyskinesia in drug treated patients is reported to range from 24% to 56%.

1979 Tardive dyskinesia found to be associated with cognitive impairment.

1979 Loren Mosher, chief of schizophrenia studies at NJMH, reports superior one and two year outcomes for Soteria patients treated without neuroleptics.

1980 NIMH researchers find an increase in ‘blunted effect’ and ‘emotional withdrawal’ in drug treated patients, and that neuroleptics do not improve ‘social and role performance’ in non relapsers.

1982 Anticholinergic medications used to treat Parkinsonian symptoms induced by neuroleptics reported ‘to cause cognitive impairment’

1985 Drug induced akathisia is linked to suicide.

1985 Case reports link drug induced akathisia to violent homicides

1987 Tardive dyskinesia is linked to worsening of negative symptoms, gait difficulties, speech impairment, psychological deterioration and memory deficits. They conclude it is both a ‘motor and dementing disorder’.

1992 World Health Organisation reports that schizophrenia outcomes are much superior in poor countries, where 16% of patients are kept continuously on neuroleptics.

The WHO reports that living in a developed nation is a ‘strong predictor’ that a patient will never recover.

1992 Researchers acknowledge that neuroleptics cause a recognisible pathology, which they name neuroleptic induced deficit syndrome .

In addition to Parkinson’s, akathsia, blunted emotions and tardive dyskinesia, patients treated with neuroleptics suffer from an ‘increased incidence of blindness, fatal blood clots, arrhythmia, heat stroke, swollen breasts,, leaking breasts, impotence, obesity, sexual dysfunction, blood disorders, skin rashers, seizures and early death’.

1994 Neuroleptics found to cause an increase in the volume of caudate region in the brain.

1994 Harvard investigators report that schizophrenia patients in the US, appear to have worsened over past 20 years, and are now no better than in first decades of 20th century.

1995 ‘Real World’ relapse rates for schizophrenia patients treated with neuroleptics said to be above 80% in the two years following hospital discharge, which is much higher than in the pre neuroleptic era.

1995 Quality of life’ in drug treated patients reported to be ‘very poor’

1998 MRI scans show that neurocelptics cause hypertrophy of caudate, putamen and thalamus,with the increase ‘associated with greater severity of both negative and positive symptoms’.

1998 Neuroleptics use is found to be associated with atrophy of cerebral cortex

1998 Harvard researchers conclude that ‘oxidative stress’ may be the process by which neuroleptics cause neuronal damage to the brain.

1998 Treatment with two or more neuroleptics is found to increase the risk of early death.

2000 Neuroleptics linked to fatal blood clots.

2003 Atypicals linked to an increased risk of obesity, hyperglycemia, diabetes and pancreatitis.

The Case against antipsychotic drugs: a 50 eat record of doing more harm than good.’
Robert Whitaker.


Despite this history, a cross party government mental health taskforce  only this year recommended an increase in the use of neuroleptics, as they consider they have transformed mental care in the last 50 years.

These drugs, have been  fed to the autistic, and learning disabled, off label, without monitoring from 5 in schools, and, in institutions for life, causing untold suffering and death.

Why ?