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Drug-use evaluation programs for psychotropic medications.

J D Goad1, J R Ezell

  • 1Western Missouri Mental Health Center, Kansas City 64108.

American Journal of Hospital Pharmacy
|January 1, 1990
PubMed
Summary
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Drug-use evaluation (DUE) programs improved psychotropic medication monitoring in mental health settings. While inpatient compliance reached 84%, ambulatory care compliance was 64%, highlighting areas for improvement in medication management.

Area of Science:

  • Pharmacology
  • Psychiatry
  • Health Services Research

Background:

  • Drug-use evaluation (DUE) programs are essential for monitoring psychotropic medication prescribing.
  • Implementing DUE programs in mental health centers requires specific criteria for various drug classes.

Purpose of the Study:

  • To describe the development and implementation of DUE programs for psychotropic medications.
  • To assess the compliance rates and impact of DUE programs in inpatient and ambulatory-care settings.

Main Methods:

  • Developed DUE criteria for antipsychotics, antidepressants, antianxiety/hypnotics, lithium, and antiparkinsonian drugs.
  • Pharmacists evaluated medication orders using special forms in hospital and ambulatory-care settings.
  • Physicians received feedback on noncompliant prescribing practices.

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Main Results:

  • Antiparkinsonian drugs showed the poorest compliance and required the most follow-up in both settings.
  • Overall inpatient DUE compliance was 84%, while ambulatory-care DUE compliance was 64%.
  • Ambulatory-care DUE program improved timely ordering of laboratory studies and dyskinesia rating scales.

Conclusions:

  • DUE programs enhance pharmacist involvement in patient care and medication use documentation.
  • Continuous monitoring and targeted interventions are needed to improve compliance, especially for antiparkinsonian agents.
  • These programs contribute to safer and more effective psychotropic medication management in mental health care.