PMID- 11411825
OWN - NLM
STAT- MEDLINE
DCOM- 20010628
LR  - 20190901
IS  - 0160-6689 (Print)
IS  - 0160-6689 (Linking)
VI  - 62
IP  - 5
DP  - 2001 May
TI  - Medication supervision and adherence of persons with psychotic disorders in 
      residential treatment settings: a pilot study.
PG  - 394-9; quiz 400-1
AB  - BACKGROUND: Little is known about risk factors for and predictors of medication 
      nonadherence within residential facilities. This pilot study examined the 
      association between medication adherence and level of supervision and other 
      environmental and clinical variables among patients with schizophrenia and 
      related psychotic disorders living in supported housing. METHOD: A convenience 
      sample of 74 adult residents with schizophrenia and related psychotic disorders 
      (DSM-IV criteria) living in 4 supported housing facilities in New York City were 
      assessed by their treating psychiatrist for medication cessation during the 
      previous month. Demographic characteristics, medications, supervision, global 
      function as measured by the Global Assessment of Functioning (GAF), and substance 
      abuse were also assessed. A priori hypotheses were that regimen complexity would 
      be directly and medication supervision would be inversely related to medication 
      nonadherence. RESULTS: In multivariate models, lack of direct medication 
      supervision, negative medication attitude, and lower GAF score were associated 
      with increased medication nonadherence in the recent past. CONCLUSION: This pilot 
      study suggests that direct supervision of medication is associated with better 
      adherence in residential treatment settings. This finding is relevant for mental 
      health service planners and clinicians working in these settings.
FAU - Grunebaum, M F
AU  - Grunebaum MF
AD  - Residential Community Service, St Luke's-Roosevelt Hospital, Brooklyn, NY, USA. 
      mgrunebaum@neuron.cpmc.columbia.edu
FAU - Weiden, P J
AU  - Weiden PJ
FAU - Olfson, M
AU  - Olfson M
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Clin Psychiatry
JT  - The Journal of clinical psychiatry
JID - 7801243
RN  - 0 (Antipsychotic Agents)
SB  - IM
EIN - J Clin Psychiatry 2001 Jun;62(6):480
MH  - Adult
MH  - Antipsychotic Agents/administration & dosage/*therapeutic use
MH  - Attitude to Health
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Models, Statistical
MH  - Multivariate Analysis
MH  - Patient Care Management/statistics & numerical data
MH  - Patient Compliance
MH  - Pilot Projects
MH  - Psychiatric Status Rating Scales/statistics & numerical data
MH  - Psychotic Disorders/diagnosis/*drug therapy/psychology
MH  - Quality Assurance, Health Care/statistics & numerical data
MH  - Regression Analysis
MH  - *Residential Facilities/organization & administration
MH  - Risk Factors
MH  - Schizophrenia/diagnosis/drug therapy
MH  - Schizophrenic Psychology
MH  - Treatment Refusal
EDAT- 2001/06/20 10:00
MHDA- 2001/06/29 10:01
CRDT- 2001/06/20 10:00
PHST- 2001/06/20 10:00 [pubmed]
PHST- 2001/06/29 10:01 [medline]
PHST- 2001/06/20 10:00 [entrez]
AID - 10.4088/jcp.v62n0515 [doi]
PST - ppublish
SO  - J Clin Psychiatry. 2001 May;62(5):394-9; quiz 400-1. doi: 10.4088/jcp.v62n0515.