Optimizing Medication for People with Severe Mental Illness
Author Information
Author(s): Jo Howe, Maura MacPhee, Claire Duddy, Hafsah Habib, Geoff Wong, Simon Jacklin, Sheri Oduola, Rachel Upthegrove, Max Carlish, Katherine Allen, Emma Patterson, Ian Maidment
Primary Institution: Aston University, Birmingham, UK
Hypothesis
What works for whom and in what circumstances to optimise medication use with people living with SMI in the community?
Conclusion
Supported decision-making and trust are essential for improving medication optimization among individuals with severe mental illness.
Supporting Evidence
- Medication optimisation is crucial for improving the quality of life for individuals with severe mental illness.
- Shared decision-making enhances medication adherence and improves practitioner prescribing practices.
- Trust between service users and practitioners is foundational for effective medication management.
Takeaway
This study shows that when people with serious mental illness work together with their doctors and feel trusted, they can manage their medications better.
Methodology
A five-stage realist review was conducted using literature and stakeholder input to develop a programme theory and context-mechanism-outcome configurations.
Potential Biases
Potential biases in practitioner attitudes towards patients with severe mental illness may affect the development of therapeutic alliances.
Limitations
The study focused on English literature and may not represent all cultural contexts; it also did not include non-English documents.
Participant Demographics
Community dwelling adults aged 18+ living with severe mental illness.
Digital Object Identifier (DOI)
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