Novel antipsychotics and patient care in state hospitals.
OBJECTIVE
To review and highlight the opportunities and challenges of pharmacologic advances in the use of antipsychotics for the state hospital system.


METHODS
A critical review was performed of studies published either as articles or abstracts, on the use of novel antipsychotics, particularly as they relate to the patient population within the state mental hospital system.


RESULTS
The recent availability of new antipsychotic medications within state facilities has resulted in more progressive treatment, reduced recidivism (and consequently cost savings), and preliminary evidence of preferential and superior treatment response in specific patient subgroups (e.g., those with aggression). At the same time, inpatient pharmacy budget increases and uncertainty in guiding the use of novel antipsychotics have influenced the availability of these agents in state hospitals.


CONCLUSIONS
State hospital services have, by and large, embraced the developments in pharmacotherapy of schizophrenia. Optimal use of these new agents in this population requires additional information on their relative efficacy in specific patient subgroups.
Northcoast Behavioral Healthcare System, Case Western Reserve University, Cleveland, OH, USA.
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Buckley
D000374:Aggression / Q000187:drug effects; D014150:Antipsychotic Agents / Q000191:economics / Q000627:therapeutic use*; D006778:Hospitals, Psychiatric / Q000191:economics / Q000592:standards*; D006783:Hospitals, State / Q000191:economics / Q000592:standards*; D006801:Humans; D011605:Psychoses, Substance-Induced / Q000188:drug therapy / Q000191:economics / Q000523:psychology; D011618:Psychotic Disorders / Q000150:complications / Q000188:drug therapy* / Q000191:economics / Q000523:psychology; D012559:Schizophrenia / Q000188:drug therapy* / Q000191:economics; D019966:Substance-Related Disorders / Q000150:complications / Q000188:drug therapy / Q000191:economics / Q000523:psychology; D014481:United States
D014150:Antipsychotic Agents