Differences in the prescribing of medication for physical disorders in individuals withv.without mental illness: meta-analysis

Abstract

Individuals with severe mental illness (including schizophrenia) appear to be prescribed significantly lower quantities of several common medications for medical disorders, largely for cardiovascular indications, although further work is required to clarify to what extent this is because of prescriber intent.

Altered metabolic parameters in association with antipsychotic medication use in diabetes: A population based case-control study

“…These 2013 guidelines may influence future prescribing habits but should not have impacted on this 2010 data extract. Although Mitchell et al (2012) suggested lower medication prescription for physical disorders in those with mental illness (Mitchell et al, 2012), our data suggest this may not be the case for oral hypoglycaemic agents in patients with known diabetes.…”

“…Widespread literature and policy suggests that diabetes care for severe mental health disorders needs to be improved and tailored (NHS Diabetes, 2011;NICE, 2014;Scottish Intercollegiate Guidelines Network (SIGN), 2013), and published evidence suggest that patients with mental health problems have poorer outcomes (Mitchell et al, 2012). Previous studies have not all been matched for confounders such as BMI and smoking status.…”

Hepatitis B and C in Taiwanese patients with Schizophrenia: A Nationwide, Population-based study on prevalence, and healthcare utilization

“…Patient-related reasons included high-risk behavior, lack of awareness [29] and inability to clearly communicate their medical condition [22], and low adherence to the evaluation [29] and treatment process. Physician-contributed reasons are incorrect diagnoses or hesitance in treatment by the primary care physician, and reluctance or lack of training of psychiatrists to perform a physical examination or administer appropriate check-ups [30]. Low socioeconomic conditions and the lack of an integrated medical and mental-healthcare facility contribute to the failure of this system to provide optimal quality healthcare to this population [31].…”

The American Psychiatric Association Practice Guidelines for the Psychiatric Evaluation of Adults

“…When individuals with a serious mental illness are diagnosed with medical conditions, they may be less aware of their concomitant disorders than individuals without a mental illness (Kilbourne et al 2006). In addition, the quality and type of treatment they receive is frequently disparate from care received by the general population (Druss et al 2011;Goldberg et al 2007;Kilbourne et al 2008;Kisely et al 2011;Mitchell et al 2009Mitchell et al , 2012Salsberry et al 2005). Furthermore, some individuals with mental illness may be unable to understand and adhere to treatment for their illness.…”