Format

Send to

Choose Destination
See comment in PubMed Commons below
J Ment Health. 2010 Oct;19(5):470-4. doi: 10.3109/09638237.2010.492416.

Medication adherence in crisis?

Author information

1
Northumberland Tyne and Wear NHS Trust, Newcastle upon Tyne, UK.

Abstract

AIMS AND METHOD:

We examined rates of medication non-adherence in 172 referrals to a crisis resolution home treatment service; we then explored any association between pattern of adherence and the treatment interventions recommended.

RESULTS:

Thirty percent of crisis referrals (95% confidence intervals (CI) 24%, 38%) reported sub-optimal medication adherence in the preceding month. These individuals were significantly more likely to have a dual diagnosis (odds ratio 2.9, 95% CI 1.4, 5.9) and assessment was significantly more likely to be followed by admission (odds ratio 2.5; 95% CI 1.0, 6.2); non-adherence remained a significant predictor of admission when the odds were adjusted for confounders (odds ratio 1.18; 95% CI 1.0, 1.3).

CLINICAL IMPLICATIONS:

Clinicians need to proactively identify and manage non-adherence as it is a potentially preventable trigger of relapse often present for months rather than days prior to the index crisis referral. Non-adherence is a meaningful target for improving clinical and cost-effectiveness of general adult mental health services.

PMID:
20836694
DOI:
10.3109/09638237.2010.492416
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Taylor & Francis
    Loading ...
    Support Center