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Maintaining Adherence Programme: evaluation of an innovative service model

  • Llewellyn Lewis (a1), Christine O'Keeffe (a1), Ian Smyth (a2), Judi Mallalieu (a2), Laura Baldock (a3) and Sam Oliver (a3)...
Abstract
Aims and method

The Maintaining Adherence Programme (MAP) is a new model of care for patients with schizophrenia, schizoaffective disorder and bipolar affective disorder which aims to encourage adherence and prevent relapse. This evaluation, conducted by retrospective and prospective data collection (including patient questionnaires and staff interviews), aimed to describe MAP's impact on healthcare resource use, clinical measures and patient and staff satisfaction, following its implementation in a university National Health Service (NHS) foundation trust in England. We included 143 consenting patients who entered MAP before 31 March 2012.

Results

In-patient bed days and non-MAP NHS costs reduced significantly in the 18 months post-MAP entry. At 15–18 months post-MAP, Medication Adherence Rating Scale scores had improved significantly from baseline and there was a shift towards less severe clinician-rated disease categories. Based on patient surveys, 96% would recommend MAP to friends, and staff were also overwhelmingly positive about the service.

Clinical implications

MAP was associated with reduced cost of treatment, improvements in clinical outcomes and very high patient and staff satisfaction.

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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Llewellyn Lewis (Llewellyn.Lewis@sept.nhs.uk)
Footnotes
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Declaration of interest

L.L. has received personal fees from Janssen and personal fees from Otsuka outside of the submitted work. I.S. and J.M. are employees of Janssen-Cilag Ltd. L.B. and S.O. are employees of pH Associates, a consultancy funded for this study by Janssen Healthcare Innovation.

Footnotes
References
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BJPsych Bulletin
  • ISSN: 2056-4694
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Maintaining Adherence Programme: evaluation of an innovative service model

  • Llewellyn Lewis (a1), Christine O'Keeffe (a1), Ian Smyth (a2), Judi Mallalieu (a2), Laura Baldock (a3) and Sam Oliver (a3)...
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