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Home  Healthcare Articles  Texas Medication Algorithm Project

   Texas Medication Algorithm Project

The Texas Medication Algorithm Project (TMAP) is a controversial corporate-sponsored set of psychiatric management guidelines designed to enable doctors to systematically screen and treat patients for diagnosed mental disorders within Texas' publicly-funded mental health care system. TMAP was initiated in the fall of 1997 to provide more uniform early intervention screening and treatment for Texas children.

In 1994 MAP was recommended as a model for implementing similar mental health screening programs throughout the United States, by the President's New Freedom Commission on Mental Health. Similar programs have been implemented in about a dozen States, according to a 2004 report in the British Medical Journal.

TMAP arose from a collaboration that began in 1995 between pharmaceutical companies, the University of Texas Southwestern, and the Texas Department of Mental Health and Mental Retardation (TDMHMR). According to the British Medical Journal, "the project (TMAP) was funded by a Robert Wood Johnson grant (along with several drug companies)." The pharmaceutical companies who funded the development of TMAP include Janssen Pharmaceutica, Johnson & Johnson, Eli Lilly, Astrazeneca, Pfizer, Novartis, Janssen-Ortho-McNeil, GlaxoSmithKline, Abbott Laboratories, Bristol Myers Squibb, Wyeth-Ayerst and Forrest Laboratories.

TMAP is a decision-tree medical algorithm, the design of which was based on the expert opinions of prescribers. The drugs recommended as "first line treatment", are produced by the sponsors of the guidelines: Risperdal, Zyprexa, Seroquel, Geodone, Depakote, Paxil, Zoloft, Celexa, Wellbutrin, Zyban, Remeron, Serzone, Effexor, Buspar, Adderall and Prozac.

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