All paths do not lead to Rome or adherence: Innovative antipsychotic prescribing in partnership with people in recovery as they define.

IF 1.8 3区医学 Q3 PSYCHIATRY

Psychiatric Rehabilitation Journal Pub Date : 2024-12-01 Epub Date: 2024-07-25 DOI:10.1037/prj0000623

Dale Sebastian, Erika R Carr

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引用次数: 0

Abstract

Objective: Though the psychiatric field has primarily focused on medication and symptom amelioration via medication "adherence," contemporary approaches that incorporate recovery-oriented care and shared decision-making (SDM) could provide a more holistic and effective approach to serving individuals experiencing psychosis. This article explores the implementation of such innovative and collaborative practices while highlighting their benefits and challenges. Furthermore, it aims to offer practical implementations of SDM in prescribing practices.

Method: This article presents innovative strategies for prescribing antipsychotics utilizing SDM and recovery-oriented care approaches for those who experience psychosis. The study explores the clinical applications of these approaches within an inpatient psychiatric setting.

Results: The article emphasizes the numerous challenges for those who experience psychosis in adhering to antipsychotic medication and proposes a recovery-oriented approach facilitated by SDM. It emphasizes the importance of therapeutic alliance and collaboration while providing practical clinical applications of this approach.

Conclusions and implications for practice: The article advocates for collaborative approaches in antipsychotic prescribing, such as SDM and recovery-oriented care, to support those experiencing psychosis in constructing a life of meaning as they define it, including in how they choose to take medications. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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并非所有的道路都能通向罗马或坚持治疗：与处于康复期的人合作，按照他们的定义创新性地开具抗精神病药物处方。

目的：虽然精神病学领域主要关注药物治疗和通过 "坚持服药 "来改善症状，但结合以康复为导向的护理和共同决策（SDM）的现代方法可以提供一种更全面、更有效的方法来服务于精神病患者。本文探讨了此类创新合作实践的实施情况，同时强调了它们的益处和挑战。此外，本文还旨在提供在处方实践中实施 SDM 的实际方法：本文介绍了利用 SDM 和以康复为导向的护理方法为精神病患者开具抗精神病药物处方的创新策略。研究探讨了这些方法在精神科住院环境中的临床应用：结果：文章强调了精神病患者在坚持服用抗精神病药物方面所面临的诸多挑战，并提出了一种由 SDM 促进的以康复为导向的方法。文章强调了治疗联盟与合作的重要性，同时提供了这种方法的实际临床应用：文章提倡在抗精神病药物处方中采用合作方法，如 SDM 和以康复为导向的护理，以支持那些经历过精神病的人按照自己的定义构建有意义的生活，包括他们选择如何服药。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric Rehabilitation Journal Multiple-

CiteScore

3.80

自引率

5.30%

发文量

期刊介绍： The Psychiatric Rehabilitation Journal is sponsored by the Center for Psychiatric Rehabilitation, at Boston University"s Sargent College of Health and Rehabilitation Sciences and by the US Psychiatric Rehabilitation Association (USPRA) . The mission of the Psychiatric Rehabilitation Journal is to promote the development of new knowledge related to psychiatric rehabilitation and recovery of persons with serious mental illnesses.