Implementing Medication Information In A Forensic Setting

4272 words - 17 pages

IntroductionService user's who interrupt their prescribed medication regime or even refrain from it altogether are at an increased risk of experiencing a relapse of their mental illness (Mueser et al, 2002). This is the case regardless of their diagnosis but in this assignment the author will be solely discussing those diagnosed with schizophrenia.Literature highlights the increase in relapse rates when antipsychotic medication is not adhered to (Marder et al, 1999, Oehl et al, 2000) and in 1995 an extensive literature review was conducted by Gilbert et al (1995) which spanned studies over several decades. Their aim was to investigate the effects of withdrawing from medication and they found that those who did withdraw were three times more likely to experience a relapse than those that adhered to their antipsychotic medication as prescribed.Madden (2007) stated that medication non concordance is an issue in the majority of homicide enquiries and this non concordance is also recognised by the government in its research paper (House of Commons, 2007) supporting the proposed mental health bill.Involving service users in their own care is recognised as producing positive effects (Valentine et al, 2003) and the provision of information is an integral part of this process. Rose (2001) found that well informed service users were far more satisfied with the care they received and this increased satisfaction subsequently leads to increased engagement with services, increased adherence to prescribed medication and fewer relapses.Supplying service users with information concerning their medication could also facilitate positive health promotion, not just in better management of the underlying diagnosis but also allowing service users a greater understanding of side effects and how best to manage them. It is also empowering and promotes user involvement,Powers (2003) identifies that as knowledge is power then health promotion gives people more power over their health.Mental health promotion has long been recognised by the government (Department of Health, 1999a) as being central to the reduction of mortality rates and it is the combination of this and the other aforementioned reasons that led to the author implementing medication information sheets for service users within a forensic setting.Identification and Planning of InitiativeAlthough being recognised during the 1970s and even earlier (World Health Organization, 1978) the first world wide guidelines on health promotion arose as a result of the Ottawa Charter (1986). Health promotion has had a multitude of definitions bestowed on it over the years (Edelman & Mandle, 2002) and the author feels the definition arising from the charter is succinct and accurate. Health promotion has remained on the UK agenda ever since and mental health promotion itself is recognised in standard one of the National Service Framework (NSF) (Department of Health, 1999b).The National Health Service Knowledge and Skills...

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