The Role of Board-Certified Psychiatric Pharmacists in Expanding Access to Care and Improving Patient Outcomes

Abstract

Although approximately 20% of adults in the United States experience a mental health condition annually, there continues to be a gap in the provision of care because of a shortage of behavioral health providers. The National Council for Behavioral Health Medical Director Institute has recommended that the number of board certified psychiatric pharmacists (BCPPs), who are clinical pharmacists with advanced specialized training and experience in the treatment of patients with psychiatric and substance use disorders, be expanded to help meet this need. Although BCPPs currently assist in expanding care access, improving medication-related outcomes, and reducing health care costs by working collaboratively with physicians and other health care providers, BCPPs are often underutilized. This lack of utilization results in lost opportunity to better address the needs of persons with psychiatric or substance use disorders and to meet these needs in a timely manner. Here, the authors bring attention to five key areas-opioid use disorder, antipsychotic use among children, long-acting injectable antipsychotics, clozapine use, and transitions of care and care coordination-in which BCPPs, along with other pharmacists, provide evidence-based care and could be more extensively used as a collaborative solution to the mental health and substance use disorder crisis in the United States.

Best practice model for outpatient psychiatric pharmacy practice, part 2: Confirmation of the attribute statements

“…Outpatient psychiatric pharmacists should have a Doctor of Pharmacy degree (PharmD), and obtain and maintain the Board Certified Psychiatric Pharmacist (BCPP) credential. 9 - 11 Endorses the proposal from AAPP that all outpatient psychiatric pharmacists obtain and maintain the BCPP credential. This ensures that pharmacists have the training and up-to-date knowledge required for management of psychiatric conditions.…”

“…Outpatient psychiatric pharmacists should be able to treat other medical conditions as defined by their scope of practice or collaborative practice agreement. 11 , 58 Outpatient psychiatric pharmacists should be allowed to manage other medical (non-psychiatric) conditions as defined by their local scope of practice regulations or CPAs. This may allow integration of psychiatric pharmacists into primary care settings for continuity of care and seamless integration.…”

“…Outpatient psychiatric pharmacists are included as part of the clinical site's interprofessional treatment team for best practice, patient-centered care. 3 , 10 , 11 , 58 Having a pharmacist as part of an interprofessional treatment team provides the best care possible and brings unique knowledge and skills to the team to enhance patient care. 23.…”

“…Outpatient psychiatric pharmacists should have a Doctor of Pharmacy degree (PharmD), and obtain and maintain the Board Certified Psychiatric Pharmacist (BCPP) credential. 9 - 11 …”

“…Outpatient psychiatric pharmacists should be able to treat other medical conditions as defined by their scope of practice or collaborative practice agreement. 11 , 58 …”