Factors important to psychiatrists when prescribing depot antipsychotics

Kenicer, David; Ellahi, R.; Davies, Paul; Walker, Andrew; Cheyne, Alison

doi:10.1002/pnp.428

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…As a result, younger practitioners may have more optimistic views on LAI-As, estimating that more of their patients would be accepting of treatment and perceiving less of a barrier to use from factors such as negative attitudes and lack of patient education. Previous studies suggest that psychiatrists with fewer years of experience are more likely to prescribe newer second-generation LAI-As, 31 supporting differences in use patterns based on age.…”

Section: Discussionmentioning

confidence: 93%

Attitudes and perceptions about the use of long-acting injectable antipsychotics among behavioral health practitioners

Schwartz¹,

Carilli

Mian

et al. 2022

Mental Health Clinician

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Introduction Long-acting injectable antipsychotics (LAI-As) are important tools for the treatment of schizophrenia, yet they appear to be underutilized. This study will assess practitioner perceptions of LAI-As to elucidate reasons for underuse and uncover new avenues to increase appropriate use. Methods An anonymous electronic survey was developed and actively distributed to behavioral health care practitioners (MD, DO, PA, NP, PharmD, RN, LCSW). Independent t testing and linear regression analysis was used to assess for interactions between survey responses and individual factors. Results A total of 146 survey responses were collected from September 3, 2020 to March 17, 2021. On average, participants thought that LAI-As were slightly underutilized in practice. The mean estimated patient acceptance rate for LAI-A therapy was 38.6% ± 29.5% (range = 0%-100%). Participants who were <40 years of age and those with a psychiatric pharmacist at their practice site had significantly higher estimated acceptance rates. The highest-rated barriers to LAI-A use were related to negative patient attitudes, lack of patient education, and access issues (eg, transportation, cost). Respondent characteristics including age, gender identity, geographic location, practice setting, and the presence of a psychiatric pharmacist significantly influenced the perceived impact of these barriers. Discussion Behavioral health practitioners generally believed that LAI-As were underused, and only one-third of their patients would be accepting of the therapy. Several barriers were perceived as frequently impacting LAI-A use, but these were reduced by the presence of a psychiatric pharmacist. Understanding practitioner perceptions can assist with increasing the use of LAI-As.

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Section: Discussionmentioning

confidence: 93%