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    CMHC practices related to tardive dyskinesia screening and informed consent for neuroleptic drugs

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    Authors
    Benjamin, Sheldon
    Munetz, Mark R.
    UMass Chan Affiliations
    Department of Psychiatry
    Document Type
    Journal Article
    Publication Date
    1994-04-01
    Keywords
    Antipsychotic Agents
    Community Mental Health Centers
    Cross-Sectional Studies
    Dyskinesia, Drug-Induced
    Health Policy
    Humans
    Incidence
    Informed Consent
    Liability, Legal
    Mass Screening
    Massachusetts
    Neurologic Examination
    Patient Care Team
    Pilot Projects
    Psychiatry
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    Link to Full Text
    http://ps.psychiatryonline.org/cgi/reprint/45/4/343
    Abstract
    OBJECTIVE: The authors conducted a national survey of community mental health centers to determine their policies and practices about screening patients for tardive dyskinesia and obtaining informed consent for use of neuroleptic drugs. METHODS: Clinical directors of 235 centers in the United States, selected by geographic region and population, were surveyed through a nine-item questionnaire. RESULTS: Although nearly all the 160 respondents reported that they screened patients for tardive dyskinesia, only about two-fifths had formal screening policies, and about two-fifths had screening programs. The Abnormal Involuntary Movement Scale examination was used by almost two-thirds of respondents who screened patients, and about one-fifth relied on unstructured observation. Slightly more than half of respondents specified a frequency for screening examinations, at a modal interval of six months. Seventy percent used nonpsychiatric clinicians for screening. Almost three-quarters of the respondents had informed consent policies for use of neuroleptics. Urban centers tended to be more aware than rural centers of the American Psychiatric Association's tardive dyskinesia screening guidelines. They also used fewer nonmedical practitioners for screening and were more likely to obtain informed consent for neuroleptics. CONCLUSIONS: Despite the existence of APA guidelines and state policies and regulations about tardive dyskinesia screening, a national effort to educate clinicians about prevention of tardive dyskinesia is still needed.
    Source
    Hosp Community Psychiatry. 1994 Apr;45(4):343-6. Link to article on publisher's website
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/45927
    PubMed ID
    7912689
    Related Resources
    Link to Article in PubMed
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    UMass Chan Faculty and Researcher Publications

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