Scales to evaluate quality of medication management: development and psychometric properties.
This paper describes the psychometric properties of two fidelity scales created as part of the Substance Abuse and Mental Health Services Administration (SAMHSA) sponsored medication management toolkit and their metric properties when used in 26 public mental health clinics with 50 prescribers. A 23-item scale, based on chart reviews, was developed to assess whether prescribers are following good medication practices, in conjunction with a 17-item scale to assess organizational support for and evaluation of prescriber adherence to recommended medication-related practices. Fundamental gaps in routine practice, including poor documentation of medication history and infrequent monitoring of symptoms and side effects were found.
Taylor
Amanda C
AC
Department of Psychology, Indiana University, 402 N. Blackford St., LD 124, Indianapolis, IN 46202, USA. actaylor@iupui.edu
Bond
Gary R
GR
Tsai
Jack
J
Howard
Patricia B
PB
El-Mallakh
Peggy
P
Finnerty
Molly
M
Kealey
Edith
E
Myrhol
Britt
B
Kalk
Karin
K
Adams
Neal
N
Miller
Alexander L
AL
D014150:Antipsychotic Agents / Q000627:therapeutic use; D006801:Humans; D007407:Interviews as Topic; D008485:Medical Audit; D010593:Pharmaceutical Services / Q000592:standards*; D055553:Prescription Drugs / Q000008:administration & dosage*; D011594:Psychometrics; D011795:Surveys and Questionnaires; D014481:United States; D014482:United States Substance Abuse and Mental Health Services Administration
D014150:Antipsychotic Agents; D055553:Prescription Drugs