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User Perspectives on Professional Support and Service Use During Psychiatric Medication Discontinuation
Sabrina Darrow1, Morgan Pelot2, Sarah Naeger3
1University of California, San Francisco, San Francisco, USA. Sabrina.darrow@ucsf.edu.
Community Mental Health Journal
|January 12, 2022
Summary
Many individuals discontinuing psychiatric medication lack adequate professional support. This study surveyed 250 service users, finding gaps in prescriber and psychotherapy engagement during discontinuation.
Area of Science:
- Psychiatry
- Mental Health Services Research
Background:
- Psychiatric medication discontinuation is prevalent, with potential negative consequences.
- Historically, research focused on adherence, but discontinuation is increasingly viewed as a desired patient goal.
- Effective support during this process is crucial for patient well-being.
Purpose of the Study:
- To survey service users about professional support during psychiatric medication discontinuation.
- To identify gaps in clinical practice and inform future research directions.
- To understand the role of prescribers and psychotherapists in supporting discontinuation.
Main Methods:
- A pioneering survey was conducted with 250 service users discontinuing psychiatric medication.
- Responses were analyzed regarding engagement with prescribers and psychotherapists.
- Qualitative data on decision-making and support experiences were also collected.
Main Results:
- Only 65% of respondents saw a prescriber during discontinuation.
- Fewer than 50% engaged with a psychotherapist.
- Significant gaps were identified in the support provided by healthcare professionals.
Conclusions:
- There is a critical need to enhance provider training and services to better support individuals discontinuing psychiatric medication.
- Improving support systems can mitigate negative impacts of discontinuation.
- This research highlights areas for improving mental healthcare practices.
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