• myGriffith
    • Staff portal
    • Contact Us⌄
      • Future student enquiries 1800 677 728
      • Current student enquiries 1800 154 055
      • International enquiries +61 7 3735 6425
      • General enquiries 07 3735 7111
      • Online enquiries
      • Staff phonebook
    View Item 
    •   Home
    • Griffith Research Online
    • Conference outputs
    • View Item
    • Home
    • Griffith Research Online
    • Conference outputs
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

  • All of Griffith Research Online
    • Communities & Collections
    • Authors
    • By Issue Date
    • Titles
  • This Collection
    • Authors
    • By Issue Date
    • Titles
  • Statistics

  • Most Popular Items
  • Statistics by Country
  • Most Popular Authors
  • Support

  • Contact us
  • FAQs
  • Admin login

  • Login
  • Is involuntary treatment a predictor of higher psychotropic medication use? A clinical audit

    Author(s)
    Proffitt, C
    McMillan, S
    Theodoros, T
    Wheeler, A
    Griffith University Author(s)
    Wheeler, Amanda
    McMillan, Sara S.
    Year published
    2019
    Metadata
    Show full item record
    Abstract
    Background: Involuntary treatment has previously been associated with worse clinical outcomes; however, limited literature exists investigating psychotropic polypharmacy and high-dose prescribing in this vulnerable population. Objectives: This session aims to investigate the relationship between involuntary treatment and rates of psychotropic polypharmacy and/or high-dose prescribing practices in a large metropolitan mental health unit over 4 years. Methods: A retrospective clinical audit encompassing 800 adults from a metropolitan Queensland inpatient mental health unit was undertaken. Data were collected for 200 patients, ...
    View more >
    Background: Involuntary treatment has previously been associated with worse clinical outcomes; however, limited literature exists investigating psychotropic polypharmacy and high-dose prescribing in this vulnerable population. Objectives: This session aims to investigate the relationship between involuntary treatment and rates of psychotropic polypharmacy and/or high-dose prescribing practices in a large metropolitan mental health unit over 4 years. Methods: A retrospective clinical audit encompassing 800 adults from a metropolitan Queensland inpatient mental health unit was undertaken. Data were collected for 200 patients, discharged on at least one psychotropic agent, at four different time points: cohort 1 (on or before 31 January 2014), cohort 2 (2015), cohort 3 (2016) and cohort 4 (2017). The number of prescribed medicines and total daily dose was reviewed for alignment with current clinical guidelines. Outcomes (psychotropic polypharmacy and high-dose prescribing) were compared by patient voluntary/involuntary status using χ2 and rank-sum tests. Associations between outcomes and covariates were assessed using binomial logistic regression analysis. Findings: Patients treated involuntarily were 58.5 times more likely to be prescribed antipsychotic polypharmacy (two or more antipsychotics) at discharge than those treated voluntarily. Involuntary treatment was also associated with longer hospital admissions [odds ratio: 1.1; 95% confidence interval (1.043, 1.095); p < 0.001]. Conclusions: Implicit review of justifications for increased medication burden and longer duration of admission in those treated involuntarily is required to ensure that clinical outcomes and overall quality of life are optimized for this vulnerable population. Clearly documented medication histories, reconciliation at discharge and directions for medication management after discharge are necessary to ensure quality use of medicines.
    View less >
    Conference Title
    AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY
    Volume
    53
    Issue
    1_suppl
    DOI
    https://doi.org/10.1177/0004867419836919
    Subject
    Biomedical and clinical sciences
    Psychology
    Clinical sciences
    Science & Technology
    Life Sciences & Biomedicine
    Psychiatry
    Publication URI
    http://hdl.handle.net/10072/392681
    Collection
    • Conference outputs

    Footer

    Disclaimer

    • Privacy policy
    • Copyright matters
    • CRICOS Provider - 00233E
    • TEQSA: PRV12076

    Tagline

    • Gold Coast
    • Logan
    • Brisbane - Queensland, Australia
    First Peoples of Australia
    • Aboriginal
    • Torres Strait Islander