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A health screening and promotion clinic to improve metabolic monitoring for patients prescribed antipsychotic medication

Published online by Cambridge University Press:  22 May 2013

D. Gallagher ,
M. Buckley ,
C. Kenny ,
C. Onwudiwe ,
C. Young ,
J. Rutledge ,
I. Grenham  and
M. Kilduff
D. Gallagher*
Affiliation:
Department of Psychiatry, St Vincent's Hospital, Fairview, Dublin, Ireland
M. Buckley
Affiliation:
Department of Psychiatry, St Vincent's Hospital, Fairview, Dublin, Ireland
C. Kenny
Affiliation:
Department of Psychiatry, St Vincent's Hospital, Fairview, Dublin, Ireland
C. Onwudiwe
Affiliation:
Department of Psychiatry, St Vincent's Hospital, Fairview, Dublin, Ireland
C. Young
Affiliation:
Millmount Mental Health Centre, Millmount Avenue, Dublin, Ireland
J. Rutledge
Affiliation:
Millmount Mental Health Centre, Millmount Avenue, Dublin, Ireland
I. Grenham
Affiliation:
Millmount Mental Health Centre, Millmount Avenue, Dublin, Ireland
M. Kilduff
Affiliation:
Department of Psychiatry, St Vincent's Hospital, Fairview, Dublin, Ireland
*
*Address for correspondence: Dr D. Gallagher, Department of Old Age Psychiatry, St Vincent's University Hospital, Dublin 4, Ireland. (Email gallagherdamien@hotmail.com)
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Abstract

Objectives

We sought to determine whether the introduction of a health screening and promotion clinic might serve as a useful addition to existing services for patients prescribed antipsychotic medication. In particular, we wished to assess whether such a clinic might improve adherence to best practice guidelines. We also wished to determine the level of patient interest in such a clinic and how readily this service might be provided within the constraints of existing clinical resources.

Methods

We conducted an audit of outpatient records before and following the introduction of a health screening and promotion clinic.

Results

Of the eligible patients, 73% attended the clinic. The proportion of patients who had fasting blood tests within the previous 12 months increased from 45% at baseline to 85% at follow-up (χ2 = 14.1, p < 0.001). The proportion of patients with appropriate physical observations completed increased from 5% at baseline to 80% at follow-up (χ2 = 46.0, p < 0.001).

Conclusions

We found that the introduction of a health screening and promotion clinic improved adherence to best practice guidelines. This service was well received and readily provided within the constraints of existing resources. Ultimately, the structure of services to screen and advise patients prescribed antipsychotic medication will be determined by local resource considerations and configuration of services.

Keywords

Antipsychotic medicationhealth screeningmetabolic monitoring
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 30 , Issue 2 , June 2013 , pp. 113 - 118
Copyright
Copyright © College of Psychiatrists of Ireland 2013 

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