Assessment of adherence problems in patients with serious and persistent mental illness: recommendations from the Expert Consensus Guidelines

Journal of Psychiatric Practice
Dawn I VelliganJohn P Docherty

Abstract

Poor adherence to medication treatment can have devastating consequences for patients with serious mental illness. The literature review and recommendations in this article concerning assessment of adherence are reprinted from The Expert Consensus Guideline Series: Adherence Problems in Patients with Serious and Persistent Mental Illness, published in 2009. The expert consensus survey contained 39 questions (521 options) that asked about defining nonadherence, extent of adherence problems in schizophrenia and bipolar disorder, risk factors for nonadherence, assessment methods, and interventions for specific types of adherence problems. The survey was completed by 41 (85%) of the 48 experts to whom it was sent. When evaluating adherence, the experts considered it important to assess both behavior and attitude, although they considered actual behavior most important. They also noted the importance of distinguishing patients who are not willing to take medication from those who are willing but not able to take their medication as prescribed due to forgetfulness, misunderstanding of instructions, or financial or environmental problems, since this will affect the type of intervention needed. Although self- and physician report are m...Continue Reading

References

Feb 1, 1991·The British Journal of Psychiatry : the Journal of Mental Science·N S Harvey, M Peet
Jan 1, 1997·Schizophrenia Bulletin·W S FentonR K Heinssen
May 22, 2002·The Journal of Clinical Psychiatry·Jan Scott, Marie Pope
Jan 14, 2003·The Journal of Clinical Psychiatry·Diana O Perkins
Apr 30, 2003·Psychiatric Services : a Journal of the American Psychiatric Association·Dawn I VelliganAlexander L Miller
Aug 2, 2003·The International Journal of Neuropsychopharmacology·Bruce J KinonSara Kollack-Walker
Mar 9, 2004·The Journal of Clinical Psychiatry·Teresa J HudsonGreer Sullivan
Jul 3, 2004·Journal of Clinical Psychopharmacology·Christian R DolderDilip V Jeste
Jul 29, 2004·Schizophrenia Bulletin·Marcia ValensteinThomas Stavenger
Sep 6, 2005·Community Mental Health Journal·Esperanza DiazRobert A Rosenheck
May 16, 2006·Bipolar Disorders·Martha SajatovicRosalinda V Ignacio
May 19, 2006·Schizophrenia Bulletin·Dawn I VelliganAlexander L Miller
Jan 30, 2007·Current Medical Research and Opinion·Sandra L TunisBruce J Kinon
May 31, 2007·Psychiatric Services : a Journal of the American Psychiatric Association·Matthew J ByerlyA John Rush
May 31, 2007·Psychiatric Services : a Journal of the American Psychiatric Association·Martha SajatovicRosalinda Ignacio
May 31, 2007·Psychiatric Services : a Journal of the American Psychiatric Association·Emily M WoltmannPeter A Reilly
Jul 17, 2007·Journal of Clinical Psychopharmacology·Martha SajatovicJoseph R Calabrese
Sep 4, 2007·Psychiatric Services : a Journal of the American Psychiatric Association·Dawn I VelliganAlexander L Miller
Sep 8, 2007·Journal of Affective Disorders·John E ZeberAmy M Kilbourne
Dec 7, 2007·Human Psychopharmacology·Ross J BaldessariniJames Pike
Dec 18, 2007·Schizophrenia Research·Laura FialkoDaniel Freeman
Jan 16, 2008·The Journal of Nervous and Mental Disease·Laurel A CopelandAmy M Kilbourne
Feb 2, 2008·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Jeonghoon AhnLizheng Shi
Jul 1, 2008·Psychiatric Services : a Journal of the American Psychiatric Association·Martha SajatovicMark S Bauer
Aug 1, 2008·Current Clinical Pharmacology·Prakash S Masand, Meera Narasimhan
Sep 23, 2008·Journal of Psychiatric and Mental Health Nursing·T V McCannS Lu

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Citations

Mar 27, 2012·European Child & Adolescent Psychiatry·Eiji Kirino
Jan 22, 2011·Community Mental Health Journal·Dawn I VelliganLinda Lopez
Aug 30, 2008·The Psychiatric Quarterly·Diana J Antonacci, Nadir Attiah
Aug 30, 2008·The Psychiatric Quarterly·Diana J AntonacciErvin Davis
Mar 27, 2013·Sleep Medicine Reviews·Megan J KalucyNicholas Glozier
Apr 28, 2012·Journal of Child and Adolescent Psychopharmacology·Daniel J ColettiVivian Kafantaris
Oct 28, 2014·Psychopharmacology·Joseph McEvoyPeter Buckley
Feb 8, 2014·Issues in Mental Health Nursing·Linda E RoseAnita Everett
May 5, 2011·Journal of Psychiatric and Mental Health Nursing·H LeeC J Jolley
Dec 2, 2015·Translational Behavioral Medicine·Michael J StirrattWendy J Nilsen
Oct 2, 2015·Journal of Psychiatric Research·Ahmed El-MissiryHeba Essawy
May 7, 2015·Journal of Psychiatric and Mental Health Nursing·A SvettiniA Schreiner
Jun 19, 2015·Current Psychiatry Reports·Andrea MurruEduard Vieta
Jan 13, 2015·European Psychiatry : the Journal of the Association of European Psychiatrists·B ChilizaR Emsley
Nov 14, 2014·Journal of Dual Diagnosis·Nestor SzermanCarlos Roncero
May 22, 2016·Expert Review of Clinical Pharmacology·Miquel Bernardo, Miquel Bioque
Jul 12, 2016·The Journal of Dermatological Treatment·Simon M MuellerSebastian Euler
Oct 9, 2013·Journal of Affective Disorders·A MurruF Colom
Oct 5, 2013·European Neuropsychopharmacology : the Journal of the European College of Neuropsychopharmacology·Cecilia BrainMargda Waern
Jan 27, 2015·Comprehensive Psychiatry·Jennifer B LevinMartha Sajatovic
Feb 18, 2014·Psychiatry Research·David MisdrahiPhilippe Courtet
Aug 7, 2013·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Marc SchmitterStefan Wirz

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