Study on covert administration of medications practices among persons with severe mental illness: A cross-sectional study.
Caregivers
community mental health services
continuity of patient care
medication adherence
medication errors
patient medication knowledge
Journal
The International journal of social psychiatry
ISSN: 1741-2854
Titre abrégé: Int J Soc Psychiatry
Pays: England
ID NLM: 0374726
Informations de publication
Date de publication:
02 2023
02 2023
Historique:
pubmed:
29
12
2021
medline:
18
2
2023
entrez:
28
12
2021
Statut:
ppublish
Résumé
Covert administration of medication (CoAdM) by caregivers to persons with severe mental illness (SMI) is a commonly observed medication delivery practice in India. This study aims to examine different medication delivery practices adopted by caregivers to provide care to SMI at times of medication refusal. This study was conducted at the outpatient department between April 2019 and November 2019. A semi-structured questionnaire was used to interview the caregivers of persons with SMI to assess medication delivery practices. A total of 300 caregivers were interviewed. CoAdM was practiced in 96 (32.0%) persons with SMI at least once during their lifetime, and other strategies used were pleading ( CoAdM was given to one in three persons with SMI at some point in their lives. Male gender, absent insight and poor adherence were predictive of CoAdM in the last 1 year. Caregiver perceived improvements in self-care, work, interpersonal, family functioning, problem behaviors, and dependency after CoAdM. Policies need to be evolved to serve all stakeholders while keeping these practices in mind.
Sections du résumé
BACKGROUND
Covert administration of medication (CoAdM) by caregivers to persons with severe mental illness (SMI) is a commonly observed medication delivery practice in India.
AIMS
This study aims to examine different medication delivery practices adopted by caregivers to provide care to SMI at times of medication refusal.
METHOD
This study was conducted at the outpatient department between April 2019 and November 2019. A semi-structured questionnaire was used to interview the caregivers of persons with SMI to assess medication delivery practices.
RESULTS
A total of 300 caregivers were interviewed. CoAdM was practiced in 96 (32.0%) persons with SMI at least once during their lifetime, and other strategies used were pleading (
CONCLUSIONS
CoAdM was given to one in three persons with SMI at some point in their lives. Male gender, absent insight and poor adherence were predictive of CoAdM in the last 1 year. Caregiver perceived improvements in self-care, work, interpersonal, family functioning, problem behaviors, and dependency after CoAdM. Policies need to be evolved to serve all stakeholders while keeping these practices in mind.
Identifiants
pubmed: 34961385
doi: 10.1177/00207640211065675
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM