This site is intended for Healthcare Professionals only

Well done, you’re getting there.  (0% complete)

quiz close icon

module menu icon Pharmacy interventions

An MUR may highlight issues around unintentional nonadherence, which may lead to an assessment for a compliance aid or further support with medication taking. Further support may range from encouraging a carer or relative to contact the individual to remind them to take their medication, to simplifying medication regimens or supplying medication in a multi-dose compliance aid.

Briefly reviewing lifestyle factors, with possible referrals for an NHS Health Check, smoking cessation, weight management or alcohol screening service, may also be appropriate. Asking someone with schizophrenia if they would like you to explain their medication, and offering alternate sources of information or the option of speaking on the telephone encourages long-term rapport and makes people more likely to seek support in the future.

Enquiring about the person's medication experience can help to identify barriers to medicines adherence, and allow these to be addressed before non-adherence becomes problematic.

During an acute episode, people with schizophrenia may have poor insight or not recall symptoms, so it can be beneficial to have a relative or carer who can remind them of the difference that medication has made so far. Knowing why a person wants to continue to take medication may help to promote adherence in the future, and may also provide further insight into their expectations.

Conversely, understanding why someone does not want to continue their medication can facilitate discussions about alternative treatment options and encourage support to be sought from the GP or mental health team before a relapse occurs.

 

Reflection exercise

How aware are you of support services, including psychological therapies, for patients with schizophrenia in your locality? Are they included in your 'signposting' list? Check the recommended patient/professional websites listed at the end of this module and create a list of helpful reference sources and local self-help groups.

Change privacy settings