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Clozapine initiation in the community

  • Aileen O'Brien (a1) and Mike Firn (a2)
Abstract
Aims and Method

The study aims to describe the experience of an assertive community treatment team when commencing clozapine at home rather than in hospital, following a locally-devised policy. Any failed attempts and problems experienced are described.

Results

There have been no serious adverse events with 13 patients who have been started on clozapine at home.

Clinical Implications

For an assertive community treatment team, home-initiation of clozapine is a practical option, particularly when patients refuse to come in to hospital.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Aitchison, K. J. & Kerwin, R. W. (1997) Cost-effectiveness of clozapine. A UK clinic-based study. British Journal of Psychiatry, 171, 125130.
Grace, J., Bellus, S. B., Raulin, M. L., et al (1996) Long-term impact of clozapine and psychosocial treatment on psychiatric symptoms and cognitive functioning. Psychiatric Services, 47, 4145.
Johnson, C. G., Littrell, R. N. & Macgill, A. H. (1994) Starting patients on clozapine in a partial hospitalisation programme. Hospital and Community Psychiatry, 45, 264268.
Kane, J., Honingfield, G., Singer, J., et al (1988) Clozapine for the treatment-resistant schizophrenic: a double-blind comparison with chlorpromazine. Archives of General Psychiatry, 45, 789796.
Kerwin, R. & Lofts, F. (1993) Clozapine in the management of schizophrenia. All schizophrenic patients would benefit. BMJ, 307, 199200.
Novartis (2001) Clozaril®. Summary of Product Characteristics. Camberley: Novartis Pharmaceuticals UK.
Percudani, M., Fattore, G., Galletta, J., et al (1999) Health care costs of therapy – refractory schizophrenic patients treated with clozapine: a study in a community psychiatric service in Italy. Acta Psychiatrica Scandinavica, 99, 274280.
Rosenheck, R., Cramer, J., Xu, W., et al (1997) A comparison of clozapine and haloperidol in hospitalised outpatients with refractory schizophrenia. New England Journal of Medicine, 337, 809815.
Stein, L. & Test, M. A. (1980) Alternative to mental hospital treatment. (1) Conceptual model, treatment program, and clinical evaluation. Archives of General Psychiatry, 37, 392397.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Clozapine initiation in the community

  • Aileen O'Brien (a1) and Mike Firn (a2)
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