Journal article
Bringing Personalized Medicine to a PACT Program: A Quality Improvement Project
Journal of the American Psychiatric Nurses Association, Vol.26(1), pp.77-85
01/01/2020
DOI: 10.1177/1078390319826687
PMID: 30688546
Abstract
BACKGROUND: Programs for assertive community treatment (PACT) serve persons with severe mental illness who have been unsuccessful with traditional outpatient services. Many PACT clients struggle to obtain symptom relief with medications that often have poor efficacy and undesired side effects, which can result in nonadherence, relapse, and increased health care utilization with associated costs. OBJECTIVE: This quality improvement project aimed to improve client and PACT program outcomes by incorporating pharmacogenomic testing into the psychopharmacological decision-making process. STUDY DESIGN: The project used a pre-posttest design with each client serving as their own control to evaluate changes in clients' symptoms and program outcomes resulting from pharmacogenomics-guided medication management. RESULTS: Following project implementation, clients' symptoms were decreased and both engagement in care and stability in the community increased. Psychiatric hospitalizations and associated costs decreased. CONCLUSIONS: This project suggests utility for using pharmacogenomics testing to personalize care for persons with severe mental illness.
Details
- Title: Subtitle
- Bringing Personalized Medicine to a PACT Program: A Quality Improvement Project
- Creators
- Virginia M. Conley - University of IowaSandra Daack-Hirsch - University of IowaKatie Halbmaier - University of IowaLisa Shaw - University of Pittsburgh
- Resource Type
- Journal article
- Publication Details
- Journal of the American Psychiatric Nurses Association, Vol.26(1), pp.77-85
- Publisher
- Sage
- DOI
- 10.1177/1078390319826687
- PMID
- 30688546
- ISSN
- 1078-3903
- eISSN
- 1532-5725
- Number of pages
- 9
- Grant note
- T32 NR009759 / NINR NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR)
- Language
- English
- Date published
- 01/01/2020
- Academic Unit
- Nursing; Fraternal Order of Eagles Diabetes Research Center; Public Policy Center (Archive)
- Record Identifier
- 9984283712202771
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