Collaboration Between Child and Adolescent Psychiatrists and Mental Health Pharmacists to Improve Treatment Outcomes

Lu, Debbie H.; Dopheide, Julie A.; Wang, Dri; Jeffrey, Jessica; Chen, Steven

doi:10.1016/j.chc.2021.06.006

Cited by 10 publications

(18 citation statements)

References 18 publications

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“…Practice roles have also expanded continually, with decade milestones illustrated in Table 1 . 4 - 9 In recent years, practice roles have had increased emphasis placed on primary care integration, care of substance use disorders, and addressing aftereffects of the COVID-19 pandemic. The BCPP credential was established in 1996, and it has grown to include over 1300 certified pharmacists in 2021.…”

Section: Evolution and Growth Of Psychiatric Pharmacymentioning

confidence: 99%

“… 7 , 8 , 18 , 19 BCPPs are ideally suited to improve transitions of care, provide pharmacogenomic consultation, and ensure appropriate monitoring for children prescribed antipsychotics. 3 , 7 , 9 …”

Section: Bcpp Is the Gold Standardmentioning

confidence: 99%

“…Polypharmacy, high doses, and inappropriate use of psychiatric medications in vulnerable populations can lead to worsened outcomes, including increased hospitalizations, increased side-effect burden, and increased morbidity and mortality. 7 , 9 , 13 - 18 Psychotropic stewardship and similar programs targeted at inappropriate prescribing in older patients, in children and adolescents, in those with posttraumatic stress disorder, and in those receiving antipsychotic therapy are now being implemented within various health care systems to improve safety and quality of care, while potentially reducing health care costs. 3 , 14 , 18 …”

Section: Bcpp Is the Gold Standardmentioning

confidence: 99%

“…11 - 16 The expertise of BCPPs is especially valuable in providing CMM to the growing number of those living with autism spectrum disorders, neurocognitive disorders, and traumatic brain injury who require medications. 3 , 9 , 18 …”

Section: Bcpp Is the Gold Standardmentioning

confidence: 99%

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Positioning psychiatric pharmacists to improve mental health care

Dopheide¹,

Werremeyer

Haight

et al. 2022

Mental Health Clinician

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Psychiatric pharmacy continues to grow and look to the future with a focus on helping individuals recover from mental health and substance use disorders. The American Association of Psychiatric Pharmacists (AAPP) considers Board Certified Psychiatric Pharmacist (BCPP) the gold standard credential that all psychiatric pharmacists should attain to demonstrate specialized knowledge and expertise in psychiatry. BCPPs are part of collaborative interprofessional teams and practice in hospitals, clinics, and diverse health systems. Two out of 3 BCPPs practicing in clinics have prescriptive authority. BCPPs improve access, safety, medication adherence, and therapeutic outcomes. Every person with a mental health and substance use disorder should have access to a BCPP providing comprehensive medication management (CMM) and psychotropic stewardship aimed at improving population health. BCPPs are in demand owing to their expertise. AAPP envisions growth and expansion of the BCPP role in many areas including coordinating psychiatric transitions of care and telehealth services, managing long-acting injectable medication clinics, providing pharmacogenomic consultation, conducting clozapine and lithium monitoring, managing medications for substance use disorders, leading medication groups, CNS drug development, research, and provider education. To prepare the workforce, colleges and schools of pharmacy should hire BCPPs for optimal curriculum development, and each student pharmacist should have an opportunity to develop a therapeutic alliance with a person recovering from psychiatric illness. Postgraduate year (PGY) 1 residencies should offer learning experiences in psychiatric pharmacy to prepare residents to enter an expanded number of PGY2 psychiatric pharmacy residencies, ultimately earning their BCPP and being well positioned to improve mental health care.

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Section: Evolution and Growth Of Psychiatric Pharmacymentioning

confidence: 99%

Section: Bcpp Is the Gold Standardmentioning

confidence: 99%

Section: Bcpp Is the Gold Standardmentioning

confidence: 99%

Section: Bcpp Is the Gold Standardmentioning

confidence: 99%

See 2 more Smart Citations

Positioning psychiatric pharmacists to improve mental health care

Dopheide¹,

Werremeyer

Haight

et al. 2022

Mental Health Clinician

Self Cite

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“…Integrating pharmacists into clinical rounds in psychiatric hospitals can reduce drug-related problems and improve the outcomes for patients with mental disorders (Stuhec & Tement, 2021). Pharmacists in psychiatric hospitals play a key role in the interdisciplinary psychiatric clinical team, providing comprehensive medication management, improving the quality of care and promoting patient safety (Lu et al, 2021a). The misunderstanding of psychiatric care and the stigma of the illness may make psychiatric patients more reluctant to seek psychiatric care (Lahariya et al, 2010), and this may affect the morale and attitude of pharmacists working in psychiatric hospitals.…”

Section: Introductionmentioning

confidence: 99%

Mental health symptoms and their associated factors among pharmacists in psychiatric hospitals during the early stage of the COVID-19 pandemic

Zhang,

Li,

et al. 2023

Camb. prisms Glob. ment. health

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As frontline workers, pharmacists often face significant work stress, especially in psychiatric settings. A multicenter cross-sectional design was conducted in 41 psychiatric hospitals. The Depression, Anxiety and Stress Scale–21 (DASS-21) was used to measure the mental health of 636 pharmacists. We also collected demographic data and work-related variables. The prevalence of depression, anxiety and stress was 20.60%, 22.96% and 8.96%, respectively. Multivariate logistic regression showed that several common factors were associated with depression, anxiety and stress, including professional identity (odds ratio [OR] = 0.132, 0.381 and 0.352) and verbal violence (OR = 2.068, 2.615 and 2.490). Those who were satisfied with their job were less likely to develop depression (OR = 0.234) or anxiety (OR = 0.328). We found specific factors associated with mental health. Older age (OR = 1.038) and perceived negative impact (OR = 2.398) of COVID-19 on medical work were associated with anxiety, and those with frontline experience with COVID-19 patients (OR = 2.306) were more likely to experience stress. More than one-fifth of pharmacists in psychiatric hospitals experienced symptoms of depression or anxiety during the pandemic, highlighting the need for policy change to improve workplace conditions and psychological well-being for this professional group.

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Role of Board‐Certified Psychiatric Pharmacists in child and adolescent psychiatry

Stutzman,

Leiby,

Temelie

et al. 2023

J Am Coll Clin Pharm

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In the context of ongoing workforce shortages, rising symptom severity, and increased rates of psychotropic prescribing, the 2021 declaration of a national emergency in child and adolescent psychiatry (CAP) has highlighted the need for innovative strategies to address access to quality care. As valued members of the interdisciplinary team, Board‐Certified Psychiatric Pharmacists (BCPPs) in CAP are well‐positioned to address these needs as they are integrated across various settings (e.g., ambulatory clinics, and psychiatric hospitals) and have expertise in psychiatric and neurodevelopmental disorders. As educators and advocates for evidence‐based psychotropic medication management, BCPPs in CAP decrease polypharmacy, increase medication adherence and knowledge, and enhance patient outcomes. Given the need for interdisciplinary collaboration among BCPPs, CAP, and primary care providers, it is crucial for pharmacy administrators to respond and recognize the necessity of integrating pharmacy services into CAP and integrating BCPPs into pharmacy departments.

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Collaboration Between Child and Adolescent Psychiatrists and Mental Health Pharmacists to Improve Treatment Outcomes

Cited by 10 publications

References 18 publications

Positioning psychiatric pharmacists to improve mental health care

Positioning psychiatric pharmacists to improve mental health care

Mental health symptoms and their associated factors among pharmacists in psychiatric hospitals during the early stage of the COVID-19 pandemic

Role of Board‐Certified Psychiatric Pharmacists in child and adolescent psychiatry

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