Scales to evaluate quality of medication management: development and psychometric properties

Adm Policy Ment Health. 2009 Jul;36(4):247-54. doi: 10.1007/s10488-009-0209-z. Epub 2009 Feb 27.

Abstract

This paper describes the psychometric properties of two fidelity scales created as part of the Substance Abuse and Mental Health Services Administration (SAMHSA) sponsored medication management toolkit and their metric properties when used in 26 public mental health clinics with 50 prescribers. A 23-item scale, based on chart reviews, was developed to assess whether prescribers are following good medication practices, in conjunction with a 17-item scale to assess organizational support for and evaluation of prescriber adherence to recommended medication-related practices. Fundamental gaps in routine practice, including poor documentation of medication history and infrequent monitoring of symptoms and side effects were found.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Antipsychotic Agents / therapeutic use
  • Humans
  • Interviews as Topic
  • Medical Audit
  • Pharmaceutical Services / standards*
  • Prescription Drugs / administration & dosage*
  • Psychometrics*
  • Surveys and Questionnaires*
  • United States
  • United States Substance Abuse and Mental Health Services Administration

Substances

  • Antipsychotic Agents
  • Prescription Drugs