title: Psychiatric services: a platform for MTM.
abstract: Deinstitutionalization in the 1960s shifted the care of the mentally ill from state-funded institutions to community settings. Unfortunately, funding to support the treatment needs of this population has continued to be minimized, and countless individuals have not received much needed care. This has resulted in a large increase in mentally ill patients surfacing in jails, homeless shelters, and emergency departments. Subsequently, the federal government has begun to prioritize funding to address the mental health needs of our communities. Pharmacists are in a unique position to influence treatment outcomes for patients with mental illnesses, and the current state of health reform provides avenues for the pharmacist to become an essential part of the health care delivery team in numerous ambulatory care clinical settings. The challenges with adherence, medical and psychiatric comorbidities, polypharmacy with psychotropics, potential for life-threatening adverse effects, and the ever-present need for patient education are but a few reasons why pharmacists can be utilized to provide Medication Therapy Management services for these patients.
authors.affiliation: CNS Medical Affairs, Janssen Scientific Affairs, LLC, Titusville, NJ, USA karimah.bell@gmail.com.
authors.forename: Karimah S Bell
authors.initials: KS
authors.lastname: Lynum
authors.affiliation: Professor and Chair of Pharmacy Practice, University of South Florida College of Pharmacy, Tampa, FL, USA.
authors.forename: Angela M
authors.initials: AM
authors.lastname: Hill
mesh_terms: D014150:Antipsychotic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D003157:Community Pharmacy Services / Q000458:organization & administration*; D015897:Comorbidity; D003299:Cooperative Behavior; D004359:Drug Therapy, Combination; D006801:Humans; D008403:Mass Screening; D055118:Medication Adherence; D054539:Medication Therapy Management / Q000458:organization & administration*; D001523:Mental Disorders / Q000188:drug therapy*; D008605:Mental Health Services / Q000458:organization & administration; D010353:Patient Education as Topic; D018802:Patient-Centered Care; D024382:Professional Role; D012017:Referral and Consultation / Q000458:organization & administration
chemical_list: D014150:Antipsychotic Agents
keywords: Medication Therapy Management; community; mental illness; patient education; psychotropics