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PJ Online homeThe Pharmaceutical Journal
Vol 279 No 7463 p119
4 August 2007

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Mental health patients not told of side effects

Over a third of people with schizophrenia are given no information about the side effects of their medicines, a review of community mental health services in England has found.

The Healthcare Commission and Commission for Social Care Inspection review, published this week, includes a survey of 7,446 people with schizophrenia or suspected schizophrenia. Of those questioned, 38 per cent reported that they were “definitely” told about the possible side effects of their medicines, but 34 per cent said that they were not told at all; 42 per cent reported that they had “definitely” had a say in decisions about their medication.

The survey also looked at the performance of 174 local implementation teams (LITs), which are responsible for ensuring community mental health services meet the needs of local people. Only 16 per cent of LITs had “good” or “excellent” scores for providing appropriate medicine regimens — 75 per cent had “fair” scores and 9 per cent were scored as “weak”.

The review makes recommendations to ensure that safe and effective services are commissioned. It suggests that primary care trusts and mental health trusts should review existing arrangements. “Audit of the management of medicines should be used to self-assure and to measure ongoing performance in this area,” the review says.

“People using services must be involved in the management of their own medicines, and advised of the choices available to them. They should also be given information about possible side effects and procedures for reviewing treatments.”

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