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Service innovations: from depot clinic to medication review service – developing an evidence-based service within a community mental health team

  • Amlan Basu (a1) and Ronan J. McIvor (a2)
Extract

Over the years the ‘depot clinic’ has become little more than a conveyor belt for patients to receive depot medication from nursing staff within a hospital setting. Indeed, the concept of the depot clinic has not significantly changed since the introduction of neuroleptic medication in the 1950s. A lack of review of the service has resulted in suboptimal treatment, unchecked side-effects and a lack of monitoring of physical health. We describe the redesign of a depot service within an inner city community service, with emphasis on evidence-based practice, regular, patient-centred reviews, support, health promotion and education.

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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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American Diabetes Association, American Psychiatric Associaton, American Association of Clinical Endocrinologists, et al (2004) Consensus Development Conference on Antipsychotic Drugs and Obesity and Diabetes. Diabetes Care, 27, 596601.
McIvor, R., Ek, E. & Carson, J. (2004) Non-attendance rates among patients attending different grades of psychiatrist and a clinical psychologist within a community mental health clinic. Psychiatric Bulletin, 28, 57.
National Institute for Clinical Excellence (2003) Schizophrenia. Full National Clinical Guideline on Core Interventions in Primary and Secondary Care. Royal College of Psychiatrists & British Psychological Society.
Ohlsen, R., Pilowsky, L., Smith, S., et al (2002) The Maudsley Antipsychotic Medication Review Service Guidelines. Taylor & Francis.
Royal College of Nursing (1996) Nurses' Involvement in the Use of Neuroleptic Drugs. RCN.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Service innovations: from depot clinic to medication review service – developing an evidence-based service within a community mental health team

  • Amlan Basu (a1) and Ronan J. McIvor (a2)
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