Medication Supervision and Adherence of Persons With Psychotic Disorders in Residential Treatment Settings: A Pilot Study
J Clin Psychiatry 2001;62(5):394-399
© Copyright 2015 Physicians Postgraduate Press, Inc.
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Background: Little is known about risk
factors for and predictors of medication nonadherence within
residential facilities. This pilot study examined the association
between medication adherence and level of supervision and other
environmental and clinical variables among patients with
schizophrenia and related psychotic disorders living in supported
Method: A convenience sample of 74 adult
residents with schizophrenia and related psychotic disorders
(DSM-IV criteria) living in 4 supported housing facilities in New
York City were assessed by their treating psychiatrist for
medication cessation during the previous month. Demographic
characteristics, medications, supervision, global function as
measured by the Global Assessment of Functioning (GAF), and
substance abuse were also assessed. A priori hypotheses were that
regimen complexity would be directly and medication supervision
would be inversely related to medication nonadherence.
Results: In multivariate models, lack of
direct medication supervision, negative medication attitude, and
lower GAF score were associated with increased medication
nonadherence in the recent past.
Conclusion: This pilot study suggests that
direct supervision of medication is associated with better
adherence in residential treatment settings. This finding is
relevant for mental health service planners and clinicians
working in these settings.