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When all else fails

A locally devised structured decision process for enforcing clozapine therapy

Oxleas NHS Trust, 132/134 Powis Street, Woolwich, London SE18 6NL;

Dominic Beer, Consultant Psychiatrist and Carol Paton, Principal Pharmacist

Oxleas NHS Trust

^* Correspondence

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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