Antipsychotic long-acting injections in clinical practice: Medication management and patient choice

Gray, R., Spilling, R., Burgess, D. and Newey, T. (2009) Antipsychotic long-acting injections in clinical practice: Medication management and patient choice. British Journal of Psychiatry, 195 (52). S51-S56. ISSN 0007-1250 Available from:

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Background: A patient-centred approach to care, focusing on recovery, demands a reconsideration of how choices are made about treatment, how this affects medication adherence, and the role of long-acting antipsychotics (LAIs) in this process. Aims: To explore the role of the mental health professional (particularly nurses) in helping patients manage their medication, with a specific focus of the use and administration of LAIs. Method: A pragmatic review of the literature. Results: Patients (by experience) and mental health professionals (by training and clinical practice) are experts in the care and treatment of psychosis. When patients and clinicians make a joint decision both are more likely to adhere to the treatment plan. In this paper we consider good practice in the administration of LAIs that focuses on where and when they should be given and administration techniques. Skills for talking with patients about their medication that include exchanging information, monitoring the effects of medication and making advance choices about treatment in the event of a crisis are also discussed. Conclusions: Mental health professionals require a range of competences to help patients manage their medication effectively.

Item Type:Article
Uncontrolled Keywords:antipsychotic long-acting injections, clinical practice, medication management, patient choice
Faculty/Department:Faculty of Health and Applied Sciences > Department of Nursing and Midwifery
ID Code:17620
Deposited By: R. Dempsey
Deposited On:02 Nov 2012 15:31
Last Modified:27 Mar 2016 12:53

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