Antipsychotic long-acting injections in clinical practice: medication management and patient choice.
BACKGROUND
A patient-centred approach to care, focusing on recovery, demands a reconsideration of how choices are made about treatment, how this affects medication adherence, and the role of long-acting antipsychotics (LAIs) in this process.


OBJECTIVE
To explore the role of the mental health professional (particularly nurses) in helping patients manage their medication, with a specific focus of the use and administration of LAIs.


METHODS
A pragmatic review of the literature.


RESULTS
Patients (by experience) and mental health professionals (by training and clinical practice) are experts in the care and treatment of psychosis. When patients and clinicians make a joint decision both are more likely to adhere to the treatment plan. In this paper we consider good practice in the administration of LAIs that focuses on where and when they should be given and administration techniques. Skills for talking with patients about their medication that include exchanging information, monitoring the effects of medication and making advance choices about treatment in the event of a crisis are also discussed.


CONCLUSIONS
Mental health professionals require a range of competences to help patients manage their medication effectively.
Gray
Richard
R
Faculty of Health, University of East Anglia, Norwich NR4 7TJ, UK. richard.gray@uea.ac.uk
Spilling
Rosalyn
R
Burgess
David
D
Newey
Tim
T
D014150:Antipsychotic Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D001291:Attitude of Health Personnel; D003657:Decision Making; D003692:Delayed-Action Preparations / Q000008:administration & dosage* / Q000627:therapeutic use; D006801:Humans; D007267:Injections; D055118:Medication Adherence; D010358:Patient Participation; D011369:Professional-Patient Relations; D011618:Psychotic Disorders / Q000188:drug therapy*
D014150:Antipsychotic Agents; D003692:Delayed-Action Preparations