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Increase Adherence to Psychotropic Medication Through Motivational Adherence Therapy: A Quality Improvement Project
Frederica Hughes1, Joy Vess1, Emily Johnson1
1a Medical University of South Carolina, Charleston, South Carolina, USA.
Issues in Mental Health Nursing
|May 31, 2018
Summary
Motivational Interviewing Style Adherence Therapy (MISAT) improved psychotropic medication adherence in veterans with severe mental illness (SMI). This approach offers a unified strategy for addressing non-adherence, benefiting patient outcomes.
Area of Science:
- Psychiatry
- Mental Health
- Health Services Research
Background:
- Psychiatric medication non-adherence is a significant issue for individuals with severe mental illness (SMI), with national rates between 50-75%.
- Veterans with SMI experience similar challenges with medication adherence.
- Current approaches to non-adherence lack standardization.
Purpose of the Study:
- To evaluate the effectiveness of Motivational Interviewing Style Adherence Therapy (MISAT) in improving psychotropic medication adherence.
- To assess the impact of MISAT on veterans diagnosed with SMI.
- To explore MISAT's role in standardizing the approach to medication non-adherence.
Main Methods:
- A quality improvement project was conducted in a Veterans Affairs Mental Health Clinic.
- Evidence-based MISAT was implemented as the intervention.
- Adherence was measured by average medication refill history.
Main Results:
- MISAT demonstrated a clinically significant improvement in psychotropic medication adherence.
- Average medication refill rates increased from 82% to 85% among participants.
- MISAT provided a consistent framework for addressing medication non-adherence among mental health providers.
Conclusions:
- MISAT is a promising intervention for improving medication adherence in patients with SMI.
- The therapy's structured format should be adaptable to individual patient needs.
- MISAT implementation can enhance adherence across various clinical settings serving SMI populations.
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