Improving Medication Concordance in Mental Health- a Review of the Literature
Improving Medication Concordance in Mental Health- A Review of the Literature
Where a man is against his will, that to him is a prison. Epictetus
Abstract
There has been much discussion on why concordance with antipsychotic medication and treatment appears to differ from other fields of medicine. Does the literature support this contention? This review aims to seek out best practice and apply the principle of informed choice in assessing concordance and using appropriate interventions to educate individuals with psychosis.
Contents Abstract Introduction Compliance or concordance?
Client centered therapy
Administration of medicines and patient capacity
Competent or non-competent?
Schizophrenia in comparison with asthma and epilepsy
Negotiating medication
Antipsychotics- Hobson’s choice?
Education - the patient’s view
Psychosocial treatment interventions
Compliance therapy
Conclusion and Recommendations
References
Introduction
The aim of this literature review is to identify if possible, what simple, easily introduced refinement may be useful on an acute mental health ward, with the aim of better understanding the factors affecting concordance with both medication and treatment provisions. The review of the evidence was necessarily broad, for two reasons. Firstly, the premise that concordance is poorer with mentally ill patients (Hughes, et al.1997, Marland and Cash, 2005), compared with those suffering from physical illnesses (although acknowledging the considerable over-lap). This premise has been personally encountered whilst on practice placements. Secondly, whether any advantage might be gained from other areas of practice and applied to the
Where a man is against his will, that to him is a prison. Epictetus
Abstract
There has been much discussion on why concordance with antipsychotic medication and treatment appears to differ from other fields of medicine. Does the literature support this contention? This review aims to seek out best practice and apply the principle of informed choice in assessing concordance and using appropriate interventions to educate individuals with psychosis.
Contents Abstract Introduction Compliance or concordance?
Client centered therapy
Administration of medicines and patient capacity
Competent or non-competent?
Schizophrenia in comparison with asthma and epilepsy
Negotiating medication
Antipsychotics- Hobson’s choice?
Education - the patient’s view
Psychosocial treatment interventions
Compliance therapy
Conclusion and Recommendations
References
Introduction
The aim of this literature review is to identify if possible, what simple, easily introduced refinement may be useful on an acute mental health ward, with the aim of better understanding the factors affecting concordance with both medication and treatment provisions. The review of the evidence was necessarily broad, for two reasons. Firstly, the premise that concordance is poorer with mentally ill patients (Hughes, et al.1997, Marland and Cash, 2005), compared with those suffering from physical illnesses (although acknowledging the considerable over-lap). This premise has been personally encountered whilst on practice placements. Secondly, whether any advantage might be gained from other areas of practice and applied to the
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