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Clinical Pharmacy in Psychiatry
Although clinical pharmacy is a discipline that emerged in the 1960s, the question of precisely how pharmacists can play a role in therapeutic optimization remains unanswered. In the field of mental health, psychiatric pharmacists are increasingly involved in medication reconciliation and therapeutic patient education (or psychoeducation) to improve medication management and enhance medication adherence, respectively. However, psychiatric pharmacists must now assume a growing role in team-based models of care and engage in shared expertise in psychopharmacology in order to truly invest in therapeutic optimization of psychotropics.
Twenty-five years ago, the ESCP questioned how clinical pharmacists could play a role in optimizing pharmacotherapy . Three scenarios have been proposed for describing the position of the clinical pharmacist and named "clerk", "controller" and "care manager". Only the last one referred to a proactive model, centered on the patient with a real partnership with physicians, and appeared to be the most desirable scenario for the future of clinical pharmacy .
However, in psychiatry, it clearly appears that knowledge in psychopharmacology is paramount to the quality of clinical practice and thus, pharmacists could be privileged interlocutors for forging a link between pharmacological knowledge and clinical practice. This connection between clinical pharmacology and clinical pharmacy had been thought of by the pioneers of this discipline—Paul Parker (pharmacist) and Charles Walton (pharmacologist)—and was still later relayed by another father of the discipline, Russell R Miller .
While recent publications continue to demonstrate the interest and scalability of clinical pharmacy in psychiatry , its deployment continues to be held back for various reasons .
2. Medication Reconciliation Process in Psychiatry
3. Global Collaborative View of Psychiatric Pharmacists and Psychiatrists
The entry is from 10.3390/pharmacy9030146
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