Psychiatrist-determined suitability of patients on long-acting injectable antipsychotics to be discharged from specialist to primary care

Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists
Alwyn M Castelino, Jairam K Ramakrishnan

Abstract

We aim to determine psychiatrists' identified factors associated with suitability of discharging patients on long-acting injectable antipsychotics (LAI) from specialist to primary care. We undertook a retrospective observational study utilising case file reviews. A questionnaire was developed specifically for this including sociodemographic information, clinical characteristics of the patients and clinical opinion on suitability of discharge to primary care. In total, 72 case files (51 men, 21 women) were included in the study. The most common diagnosis was schizophrenia (71%) and Risperidone was the most often used LAI (71%). Fourteen (19%) of the patients were deemed suitable for discharge to primary care. A minimum period of 1 year of stability, having good cognitive function and insight, and absence of high-risk history were associated with suitability for discharge. Treating psychiatrists consider only a minority of patients on long-acting injection antipsychotics as suitable for discharge to primary care.

References

Mar 26, 2003·Family Practice·Michael Phelan, Ilyas Mirza
May 8, 2009·BMC Family Practice·Marian J T OudBetty Meyboom-de Jong
Nov 23, 2011·International Journal of Mental Health Systems·Brian J KellySharon M Parker
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