Development and outcomes of a psychiatric pharmacy clinic for indigent patients

Joshua Caballero, Garry Souffrant, Eileen Heffernan

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Purpose. The development and outcomes of an outpatient psychiatric pharmacy clinic serving a mostly indigent Hispanic population are described. Summary. Su Clinica Familiar (SCF) is a community health center in Texas's Lower Rio Grande Valley that sees over 30,000 patients a year, 20% of whom have a psychiatric disorder. In 2005 SCF began collaborating with a psychiatric clinical pharmacist to provide free psychiatric services within the health center. SCF patients with mental health complications were referred to the clinic by their primary care provider. Consultation notes were reviewed by the medical director, and treatment, if approved, was begun the same day. During the period from April 2005 to June 2006, 96 (77%) of 125 patients referred to the psychiatric pharmacy clinic actually attended it. Fifty-three (72%) of the 74 patients who were asked to return for follow-up care returned. Over 90% of the pharmacist's clinical recommendations were accepted. Most referrals were for depression, anxiety, and cognitive impairment; other referrals were for insomnia, medication education, and smoking cessation. The medications most frequently prescribed were sertraline and donepezil. Cost savings were estimated at $22,380. Conclusion. A psychiatric pharmacy clinic in an underserved region appeared to benefit patients' mental health and save money.

Original languageEnglish (US)
Pages (from-to)229-233
Number of pages5
JournalAmerican Journal of Health-System Pharmacy
Volume65
Issue number3
DOIs
StatePublished - Feb 1 2008
Externally publishedYes

Fingerprint

Poverty
Psychiatry
Referral and Consultation
Pharmacists
Mental Health
Physician Executives
Community Health Centers
Sertraline
Aftercare
Cost Savings
Sleep Initiation and Maintenance Disorders
Smoking Cessation
Hispanic Americans
Health Services
Primary Health Care
Outpatients
Anxiety
Depression
Education
Population

Keywords

  • Ambulatory care
  • Clinical pharmacists
  • Clinical pharmacy
  • Economics
  • Mental disorders
  • Pharmaceutical services
  • Sociology

ASJC Scopus subject areas

  • Pharmaceutical Science
  • Leadership and Management
  • Medicine(all)

Cite this

Development and outcomes of a psychiatric pharmacy clinic for indigent patients. / Caballero, Joshua; Souffrant, Garry; Heffernan, Eileen.

In: American Journal of Health-System Pharmacy, Vol. 65, No. 3, 01.02.2008, p. 229-233.

Research output: Contribution to journalArticle

Caballero, Joshua ; Souffrant, Garry ; Heffernan, Eileen. / Development and outcomes of a psychiatric pharmacy clinic for indigent patients. In: American Journal of Health-System Pharmacy. 2008 ; Vol. 65, No. 3. pp. 229-233.
@article{22a041ea33da4bfa99b8a197d1c4532f,
title = "Development and outcomes of a psychiatric pharmacy clinic for indigent patients",
abstract = "Purpose. The development and outcomes of an outpatient psychiatric pharmacy clinic serving a mostly indigent Hispanic population are described. Summary. Su Clinica Familiar (SCF) is a community health center in Texas's Lower Rio Grande Valley that sees over 30,000 patients a year, 20{\%} of whom have a psychiatric disorder. In 2005 SCF began collaborating with a psychiatric clinical pharmacist to provide free psychiatric services within the health center. SCF patients with mental health complications were referred to the clinic by their primary care provider. Consultation notes were reviewed by the medical director, and treatment, if approved, was begun the same day. During the period from April 2005 to June 2006, 96 (77{\%}) of 125 patients referred to the psychiatric pharmacy clinic actually attended it. Fifty-three (72{\%}) of the 74 patients who were asked to return for follow-up care returned. Over 90{\%} of the pharmacist's clinical recommendations were accepted. Most referrals were for depression, anxiety, and cognitive impairment; other referrals were for insomnia, medication education, and smoking cessation. The medications most frequently prescribed were sertraline and donepezil. Cost savings were estimated at $22,380. Conclusion. A psychiatric pharmacy clinic in an underserved region appeared to benefit patients' mental health and save money.",
keywords = "Ambulatory care, Clinical pharmacists, Clinical pharmacy, Economics, Mental disorders, Pharmaceutical services, Sociology",
author = "Joshua Caballero and Garry Souffrant and Eileen Heffernan",
year = "2008",
month = "2",
day = "1",
doi = "10.2146/ajhp070266",
language = "English (US)",
volume = "65",
pages = "229--233",
journal = "American Journal of Health-System Pharmacy",
issn = "1079-2082",
publisher = "American Society of Health-Systems Pharmacy",
number = "3",

}

TY - JOUR

T1 - Development and outcomes of a psychiatric pharmacy clinic for indigent patients

AU - Caballero, Joshua

AU - Souffrant, Garry

AU - Heffernan, Eileen

PY - 2008/2/1

Y1 - 2008/2/1

N2 - Purpose. The development and outcomes of an outpatient psychiatric pharmacy clinic serving a mostly indigent Hispanic population are described. Summary. Su Clinica Familiar (SCF) is a community health center in Texas's Lower Rio Grande Valley that sees over 30,000 patients a year, 20% of whom have a psychiatric disorder. In 2005 SCF began collaborating with a psychiatric clinical pharmacist to provide free psychiatric services within the health center. SCF patients with mental health complications were referred to the clinic by their primary care provider. Consultation notes were reviewed by the medical director, and treatment, if approved, was begun the same day. During the period from April 2005 to June 2006, 96 (77%) of 125 patients referred to the psychiatric pharmacy clinic actually attended it. Fifty-three (72%) of the 74 patients who were asked to return for follow-up care returned. Over 90% of the pharmacist's clinical recommendations were accepted. Most referrals were for depression, anxiety, and cognitive impairment; other referrals were for insomnia, medication education, and smoking cessation. The medications most frequently prescribed were sertraline and donepezil. Cost savings were estimated at $22,380. Conclusion. A psychiatric pharmacy clinic in an underserved region appeared to benefit patients' mental health and save money.

AB - Purpose. The development and outcomes of an outpatient psychiatric pharmacy clinic serving a mostly indigent Hispanic population are described. Summary. Su Clinica Familiar (SCF) is a community health center in Texas's Lower Rio Grande Valley that sees over 30,000 patients a year, 20% of whom have a psychiatric disorder. In 2005 SCF began collaborating with a psychiatric clinical pharmacist to provide free psychiatric services within the health center. SCF patients with mental health complications were referred to the clinic by their primary care provider. Consultation notes were reviewed by the medical director, and treatment, if approved, was begun the same day. During the period from April 2005 to June 2006, 96 (77%) of 125 patients referred to the psychiatric pharmacy clinic actually attended it. Fifty-three (72%) of the 74 patients who were asked to return for follow-up care returned. Over 90% of the pharmacist's clinical recommendations were accepted. Most referrals were for depression, anxiety, and cognitive impairment; other referrals were for insomnia, medication education, and smoking cessation. The medications most frequently prescribed were sertraline and donepezil. Cost savings were estimated at $22,380. Conclusion. A psychiatric pharmacy clinic in an underserved region appeared to benefit patients' mental health and save money.

KW - Ambulatory care

KW - Clinical pharmacists

KW - Clinical pharmacy

KW - Economics

KW - Mental disorders

KW - Pharmaceutical services

KW - Sociology

UR - http://www.scopus.com/inward/record.url?scp=38749101679&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=38749101679&partnerID=8YFLogxK

U2 - 10.2146/ajhp070266

DO - 10.2146/ajhp070266

M3 - Article

C2 - 18216008

AN - SCOPUS:38749101679

VL - 65

SP - 229

EP - 233

JO - American Journal of Health-System Pharmacy

JF - American Journal of Health-System Pharmacy

SN - 1079-2082

IS - 3

ER -