Barriers to, and strategies for, starting a long acting injection clinic in a community mental health center

Dawn I. Velligan, Elisa Medellin, Meredith Draper, Natalie Maples, Albana Dassori, Troy A. Moore, Linda Lopez

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

As many as 50% of patients with schizophrenia do not take oral antipsychotic medications as prescribed, yet long acting injections are rarely utilized. Community agencies that serve this population are often over-burdened and poorly funded. There are negative attitudes on the part of both physicians and consumers about injections. Transportation and logistics are often problematic. We describe the unique opportunity provided by the need for bi-weekly or monthly injections to establish a recovery-oriented group around injection visits. Our approach discusses methods and resources to help overcome some of the common barriers by establishing advocates within the agency, establishing necessary infrastructure, providing education for consumers, providers, and staff, sharing information about successful outcomes with clinic staff and working through billing issues. We also recommend public advocacy on the part of the clinic and consumers to work with state funding sources to change regulations that may limit appropriate clinical care.

Original languageEnglish (US)
Pages (from-to)654-659
Number of pages6
JournalCommunity Mental Health Journal
Volume47
Issue number6
DOIs
StatePublished - Dec 1 2011

Keywords

  • Barriers to use
  • Long-acting injection
  • Medication adherence
  • Outcomes

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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