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Pharmacist intervention in a psychiatric setting
  1. Ann Bugeja,
  2. Maresca Attard Pizzuto,
  3. Anthony Serracino-Inglott,
  4. Lilian M Azzopardi
  1. Department of Pharmacy, Faculty of Medicine and Surgery, University of Malta, Msida, Malta
  1. Correspondence to Ann Bugeja, Department of Pharmacy, Faculty of Medicine and Surgery, University of Malta, Msida MSD 2080, Malta; ann.bugeja.08{at}um.edu.mt

Abstract

Objective Inadequate adherence in psychiatric patients is known to lead to relapse and re-admission. The aim of this study was to introduce and evaluate a pharmacist intervention directed at psychiatric ‘on leave’ patients and their family members. At Mount Carmel Hospital, patients are sent home ‘on leave’ but given follow-up appointments. During each appointment visit, a decision is made either to send the patient back home (‘on leave’) or keep them in hospital as an in-patient.

Methods Twenty ‘on leave’ psychiatric patients who self-administer their medication and 20 family members were interviewed before the pharmacist intervention using the Medication Adherence Questionnaire; the medication adherence questions were not applicable to family members. The intervention consisting of explanation and distribution of personalised medication charts was then administered. Between 2 and 4 weeks after the pharmacist intervention, all participants (n=40) were re-interviewed using question 9 from the same questionnaire and the Medication Chart Evaluation Form.

Results The mean percentage score for knowledge concerning dosage regimen was higher after the intervention (98.0%) than before (89.0%) (p=0.001). The mean percentage score for knowledge concerning medicine type/indication was also higher after the intervention (89.3%) than before (59.2%) (p∼0.000).

Conclusions This study highlights the importance of the pharmacist's role as an educator. The medication chart helped the patients improve their medication awareness and knowledge, which increases medication adherence.

  • PSYCHIATRY
  • MENTAL HEALTH
  • PHARMACOTHERAPY
  • QUALITATIVE RESEARCH

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