TY - JOUR
T1 - Evidence-based pharmacologic treatment for people with severe mental illness
T2 - A focus on guidelines and algorithms
AU - Mellman, T. A.
AU - Miller, A. L.
AU - Weissman, E. M.
AU - Crismon, M. L.
AU - Essock, S. M.
AU - Marder, S. R.
PY - 2001
Y1 - 2001
N2 - Medication treatment of severe mental illness has been advanced and complicated by the introduction of numerous therapeutic agents. Practice guidelines based on research evidence have been developed to help clinicians make complex decisions. Studies of usual care suggest an important potential role for guidelines in improving the quality of medication treatment for people with severe mental illness. The authors review current evidence-based guidelines for medication treatment of persons with severe mental illness. Four categories of guidelines are described: recommendations, comprehensive treatment options, medication algorithms, and expert consensus. The authors note that more research is needed on optimal next-step strategies and the treatment of patients with comorbidity and other complicating problems. They discuss barriers to the implementation of guidelines, and they observe that the potential of guidelines and algorithms to promote evidence-based medication treatment for persons with severe mental illness depends on refinement of tools, progress in research, and cooperation of physicians, nonphysician clinicians, administrators, and consumers and family members.
AB - Medication treatment of severe mental illness has been advanced and complicated by the introduction of numerous therapeutic agents. Practice guidelines based on research evidence have been developed to help clinicians make complex decisions. Studies of usual care suggest an important potential role for guidelines in improving the quality of medication treatment for people with severe mental illness. The authors review current evidence-based guidelines for medication treatment of persons with severe mental illness. Four categories of guidelines are described: recommendations, comprehensive treatment options, medication algorithms, and expert consensus. The authors note that more research is needed on optimal next-step strategies and the treatment of patients with comorbidity and other complicating problems. They discuss barriers to the implementation of guidelines, and they observe that the potential of guidelines and algorithms to promote evidence-based medication treatment for persons with severe mental illness depends on refinement of tools, progress in research, and cooperation of physicians, nonphysician clinicians, administrators, and consumers and family members.
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U2 - 10.1176/appi.ps.52.5.619
DO - 10.1176/appi.ps.52.5.619
M3 - Review article
C2 - 11331795
AN - SCOPUS:0035019913
SN - 1075-2730
VL - 52
SP - 619
EP - 625
JO - Psychiatric Services
JF - Psychiatric Services
IS - 5
ER -