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Psychiatric Bulletin (2000) 24: 294-298. doi: 10.1192/pb.24.8.294
© 2000 The Royal College of Psychiatrists
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Psychiatric Bulletin (2000) 24: 294-298
© 2000 The Royal College of Psychiatrists

Provision of a community pharmacist-run medication advice service at mental health resource centres

A pilot study

Marilyn A. Ewan, Postgraduate Research Student and Russell Greene, Head of Pharmacy Practice Group

Department of Pharmacy, King's College, London, Franklin-Wilkins Building, 150 Stamford Street, London SE1 8WA

AIMS AND METHOD

To assess what medication information long-term mentally ill patients required and acceptability of an advice service. Confidential consultations were offered by a community pharmacist at two mental health resource centres. The service was evaluated by patients and staff by questionnaire.

RESULTS

Data were collected on 33 consultations (30 users; three attended twice). Mean duration of consultations was 14.9 minutes (range 5-45). Antipsychotics and antidepressants were most commonly prescribed and enquired about. Most drug enquiries concerned adverse drug reactions (n=24) and therapy choice (n=17). All patients and staff hoped the service would be fully implemented.

CLINICAL IMPLICATIONS

Community pharmacists represent an acceptable, but underutilised, information provision service. Such a service could be overseen by specialist psychiatric pharmacists. This study reflects patients' concerns about the use of antipsychotics and antidepressants and the need to address them. Further work is needed to determine the impact of the service on clinical outcome.






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British Journal of Psychiatry Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 2000 The Royal College of Psychiatrists.