Accessing Health Care Professionals About Antipsychotic Medication Related Concerns

Boardman, Gayelene; McCann, Terence V.; Clark, Eileen

doi:10.1080/01612840802129178

Cited by 5 publications

(9 citation statements)

References 41 publications

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“…Patient access to health care services (affected by geographic location, transportation difficulties, and cultural or language issues) may influence patient adherence to antipsychotic therapy 8. Patients with schizophrenia are frequently unemployed and/or in poverty,30,31 which may contribute to nonadherence caused by the financial burden of medication (eg, medication copayments) 30,32.…”

Section: Resultsmentioning

confidence: 99%

“…In a patient survey study that was conducted by nurses, the two most prominent barriers to medication adherence were stigma associated with taking medication and adverse drug reactions 2. Evidence also suggests that a variety of other factors may play a role in pharmacotherapy nonadherence among patients with schizophrenia, including the drug class prescribed (ie, typical versus atypical antipsychotics),3–5 drug formulation (ie, oral versus long-acting injectable [LAI] formulation),6 lack of adequate social support,7 lack of access to health care,8 and concurrent substance abuse 9. In patients with schizophrenia, nonadherence to prescribed medication is associated with symptom relapse, increased hospitalizations, and increased health care costs 10,11…”

Section: Introductionmentioning

confidence: 99%

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Approaches to improve adherence to pharmacotherapy in patients with schizophrenia

Shuler¹

2014

PPA

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PurposeIn patients with schizophrenia, nonadherence to prescribed medications increases the risk of patient relapse and hospitalization, key contributors to the costs associated with treatment. The objectives of this review were to evaluate the impact of nonadherence to pharmacotherapy in patients with schizophrenia as it relates to health care professionals, particularly social workers, and to identify effective team approaches to supporting patients based on studies assessing implementation of assertive community treatment teams.Materials and methodsA systematic review of the medical literature was conducted by searching the Scopus database to identify articles associated with treatment adherence in patients with schizophrenia. Articles included were published from January 1, 2003, through July 15, 2013, were written in English, and reported findings concerning any and all aspects of nonadherence to prescribed treatment in patients with schizophrenia.ResultsOf 92 unique articles identified and formally screened, 47 met the inclusion criteria for the systematic review. The burden of nonadherence in schizophrenia is significant. Factors with the potential to affect adherence include antipsychotic drug class and formulation, patient-specific factors, and family/social support system. There is inconclusive evidence suggesting superior adherence with an atypical versus typical antipsychotic or with a long-acting injectable versus an oral formulation. Patient-specific factors that contribute to adherence include awareness/denial of illness, cognitive issues, stigma associated with taking medication, substance abuse, access to health care, employment/poverty, and insurance status. Lack of social or family support may adversely affect adherence, necessitating the assistance of health care professionals, such as social workers. Evidence supports the concept that an enhanced team-oriented approach to managing patients with schizophrenia improves adherence and supports corresponding reductions in relapse rates, inpatient admissions, and associated costs.ConclusionOptimization of medication and involvement of caregivers are important to promoting adherence. A multidisciplinary team approach may be invaluable in identifying barriers to adherence and helping schizophrenia patients overcome them.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Approaches to improve adherence to pharmacotherapy in patients with schizophrenia

Shuler¹

2014

PPA

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“…When health professionals appear uncertain about the effects of medication, it seems unlikely that mental health consumers will engage in frank discussions about medication‐related issues or take full heed of advice offered by health professionals (Boardman et al . ). Indeed, it is unlikely that health professionals will be able to adequately address the concerns of mental health consumers if their understanding of antipsychotic medication issues is limited (Howard et al .…”

Section: Discussionmentioning

confidence: 97%

“…Participants demonstrated a lack of understanding about the impact of antipsychotic medication side‐effects, and this has also been reported in several other studies, and generally attributed to insufficient formal training in this area (Boardman et al . ; Coombs et al . ; Gray et al .…”

Section: Discussionmentioning

confidence: 99%

Australian case managers' perceptions of mental health consumers use of antipsychotic medications and associated side‐effects

Morrison

Meehan

Stomski

2015

Int J Mental Health Nurs

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The present study explores Australian case managers' perceptions of mental health consumers' use of antipsychotic medications and the side-effects resulting from these medications. Semistructured interviews were used to elicit material from nine case managers in a community care setting in South-East Queensland, Australia. Content analysis was used to examine the transcripts, and the audio-recordings were replayed to identify important contextual cues. The analysis identified several main themes, including perceptions of the use of antipsychotic medications and associated side-effects, the provision of information about antipsychotic medication side-effects; the assessment of antipsychotic medication side-effects; and the promotion of effective management of antipsychotic medication side-effects. The participants believed that antipsychotic medication provided clear benefits to mental health consumers. Most participants believed that consumers adapted to side-effects and came to accept them. The case managers themselves often felt poorly informed about antipsychotic medication side-effects, leading them to request more succinct types of information. It was notable to find that there was a lack of systematic approach to the assessment of side-effects. This finding highlighted the need to incorporate the routine structured assessment of antipsychotic medication side-effects in providing care to mental health consumers in the community.

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“…2001, Graham et al . 2005, Awara & Fasey 2008, Boardman et al . 2008), dementia services (Boston et al .…”

Section: Contextual Backgroundmentioning

confidence: 99%

Service user involvement in nurse education: perceptions of mental health nursing students

Donnell¹,

Gormley²

2012

Psychiatric Ment Health Nurs

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Increasingly providers of mental health nurse education are required to demonstrate user involvement in all aspects of these programmes including student selection, programme design and student assessment. There has been limited analysis of how nursing students perceive user involvement in nurse education programmes. The aim of this study has been to explore mental health nursing student's perceptions of involving users in all aspects of pre-registration mental health nursing programme. Researchers completed a number of focus group interviews with 12 ex-mental health nursing students who had been recruited by purposeful sampling. Each focus group interview was recorded and analysed using a series of data reduction, data display and verification methods. The study confirms many of the findings reported in earlier user participation in education studies. Three main themes related to user involvement have been identified: the protection of users, enhanced student learning and the added value benefits associated with user involvement.

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Accessing Health Care Professionals About Antipsychotic Medication Related Concerns

Cited by 5 publications

References 41 publications

Approaches to improve adherence to pharmacotherapy in patients with schizophrenia

Approaches to improve adherence to pharmacotherapy in patients with schizophrenia

Australian case managers' perceptions of mental health consumers use of antipsychotic medications and associated side‐effects

Service user involvement in nurse education: perceptions of mental health nursing students

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