Development of a pharmacist–psychiatrist collaborative medication therapy management clinic

Tallian, Kimberly; Hirsch, J. E.; Kuo, Grace m.; Chang, Cathy A.; Gilmer, Todd; Messinger, Mindl; Chan, Pauline; Daniels, Charles E.; Lee, Kelly C.

doi:10.1331/japha.2012.11215

Cited by 28 publications

(28 citation statements)

References 13 publications

(21 reference statements)

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“…The clinics employ numerous health professionals to provide a full range of outpatient psychiatric services, including intakes, individual and group psychotherapy, pharmacotherapy, and psychoeducation. Established in 2008 [43], the pharmacist clinic has experienced between approximately 150-300 annual office visits [43]. The patient population varies from county-funded patients with severe mental illness to public and private funding for mood disorders, anxiety disorders, PTSD, and ADHD.…”

Section: Ucsdh Psychiatrymentioning

confidence: 99%

Advancing Pharmacist Collaborative Care within Academic Health Systems

et al. 2019

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Introduction: The scope of pharmacy practice has evolved over the last few decades to focus on the optimization of medication therapy. Despite this positive impact, the lack of reimbursement remains a significant barrier to the implementation of innovative pharmacist practice models. Summary: We describe the successful development, implementation and outcomes of three types of pharmacist collaborative care models: (1) a pharmacist with physician oversight, (2) pharmacist–interprofessional teams and (3) physician–pharmacist teams. The outcome measurement of these pharmacist care models varied from the design phase to patient volume measurement and to comprehensive quality dashboards. All of these practice models have been successfully funded by affiliated health systems or grants. Conclusions: The expansion of pharmacist services delivered by clinical faculty has several benefits to affiliated health systems: (1) significant improvements in patient care quality, (2) access to experts in specialty areas, and (3) the dissemination of outcomes with national and international recognition, increasing the visibility of the health system.

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Section: Ucsdh Psychiatrymentioning

confidence: 99%

Advancing Pharmacist Collaborative Care within Academic Health Systems

et al. 2019

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“…The merits of a partnership approach with collaborative work involving psychiatrists and pharmacists have been established [49]. With provider education and appropriate physician champions, pharmacists are able to work collaboratively with psychiatrists in an MH clinic [50]. A PCMHI clinical pharmacy specialist (CPS) successfully manages and maintains patients with uncomplicated MH conditions in primary care through evidence-based pharmacotherapy, as evidenced by symptom improvement, medication adherence, and low rate of specialty MH referrals [51].…”

Section: Fig-1: Changing the Conversation About Mental Health (Mh) [1]mentioning

confidence: 99%

Psychiatric Pharmacy: New Role of Pharmacists in Mental Health

Mohiuddin¹

2019

SARJPS

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Psychiatric disorders are one of the major causes of global burden of diseases. Stigma remains a major impediment in the delivery of mental healthcare. It has been found across various studies that attitudes of doctors of other specialties and other healthcare professionals also contribute to stigma due to their lack of knowledge and awareness about psychiatry and mental health problems. The number of mental health professionals remains abysmally low. Community pharmacists are accessible, knowledgeable, and capable of providing mental health promotion and care in communities. This may not be a role that is recognized by the public, and men in particular. However, psychotherapy paired with medication is the most effective way to promote recovery. Examples include: Cognitive Behavioral Therapy, Exposure Therapy, Dialectical Behavior Therapy, etc. Pharmacists can play a key role by providing mental health medication management support to improve access and address patients' mental health needs.

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“…The psychiatric pharmacist's qualifications have been previously described along with major components of the collaborative practice agreement. 21 …”

Section: Day-to-day Activitiesmentioning

confidence: 99%

“…The DEA license was critical to the collaborative model due to the extensive use of Schedule II medications for ADHD. The psychiatric pharmacist's qualifications have been previously described along with major components of the collaborative practice agreement 21.…”

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confidence: 99%

Development of an innovative adult attention-deficit hyperactivity disorder clinic

Lee

Kim

et al. 2020

Mental Health Clinician

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Pharmacist-psychiatrist collaborative clinic models in specialty mental health clinics are limited, and there has been only 1 report of a clinic focused on adult attention-deficit hyperactivity disorder (ADHD). In this article, we describe the successful implementation of a pharmacist-psychiatrist collaborative practice agreement in an adult ADHD clinic at an academic medical center. Adult patients diagnosed with ADHD after a comprehensive assessment, including a full neuropsychological evaluation, were enrolled in the collaborative treatment clinic. The collaboration was a partnership between a psychiatry department and a school of pharmacy at a public university. We report the details of 58 patients and 774 patient encounters at the collaborative pharmacist-psychiatrist practice from March 2015 through June 2018. The visits were billed using traditional medical billing codes for follow-up visits. Pharmacist practice opportunities included psychiatric evaluation, medication management, counseling, and referral to auxiliary services. Challenges to the clinic's success included limited pharmacist time, prescriptive authority, and reimbursement for services from payors. A collaborative practice model targeted at adult ADHD patients may be a unique clinic setting for psychiatric pharmacists.

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Development of a pharmacist–psychiatrist collaborative medication therapy management clinic

Cited by 28 publications

References 13 publications

Advancing Pharmacist Collaborative Care within Academic Health Systems

Advancing Pharmacist Collaborative Care within Academic Health Systems

Psychiatric Pharmacy: New Role of Pharmacists in Mental Health

Development of an innovative adult attention-deficit hyperactivity disorder clinic

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