title: Risk factors for medication non-adherence among psychiatric patients with substance misuse histories.
abstract: Medication non-adherence among psychiatric patients is known to be associated with poorer treatment outcomes. The study examined a comprehensive set of modifiable risk factors for non-adherence in a theoretical framework among a diverse, high risk sample of psychiatric patients with substance misuse histories (N=299). Medication side effects and excessive alcohol use were related to lower medication adherence and higher motivation for mental health treatment and recovery support were related to greater adherence. The results suggest that a multifaceted model for intervention to increase psychiatric medication adherence should be developed and tested.
authors.affiliation: The Evaluation Center, Western Michigan University, Kalamazoo MI 49008 USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Magura
authors.affiliation: The Evaluation Center, Western Michigan University, Kalamazoo MI 49008 USA.
authors.forename: Pedro F
authors.initials: PF
authors.lastname: Mateu
authors.affiliation: National Development and Research Institutes, New York, New York, 10010.
authors.forename: Andrew
authors.initials: A
authors.lastname: Rosenblum
authors.affiliation: National Development and Research Institutes, New York, New York, 10010.
authors.forename: Harlan
authors.initials: H
authors.lastname: Matusow
authors.affiliation: National Development and Research Institutes, New York, New York, 10010.
authors.forename: Chunki
authors.initials: C
authors.lastname: Fong
keywords: adherence; medication; mental health; substance use