Abstract

Background

Patients with psychiatric disorders have shorter life spans compared to the general population. Metabolic diseases, cardiovascular disorders and other adverse health conditions are common among patients with psychiatric disorders. In addition, Australian studies undertaken in the community health sector have shown that individuals with mental illnesses who receive a collaborative medicines review have between four and seven medication-related problems per person, including problems with adverse drug reactions and interactions.

Method

A community mental health team (CMHT) in rural New South Wales was introduced to a multidisciplinary approach of integrating the roles of nurses, Psychiatrists and mental health pharmacists in order to improve the quality of mental health service delivery. A steering committee was formed to recognise
priority change ideas. The study focussed on: a) recognising high risk patients that would benefit from a comprehensive medication review b) developing strategies to regularly monitor and review cardio metabolic parameters in mental health care clients c) training CMHT staff to obtain a best possible medication history (BPMH) d) effectively engage GPs in the care of mental health care clients.

Results

Baseline data (February-April): less than 8% of CMHT clients had an accurate medication history and less than 5% of CMHT clients had a documented cardio metabolic screen in the previous 3 months. Post intervention data (October-November): 67% of CMHT clients had a documented cardio metabolic screen and an accurate medication history, 13 medication related errors and 6 events of adverse drug reactions were identified and prevented and 8 clients were commenced/had their therapy modified for a diagnosed cardio metabolic
disease.

Conclusion

The need for multidisciplinary integration is essential in improving mental health care service delivery. This study highlights an approach all CMHTs can adopt to improve the care provided to their mental health clients.