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Medication Management in Adults With Intellectual and Developmental Disabilities: Psychiatric Pharmacists in Primary
Esther Moon1, Sabrina Domicoli Snyder1, Andrew Williams1
1Esther Moon, Sabrina Domicoli Snyder, and Andrew Williams, Department of Pharmacy-Behavioral Health Services, Riverside University Health System; and Scott Allen and Emma Simmons, Access Clinic, Riverside University Health System.
None:
This study describes the role of psychiatric pharmacists (PPs) in medication management at a county-hospital-based primary care clinic serving adults with intellectual and developmental disabilities (IDD). During a 20-week period, PPs provided 308 interventions for 97 patients with IDD, 55% of whom had a concomitant psychiatric/behavioral disorder and 70% of whom were taking at least one psychotropic medication. PP services included medication reviews (48%), medication histories (13%), collaborative care (12%), pharmacotherapy interventions (11%), advisory services (9%), and patient/caregiver education (7%). Psychotropics were involved in 66% of interventions. Our results demonstrate that PPs may address psychotropic-related challenges in this practice setting by performing a variety of services. Additional studies are needed to fully evaluate the impact of this integrative model.
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