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

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

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


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
Issue number6
StatePublished - Dec 2011


  • 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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