Improving medication-related outcomes for patients with psychiatric and neurologic disorders: Value of psychiatric pharmacists as part of the health care team

Goldstone, Lisa; DiPaula, Bethany A.; Caballero, Joshua; Park, Susie H.; Price, Cristofer; Slater, Magdalena Zasadzki

doi:10.9740/mhc.2015.01.001

Cited by 38 publications

(60 citation statements)

References 92 publications

(132 reference statements)

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“…26,27 As PCPs rely on psychiatry providers, ambulatory care pharmacists may rely on PGY2 trained/BCPP psychiatric pharmacists, whose value as part of the medical team has been established. 28 This survey also highlights the demand for mental health services at our institution exceeds the capacity. Access continues to be a challenge despite recent initiatives focused on addressing this very issue (e.g., initiating a new evaluation clinic as well as piloting behavioral health collaborative care within the PCMH).…”

Section: Discussionmentioning

confidence: 96%

Provider perceptions of pharmacists providing mental health medication support in patient-centered medical homes

Coe¹,

Bostwick²,

Choe³

et al. 2019

Journal of the American Pharmacists Association

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Objectives-This study's objectives were to identify primary care providers' (PCP) comfort level, potential barriers to management of patients with mental health disorders, and attitudes around clinical pharmacist-provided mental health medication-related support. Methods-A 16-item, cross-sectional survey was completed by PCPs in 14 patient-centered medical homes (PCMHs) at one academic medical center. Items assessed include PCPs' perceptions of the proportion of patients with a mental health condition, access to psychiatry services, confidence in mental health condition management, clinical pharmacist-provided mental health medication support, and demographics. Checklist, Likert-scaled agreement statements, and an open-ended question to assess barriers managing mental health medications were included. Descriptive statistics and qualitative content analysis were used.

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Section: Discussionmentioning

confidence: 96%

Provider perceptions of pharmacists providing mental health medication support in patient-centered medical homes

Coe¹,

Bostwick²,

Choe³

et al. 2019

Journal of the American Pharmacists Association

View full text Add to dashboard Cite

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“…Collaborative practice models are increasingly utilized in health systems such as the patient-centered medical home or The Veterans Health Administration Patient Aligned Care Team (PACT) to increase access to comprehensive medication management for patients. 37 These settings employ pharmacist specialists who, for the most part, learned through completion of a residency, a fellowship or by practicing for several years. 38 They also employ non-specialist pharmacists who practice in acute care and ambulatory care settings.…”

Section: Discussionmentioning

confidence: 99%

Curriculum in Psychiatry and Neurology for Pharmacy Programs

Dopheide

Bostwick

Goldstone

et al. 2017

American Journal of Pharmaceutical Education

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Objective. To describe pharmacy curricula in psychiatry and neurology and to report on neuropsychiatric pharmacy specialists' views on optimal curriculum. Methods. Design and administer one electronic survey to accredited pharmacy programs asking them to report information on curricula in psychiatry and neurology for the 2014-2015 academic year. Design and administer a separate electronic survey to board certified pharmacists with an academic affiliation who are members of the College of Psychiatric and Neurologic Pharmacists (CPNP) asking about their teaching activities and their opinion on optimal curricula. Results. Fifty-six percent of pharmacy programs and 65% of CPNP members responded to the surveys. The program survey revealed greater than 80% of topics were taught by full-time faculty. Didactic lecturing, teambased learning, and case studies were the most common teaching methods. Programs dedicated the most didactics (3 to 51 hours) to epilepsy, depression, schizophrenia, substance use disorders, and pain. Autism, traumatic brain injury, personality, and eating disorders were either not taught or given # 1 hour of didactics in most programs. Inpatient psychiatry had the most APPE placements with a mean of 19.6, range 0-83. APPE electives in psychiatry outnumbered those in neurology 5 to 1. CPNP member survey results showed 2 out of 3 members agreed that curriculum could be improved with additional APPEs in psychiatry and neurology. Conclusion. Didactic hour distribution in psychiatry and neurology could be improved to better align with board certification in psychiatric pharmacy (BCPP) recommendations and disorder prevalence and complexity. Specialists recommend an experiential component in neurology and psychiatry to combat stigma and improve pharmacist knowledge and skills.

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“…9 There are increased economic incentives from institutions to hire such credentialed individuals. 10,11 While there are emerging data on the benefits of board certification to the patient, health care team, and individual clinical pharmacist, there is minimal information regarding how board certification has affected the job market. This study aims to describe employer preference or requirements for board certification among pharmacists, and it asks employers to give their rationale for the preference or requirement.…”

Section: Introductionmentioning

confidence: 99%