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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Medication adherence in crisis?

San Sreenath1, Shallini Reddy, Mary-Jane Tacchi

  • 1Northumberland Tyne and Wear NHS Trust, Newcastle upon Tyne, UK.

Journal of Mental Health (Abingdon, England)
|September 15, 2010
PubMed
Summary
This summary is machine-generated.

Thirty percent of mental health crisis referrals showed poor medication adherence. This non-adherence predicted hospital admission, highlighting its importance in preventing relapse and improving mental health service effectiveness.

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Area of Science:

  • Psychiatry
  • Mental Health Services Research

Background:

  • Medication non-adherence is a significant challenge in mental healthcare.
  • Identifying predictors of non-adherence is crucial for effective crisis intervention.

Purpose of the Study:

  • To determine medication non-adherence rates among individuals referred to a crisis resolution home treatment service.
  • To investigate the association between medication adherence patterns and recommended treatment interventions.

Main Methods:

  • Retrospective analysis of 172 referrals to a crisis resolution home treatment service.
  • Examination of medication adherence in the month preceding referral.
  • Statistical analysis to explore associations with dual diagnosis and service outcomes.

Main Results:

  • Thirty percent of referrals reported sub-optimal medication adherence.
  • Non-adherence was significantly associated with dual diagnosis (OR 2.9) and subsequent hospital admission (OR 2.5).
  • Non-adherence remained a significant predictor of admission after adjusting for confounders (OR 1.18).

Conclusions:

  • Medication non-adherence is a prevalent issue in crisis mental health referrals.
  • Proactive identification and management of non-adherence can prevent relapse and improve service outcomes.
  • Addressing non-adherence offers a target for enhancing the clinical and cost-effectiveness of mental health services.