Administration and Policy in Mental Health and Mental Health Services Research

, Volume 34, Issue 1, pp 57–61

Reduction of Concurrent Antipsychotic Prescribing Practices Through the Use of PSYCKES


    • South Beach Psychiatric Center
  • Molly Finnerty
    • New York State Office of Mental Health
  • Thomas White
    • New York State Office of Mental Health
  • Rosanne Gaylor
    • South Beach Psychiatric Center
  • Lawrence Shindelman
    • South Beach Psychiatric Center
Original Paper

DOI: 10.1007/s10488-006-0075-x

Cite this article as:
Uttaro, T., Finnerty, M., White, T. et al. Adm Policy Ment Health (2007) 34: 57. doi:10.1007/s10488-006-0075-x


The New York State Office of Mental Health has implemented the browser based Psychiatric Clinical Knowledge Enhancement System (PSYCKES) medication application throughout its inpatient system of care. PSYCKES provides detailed current medication regimens and histories, as well as medication best practices reports at the patient, psychiatrist, ward, and facility levels. South Beach Psychiatric Center (SBPC) has made specific use of a best practices report which details proportions of caseloads and number of patients on two or more concurrent antipsychotic medications. Psychiatrists received extensive application and desktop support and individual and group training was conducted. PSYCKES current and historical medication regimens were reviewed for individual cases and best practices reports were used in psychiatry supervision from January 2004 to March 2005. SBPC psychiatrists achieved marked reductions in the proportions of their caseloads on two or more concurrent antipsychotics. Although we cannot impute causality from this pre–post implementation design, the results of this evaluation suggest that the use of PSYCKES was effective in reducing such regimens for inpatients.


PSYCKESPrescribingBest practicesConcurrent medicationsClinical decision supportClinical information systems

Copyright information

© Springer Science+Business Media, Inc. 2006