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Cohen AN, Collins G, Nucifora FC, Strobel R, Wait DB, Young AS. Clinical Consensus Recommendations for Urine Testing of Adherence to Antipsychotics Among People With Serious Mental Illness. Psychiatr Serv 2018; 69:345-348. [PMID: 29241434 DOI: 10.1176/appi.ps.201700082] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVE This study developed clinical recommendations for the use of proven urine testing technologies to assess antipsychotic medication adherence among people with serious mental illness. METHODS Guided by the RAND/UCLA Appropriateness Method, researchers conducted a literature review and semistructured interviews and convened an expert panel to develop clinical consensus recommendations for the use of urine monitoring to assess antipsychotic medication adherence. RESULTS The expert panel identified six circumstances in which urine monitoring was recommended at initial evaluation and five scenarios in which monitoring was recommended after initial evaluation. Conducting monitoring at the site where psychiatric medication is prescribed and providing education prior to testing and feedback after testing were recommended. CONCLUSIONS A consensus was reached on clinical recommendations for use of urine monitoring at intake and during ongoing treatment. There was strong agreement that monitoring can be used to improve assessment and thence clinical care and outcomes.
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Affiliation(s)
- Amy N Cohen
- Dr. Cohen and Dr. Young are with the Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA). Dr. Collins is with View Point Health, Lawrenceville, Georgia, and the Department of Psychiatry, Emory University, Atlanta. Dr. Nucifora is with the Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore. Dr. Strobel is with the Permian Basin Community Center, Midland, Texas. Dr. Wait is with Heritage Health, Coeur d'Alene, Idaho
| | - Gretchen Collins
- Dr. Cohen and Dr. Young are with the Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA). Dr. Collins is with View Point Health, Lawrenceville, Georgia, and the Department of Psychiatry, Emory University, Atlanta. Dr. Nucifora is with the Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore. Dr. Strobel is with the Permian Basin Community Center, Midland, Texas. Dr. Wait is with Heritage Health, Coeur d'Alene, Idaho
| | - Frederick Charles Nucifora
- Dr. Cohen and Dr. Young are with the Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA). Dr. Collins is with View Point Health, Lawrenceville, Georgia, and the Department of Psychiatry, Emory University, Atlanta. Dr. Nucifora is with the Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore. Dr. Strobel is with the Permian Basin Community Center, Midland, Texas. Dr. Wait is with Heritage Health, Coeur d'Alene, Idaho
| | - Roddy Strobel
- Dr. Cohen and Dr. Young are with the Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA). Dr. Collins is with View Point Health, Lawrenceville, Georgia, and the Department of Psychiatry, Emory University, Atlanta. Dr. Nucifora is with the Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore. Dr. Strobel is with the Permian Basin Community Center, Midland, Texas. Dr. Wait is with Heritage Health, Coeur d'Alene, Idaho
| | - David B Wait
- Dr. Cohen and Dr. Young are with the Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA). Dr. Collins is with View Point Health, Lawrenceville, Georgia, and the Department of Psychiatry, Emory University, Atlanta. Dr. Nucifora is with the Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore. Dr. Strobel is with the Permian Basin Community Center, Midland, Texas. Dr. Wait is with Heritage Health, Coeur d'Alene, Idaho
| | - Alexander S Young
- Dr. Cohen and Dr. Young are with the Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA). Dr. Collins is with View Point Health, Lawrenceville, Georgia, and the Department of Psychiatry, Emory University, Atlanta. Dr. Nucifora is with the Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore. Dr. Strobel is with the Permian Basin Community Center, Midland, Texas. Dr. Wait is with Heritage Health, Coeur d'Alene, Idaho
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