A survey of personnel and services offered in 32 outpatient US clozapine clinics.
Clozapine
Clozapine clinics
Interdisciplinary teams
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
19 11 2021
19 11 2021
Historique:
received:
09
06
2021
accepted:
03
11
2021
entrez:
20
11
2021
pubmed:
21
11
2021
medline:
15
12
2021
Statut:
epublish
Résumé
Clozapine clinics can facilitate greater access to clozapine, but there is a paucity of data on their structure in the US. A 23-item survey was administered to participants recruited from the SMI Adviser Clozapine Center of Excellence listserv to understand characteristics of clozapine clinics. Clozapine clinics (N = 32) had a median caseload of 45 (IQR = 21-88) patients and utilized a median of 5 (IQR = 4-6) interdisciplinary roles. The most common roles included psychiatrists (100%), pharmacists (65.6%), nurses (65.6%), psychiatric nurse practitioners (53.1%), and case managers (53.1%). The majority of clinics outreached to patients who were overdue for labs (78.1%) and had access to on-site phlebotomy (62.5%). Less than half had on call services (46.9%). In this first systematic description of clozapine clinics in the US, there was variation in the size, staffing, and services offered. These findings may serve as a window into configurations of clozapine teams.
Sections du résumé
BACKGROUND
Clozapine clinics can facilitate greater access to clozapine, but there is a paucity of data on their structure in the US.
METHODS
A 23-item survey was administered to participants recruited from the SMI Adviser Clozapine Center of Excellence listserv to understand characteristics of clozapine clinics.
RESULTS
Clozapine clinics (N = 32) had a median caseload of 45 (IQR = 21-88) patients and utilized a median of 5 (IQR = 4-6) interdisciplinary roles. The most common roles included psychiatrists (100%), pharmacists (65.6%), nurses (65.6%), psychiatric nurse practitioners (53.1%), and case managers (53.1%). The majority of clinics outreached to patients who were overdue for labs (78.1%) and had access to on-site phlebotomy (62.5%). Less than half had on call services (46.9%).
CONCLUSIONS
In this first systematic description of clozapine clinics in the US, there was variation in the size, staffing, and services offered. These findings may serve as a window into configurations of clozapine teams.
Identifiants
pubmed: 34798855
doi: 10.1186/s12888-021-03584-6
pii: 10.1186/s12888-021-03584-6
pmc: PMC8605520
doi:
Substances chimiques
Clozapine
J60AR2IKIC
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
583Informations de copyright
© 2021. The Author(s).
Références
Clin Schizophr Relat Psychoses. 2018 Spring;12(1):23-30
pubmed: 26218235
BMC Bioinformatics. 2015 May 22;16:169
pubmed: 25994840
Lancet. 1996 Jan 13;347(8994):124
pubmed: 8538323
JAMA Psychiatry. 2018 Jun 1;75(6):555-565
pubmed: 29800949
Schizophr Res. 2018 Nov;201:10-19
pubmed: 29880453
Acad Psychiatry. 2013 Jan 1;37(1):27-30
pubmed: 23338869
BJPsych Bull. 2019 Feb;43(1):8-16
pubmed: 30261942
Br J Psychiatry. 2016 Nov;209(5):385-392
pubmed: 27388573
BMC Psychiatry. 2014 Feb 14;14:39
pubmed: 24528545
Psychiatr Serv. 2016 Nov 1;67(11):1189-1196
pubmed: 27301765
Psychiatr Serv. 2018 Feb 1;69(2):224-227
pubmed: 29032704
Lancet Psychiatry. 2018 Aug;5(8):633-643
pubmed: 30001930
Psychiatr Serv. 2016 Feb;67(2):152
pubmed: 26522679