Integrating a mental health clinical pharmacy specialist into the Homeless Patient Aligned Care Teams

The Mental Health Clinician
Julienne B PaulyIlona Shishko

Abstract

To address the complex needs of the homeless veteran population, the US Department of Veterans Affairs created the Homeless Patient Aligned Care Team (H-PACT) model. The South Texas Veterans Health Care System has an established H-PACT model, however it does not include a clinical pharmacy specialist in mental health (MH). An H-PACT MH pharmacy resident clinic was created and managed by a postgraduate year-2 psychiatric pharmacy resident. Improvements in access to MH care, Veterans Health Administration performance metrics, and estimated cost savings associated with resident interventions were reviewed to evaluate clinic utility. Over the 6-month clinic time frame, there were a total of 40 patient encounters in which 21 veterans had MH medication evaluation on at least 1 occasion. The average wait time for Veterans previously followed by the H-PACT psychiatrist was approximately 8 weeks. The H-PACT MH pharmacy resident clinic enabled veterans to be evaluated every 4 to 6 weeks. Interventions made by the resident included identification of medication administration errors, medication adjustments, adherence education, reduction in polypharmacy, and referral to other services. Estimated cost savings from clinic interventions total...Continue Reading

References

Feb 24, 2001·Journal of Health Care for the Poor and Underserved·S W HwangT A Brennan
Dec 23, 2003·Journal of General Internal Medicine·Thomas P O'TooleMichael J Fine
Apr 1, 2011·American Journal of Pharmaceutical Education·Austin R CampbellRoger W Sommi
Aug 4, 2016·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Sagar V ParikhUNKNOWN CANMAT Depression Work Group

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Citations

Jul 12, 2019·The Mental Health Clinician·Benjamin Chavez, Emily Kosirog
Jul 21, 2020·The Mental Health Clinician·Elizabeth R Haake, Kelly J Krieger
Aug 18, 2021·Journal of Racial and Ethnic Health Disparities·Baylee CroneTracy Sbrocco

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Methods Mentioned

BETA
pharmacotherapy

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