Access to information on a patient's antipsychotic plasma levels—the amount of drug circulating in the patient's blood—can reduce prescriber uncertainty, resulting in better care and outcomes for schizophrenia patients.
Clozapine has proven effective for patients with treatment-resistant schizophrenia, but the health system is poorly configured to provide it. The drug has possible side effects that require extra patient monitoring, but it saves costs by reducing hospitalizations.
Results suggest that AUD and other drug use disorder are more problematic than marijuana use disorder in terms of repeated hospital admissions for SSD. Marijuana use disorder does not appear to be associated with shorter times until readmission.
As assessed in 29 Southern California Veterans Affairs clinics, primary care—mental health integration programs can help ensure that primary care is providing evidence-based stepped care and that patients with more intensive mental health concerns (e.g., psychosis) are appropriately referred to specialty services.
Improvements in disease management enabled by antipsychotic plasma level information could improve outcomes for patients with complicated treatment courses and thus improve the value of schizophrenia care.
Analysis of prescribing habits for treatment of schizophrenia suggests that some clinicians may underprescribe clozapine and overprescribe multiple antipsychotics; addressing such inconsistencies with the evidence base could improve care.
This study suggests that the association between process-based measures of care quality and mortality in veterans with co-occurring mental and substance use disorders could be used to improve performance and reduce mortality in this population.
This column presents findings of an analysis conducted to quantify the potential net savings to state budgets from interventions to improve adherence to antipsychotic drugs among patients with schizophrenia.
A promising strategy for helping adults with serious mental illness gain access to appropriate primary and preventive medical services is to integrate those services into a setting in which the population already receives care.
The authors examined utilization of the Massachusetts Child Psychiatry Access Project, a mental health telephone consultation service for primary care, hypothesizing that greater use would be related to severe psychiatric diagnoses and polypharmacy.
Peer support services have demonstrated many notable outcomes. However, studies that better differentiate the contributions of the peer role and are conducted with greater specificity, consistency, and rigor would strengthen the evidence.