Increase Adherence to Psychotropic Medication Through Motivational Adherence Therapy: A Quality Improvement Project

Hughes, Frederica; Vess, Joy; Johnson, Emily

doi:10.1080/01612840.2018.1455118

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…An important aspect of a holistic approach to health care is to pay attention to the patients' autonomy and self-care behaviours. For example, medication adherence, which in all sections of our full report was identified as a patient-and illness-related barrier (22), has been shown to improve by applying collaborative, patient-centred communications skills (41), even in patients with SMI (42). However, the benefits of achieving patient-centred care for medication adherence through techniques such as motivational interviewing and shared decision making in people with SMI are minimal and less conclusive than in general medicine (43-45).…”

Section: Discussionmentioning

confidence: 99%

Barriers to Somatic Health Care for Persons With Severe Mental Illness in Belgium: A Qualitative Study of Patients' and Healthcare Professionals' Perspectives

et al. 2022

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BackgroundA huge and still growing mortality gap between people with severe mental illness (SMI) and the general population exists. Physical illnesses, mainly cardiovascular diseases, substantially contribute to the high mortality rates in patients with SMI. Disparities in somatic health care access, utilisation, and provision contribute to these poor physical health outcomes.MethodsA qualitative study, using semi-structured interviews, was set up to explore SMI patients' and healthcare professionals' perspectives on somatic health care in different psychiatric settings of the three Belgian regions (Flanders, Brussels, Wallonia). Interviews were digitally recorded and transcribed prior to qualitative inductive thematic analysis, using Nvivo software. The COnsolidated criteria for REporting Qualitative research (COREQ) were used for reporting methods and findings.ResultsCollaboration and information flows between psychiatric healthcare professionals, non-psychiatric healthcare professionals, and persons with SMI were troublesome. This seemed to be mainly due to stigma and prejudice and challenging communication and data transfer. Lack of sufficient training and experience to identify and treat somatic health problems in people with SMI (for psychiatrists and psychiatric nurses) and lack of psychiatric knowledge and feeling or sensitivity for psychiatric patients (for non-psychiatric healthcare professionals) further complicated adequate somatic health care. Finally, optimal somatic follow-up of patients with SMI was hampered by organisational problems (unavailability of equipment, unadapted infrastructure, understaffing, hospital pharmacy issues, and insufficient health promotion/lifestyle interventions), patient-related issues (unawareness of physical problems, non-adherence, need for accompaniment) and financial barriers.ConclusionThere is an urgent need for integrated somatic and mental healthcare systems and a cultural change. Psychiatrists and primary care providers continue to consider the mental and physical health of their patients as mutually exclusive responsibilities due to a lack of sufficient training and experience, poor or absent liaison links, time constraints and organisational and financial barriers. Modifying these aspects will improve the quality of somatic health care for these vulnerable patients.

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Section: Discussionmentioning

confidence: 99%

Barriers to Somatic Health Care for Persons With Severe Mental Illness in Belgium: A Qualitative Study of Patients' and Healthcare Professionals' Perspectives

et al. 2022

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Nursing leadership and influence in practice domains at a Veterans Affairs Health Care System

et al. 2023

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Sertraline versus venlafaxine combined with psychotherapy in trauma-affected refugees – a follow-up study on a pragmatic randomised trial

Barhoma,

Carlsson,

Sonne

2024

Nordic Journal of Psychiatry

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Increase Adherence to Psychotropic Medication Through Motivational Adherence Therapy: A Quality Improvement Project

Abstract: MISAT should be considered in other settings where patients diagnosed with SMI are faced with non-adherence to psychotropic medication, but the sessions' format should be structured to fit the patients' needs.

Cited by 4 publications

References 8 publications

Barriers to Somatic Health Care for Persons With Severe Mental Illness in Belgium: A Qualitative Study of Patients' and Healthcare Professionals' Perspectives

Barriers to Somatic Health Care for Persons With Severe Mental Illness in Belgium: A Qualitative Study of Patients' and Healthcare Professionals' Perspectives

Nursing leadership and influence in practice domains at a Veterans Affairs Health Care System

Sertraline versus venlafaxine combined with psychotherapy in trauma-affected refugees – a follow-up study on a pragmatic randomised trial

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