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When all else fails: A locally devised structured decision process for enforcing clozapine therapy

  • Stephen Pereira (a1), Dominic Beer and Carol Paton
Abstract
Aims and method

A small minority of treatment-refractory patients who could benefit from treatment with clozapine, refuse to comply with blood tests or oral treatment. Treatment with clozapine can be enforced under the Mental Health Act.

Results

An aide memoire was developed locally to guide clinicians through the process of enforcing clozapine treatment.

Clinical implications

It is possible to enforce treatment with clozapine under the Mental Health Act and so offer a valuable treatment option.

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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.
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References
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Barnes, T. R. E., McEvedy, C. J. B. & Nelson, H. E. (1996) Management of treatment-resistant schizophrenia unresponsive to clozapine. British Journal of Psychiatry, 169 (suppl. 31), 31 40.
British National Formulary (1998) British National Formulary. Volume 36. London: British Medical Association and the Royal Pharmaceutical Society of Great Britain.
Kane, J. M. (1992) Clinical efficacy of clozapine in treatment-refractory schizophrenia: an overview. British Journal of Psychiatry, 160 (suppl. 17), 41 45.
Mental Health Act Commission (1993) Guidance on the administration of clozapine and other treatments requiring blood tests under the provision of Part TV of the Mental Health Act Practice Note 1. Nottingham: Mental Health Act Commission.
Mortimer, A. (1996) Using Clozaril under the Mental Health Act Clozaril Patient Monitoring Service Newsletter. Issue 14. Camberley: Sandoz Pharmaceuticals.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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When all else fails: A locally devised structured decision process for enforcing clozapine therapy

  • Stephen Pereira (a1), Dominic Beer and Carol Paton
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