Social Psychiatry and Psychiatric Epidemiology

, Volume 45, Issue 11, pp 1071–1079

An expert panel assessment of comprehensive medication reviews for clients of community mental health teams

  • Natasa Gisev
  • J. Simon Bell
  • Claire L. O’Reilly
  • Alan Rosen
  • Timothy F. Chen
Original Paper

Abstract

Background

Few studies have investigated strategies to identify and resolve drug-related problems among clients of community mental health teams (CMHTs).

Objective

The objective of this study was to evaluate the clinical impact and appropriateness of comprehensive medication reviews for clients of CMHTs.

Methods

Trained pharmacists conducted interviews (30–45 min each) with clients of CMHTs to identify actual and potential drug-related problems. The pharmacists prepared medication review reports that detailed their findings and recommendations to optimize drug therapy. An expert panel comprising a psychiatrist, general medical practitioner, mental health pharmacist and medication review pharmacist evaluated reviews for 48 clients of 5 CMHTs. Panelists independently assessed review findings, review recommendations, likelihood of recommendation implementation and the overall expected clinical impact.

Results

Two hundred and nine medication review findings and 208 medication review recommendations were evaluated. Panelists agreed with 76% of findings and considered that 81% of recommendations were appropriate. Collectively, 69% of recommendations were considered likely to be implemented. Thirty-seven (77%) reviews were deemed potentially to have a positive clinical impact. The agreement between panelists was statistically significant (P < 0.01) for the assessment of the findings, recommendations and likelihood of recommendation implementation.

Conclusions

Pharmacists’ findings and recommendations to optimize drug therapy were considered appropriate and likely to result in improved clinical outcomes. Comprehensive medication reviews may be a valuable strategy to identify and resolve drug-related problems among clients of CMHTs.

Keywords

Medication review Medicines management Psychotropic drugs Community mental health services Community pharmacy services 

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Natasa Gisev
    • 1
  • J. Simon Bell
    • 1
    • 2
    • 3
  • Claire L. O’Reilly
    • 1
  • Alan Rosen
    • 4
    • 5
    • 6
  • Timothy F. Chen
    • 1
  1. 1. Faculty of PharmacyUniversity of Sydney SydneyAustralia
  2. 2.Kuopio Research Centre of Geriatric CareUniversity of KuopioKuopioFinland
  3. 3.Department of Pharmacology and ToxicologyUniversity of KuopioKuopioFinland
  4. 4.Greater Western Area Health ServiceDubboAustralia
  5. 5.School of Public Health, Faculty of Health and Behavioural SciencesUniversity of WollongongWollongongAustralia
  6. 6.Department of Psychological MedicineUniversity of SydneySydneyAustralia

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