Preparing to implement medication algorithms: Staff perspectives and system infrastructure

Jennifer P. Wisdom, Sarann Bielavitz, Bentson Mcfarland, Jon C. Collins, Ann Hamer, Dean Haxby, David A. Pollack

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

To assess the readiness of mental health facilities in Oregon to implement medication algorithms using the Medication Management Approaches in Psychiatry toolkit (MedMAP) developed by the Substance Abuse and Mental Health Services Administration (SAMHSA), researchers conducted interviews with 68 clinical and administrative employees of four inpatient and four outpatient mental health facilities in Oregon. Respondents had generally positive opinions about the algorithms, but they also expressed many concerns about logistics and implementation, chiefly related to medication selection and expected restrictions on choices for prescribing providers and patients. In implementing medication algorithms, it may be beneficial to assess staff perspectives as well as the capabilities of the program's infrastructure. The extent to which staff concerns, values, and needs are anticipated and promptly and responsively addressed is likely have a major influence on successful implementation.

Original languageEnglish (US)
Pages (from-to)209-215
Number of pages7
JournalJournal of Psychiatric Practice
Volume14
Issue number4
DOIs
StatePublished - Jul 1 2008

Keywords

  • Infrastructure assessment
  • Medication algorithms
  • Organizational change
  • Psychiatric medication
  • Texas Medication Algorithm Project

ASJC Scopus subject areas

  • Psychiatry and Mental health

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    Wisdom, J. P., Bielavitz, S., Mcfarland, B., Collins, J. C., Hamer, A., Haxby, D., & Pollack, D. A. (2008). Preparing to implement medication algorithms: Staff perspectives and system infrastructure. Journal of Psychiatric Practice, 14(4), 209-215. https://doi.org/10.1097/01.pra.0000327310.96528.a5