title: Role of a psychiatric pharmacist in a Los Angeles "Skid-Row" safety-net clinic.
abstract: Limited access to a psychiatrist prompted a collaborative practice agreement between a psychiatric pharmacist, a psychiatric pharmacy resident, and primary care physicians at the Center for Community Health, a safety-net clinic providing comprehensive care to the homeless in Skid Row, Los Angeles, CA, USA. From July 2009 to February 2010, 36 (75%) of the 48 patients referred to the psychiatric pharmacy resident met the criteria for the chart review. Twenty-six (54%) were seen for regular follow-up care over 7 months. Most referrals were for depression, bipolar disorder, and posttraumatic stress disorder. The types of drug therapy problems, pharmacist interventions, and clinical mental health outcomes are discussed.
authors.affiliation: Department of Clinical Pharmacy and Pharmaceutical Economics and Policy, University of Southern California, Los Angeles, CA 90089-9121, USA.
authors.forename: Indriani
authors.initials: I
authors.lastname: Wang
authors.forename: Julie Ann
authors.initials: JA
authors.lastname: Dopheide
authors.forename: Paul
authors.initials: P
authors.lastname: Gregerson
mesh_terms: D000554:Ambulatory Care Facilities / Q000458:organization & administration* / Q000706:statistics & numerical data; D003156:Community Mental Health Services; D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D054624:Health Status Disparities; D006703:Ill-Housed Persons / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D015141:Los Angeles; D008297:Male; D001523:Mental Disorders / Q000188:drug therapy; D008603:Mental Health; D008875:Middle Aged; D010348:Patient Care Team / Q000458:organization & administration* / Q000706:statistics & numerical data; D010595:Pharmacists; D024382:Professional Role; D011594:Psychometrics; D012017:Referral and Consultation; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires