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P0240 - Systems redesign supports rational antidepressant use in everyday practice

Published online by Cambridge University Press:  16 April 2020

M.J. Smith ,
D. Young ,
L. Akers-Douglas ,
J. Morrison  and
A. Pelosi
M.J. Smith
Affiliation:
Department of Psychiatry, Dykebar Hospital, Paisley, UK
D. Young
Affiliation:
Department of Psychiatry, Dykebar Hospital, Paisley, UK
L. Akers-Douglas
Affiliation:
Department of Psychiatry, Dykebar Hospital, Paisley, UK
J. Morrison
Affiliation:
Section of General Practice and Primary Care, University of Glasgow, Glasgow, UK
A. Pelosi
Affiliation:
Section of Psychological Medicine, University of Glasgow, Glasgow, UK

Abstract

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Background:

Antidepressant use has risen x3-5 in Western countries since the early 1990s, outstripping changes in depression incidence or prevalence. This represents a major public health challenge.

Methods:

Nationally-collected antidepressant data were used to assess the impact of "Doing Well", (DW) a novel depression care programme operating in Renfrewshire, Scotland. "Doing Well" implemented a model of “stepped collaborative care”, practitioner education and significant service redesign. Prescribing was compared for three groups: "DW" (76,000 population; clinical and educational intervention), "DW neighbours” (101,000 population; educational interventions only), and Scotland (no specific intervention).

Results:

A national rise in antidepressant prescriptions was stabilised for the "DW" group (graph). Antidepressant cost/item fell by 42% and 40% in both “DW” and “DW neighbours” groups but rose by 8% nationally.

Conclusions:

Access to clinical interventions are required to reduce antidepressant prescriptions, but cost savings may be made with educational interventions alone.

Type
Poster Session II: Depression
Information
European Psychiatry , Volume 23 , Issue S2: 16th AEP Congress - Abstract book - 16th AEP Congress , April 2008 , pp. S263
Copyright
Copyright © European Psychiatric Association 2008
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