While some studies show a significant advantage in adherence rates with use of atypical versus typical antipsychotic medication, others show no advantage or mixed results (Jones et al. (2006). Archives of General Psychiatry, 63, 1079-1087; Rosenheck, (2006). Archives of General Psychiatry, 63, 1074-1076). This study examined treatment outcomes and costs associated with adherence rates by antipsychotic medication class for adult Medicaid beneficiaries in Florida diagnosed with schizophrenia. Outcomes examined include arrests, involuntary commitments, and physical and behavioral healthcare costs. Study findings demonstrate that medication adherence for persons with schizophrenia may be as important to treatment costs and benefits as the class of medication used.
These preliminary findings highlight the impact of the recovery orientation of treatment on empowerment and satisfaction with services among individuals with severe and persistent mental illness.
Driving under the influence (DUI) is a serious crime that contributes to approximately 9% of traffic-related crashes, injuries, and fatalities in the state of Florida. Specifically, Hillsborough County, which includes Tampa, has the highest rate of DUI-related occurrences in the state of Florida. There are several gaps in policy, enforcement, and treatment that need to be addressed before Hillsborough County can shed this dubious distinction. To this end, 15 key stakeholders involved in alcohol policy were interviewed about law enforcement, judicial, and treatment issues. Several obstacles to reducing DUI crime emerged: inadequate case preparation time, case overload, prosecution challenges such as leniency and inconsistency in sentencing, and the need for more collaboration between law enforcement, the judicial system, and treatment providers. Suggested recommendations included the addition of a DUI court, stricter legal and treatment requirements, and mandatory blood testing.
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