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Enforcing treatment with clozapine: survey of views and practice

Oxleas NHS Trust, Arsenal Locality CMHC, 132 Powis Street, Woolwich SE18 6NL

^* Correspondence

Aim and method The aim of the study was to survey strategies for dealing with patients who refuse clozapine blood tests or tablets. One hundred and twenty-five psychiatric intensive care unit consultants were sent a questionnaire.

Results Thirty-nine (31%) questionnaires were returned. Opinions and practices were diverse ranging from uncertainty around the legal right to enforce venepuncture, to the practice of slipping clozapine into a patient's drink without their knowledge.

Clinical implications There is need for an open debate of the relevant legal and ethical issues.

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