Increase Adherence to Psychotropic Medication Through Motivational Adherence Therapy: A Quality Improvement Project

Issues in Mental Health Nursing
Frederica HughesEmily Johnson

Abstract

Non-adherence to psychiatric mediations is a nationwide problem for people diagnosed with severe mental illness (SMI). National non-adherence rates for psychotropic medications are estimated to range from 50% to as high as 75%. The project site data is reflective of the national data. The aim of this manuscript is to report the impact of Motivational Interviewing Style Adherence Therapy (MISAT) on adherence to psychotropic medication in veterans living with SMI. Implementation of evidence-based MISAT through a quality improvement project in a Veterans Affairs Mental Health Clinic. MISAT was found to be clinically significant in improving adherence to psychotropic medication. Average refill history for participants increased from 82% to 85%. MISAT also unified how non-adherence to psychotropic is addressed by mental health providers. MISAT should be considered in other settings where patients diagnosed with SMI are faced with non-adherence to psychotropic medication, but the sessions' format should be structured to fit the patients' needs.

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Citations

May 12, 2018·Current Diabetes Reports·Farhad FatehiDominique Bird

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