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A qualitative exploration of the barriers to and facilitators of clozapine monitoring in a secure psychiatric setting

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A qualitative exploration of the barriers to and facilitators of clozapine monitoring in a secure psychiatric setting. / Blagden, S.; Beenstock, J.; Auld, N. et al.

In: BJ Psych Bulletin, Vol. 45, No. 3, 30.06.2021, p. 134-140.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

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Blagden S, Beenstock J, Auld N, Noblett S, Limmer M. A qualitative exploration of the barriers to and facilitators of clozapine monitoring in a secure psychiatric setting. BJ Psych Bulletin. 2021 Jun 30;45(3):134-140. Epub 2020 Sep 23. doi: 10.1192/bjb.2020.100

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Bibtex

@article{ce997d90b57e44fcb9910632f956bdb4,
title = "A qualitative exploration of the barriers to and facilitators of clozapine monitoring in a secure psychiatric setting",
abstract = "Aims and method To explore the beliefs and understanding of staff and patients at a secure mental health unit regarding clozapine monitoring, and to identify barriers to and facilitators of monitoring. Qualitative semi-structured interviews and focus groups were conducted with 17 staff members and six patients. Results Six key themes were identified. The key facilitator of effective monitoring was the motivation of staff to help patients to become independent and facilitate recovery. An important barrier was a lack of clarity around the roles of different staff groups in monitoring. Staff and patients widely supported the establishment of an in-patient clozapine clinic and perceived that it would prepare patients for discharge. Clinical implications An in-patient clozapine clinic is a robust mechanism for clozapine monitoring in secure settings. The barriers and facilitators identified here could be applied to other secure units to guide their systems of clozapine monitoring. ",
keywords = "antipsychotics, clozapine, Forensic mental health services, qualitative research",
author = "S. Blagden and J. Beenstock and N. Auld and S. Noblett and M. Limmer",
year = "2021",
month = jun,
day = "30",
doi = "10.1192/bjb.2020.100",
language = "English",
volume = "45",
pages = "134--140",
journal = "BJPsych Bulletin",
issn = "2056-4694",
publisher = "Royal College of Psychiatrists",
number = "3",

}

RIS

TY - JOUR

T1 - A qualitative exploration of the barriers to and facilitators of clozapine monitoring in a secure psychiatric setting

AU - Blagden, S.

AU - Beenstock, J.

AU - Auld, N.

AU - Noblett, S.

AU - Limmer, M.

PY - 2021/6/30

Y1 - 2021/6/30

N2 - Aims and method To explore the beliefs and understanding of staff and patients at a secure mental health unit regarding clozapine monitoring, and to identify barriers to and facilitators of monitoring. Qualitative semi-structured interviews and focus groups were conducted with 17 staff members and six patients. Results Six key themes were identified. The key facilitator of effective monitoring was the motivation of staff to help patients to become independent and facilitate recovery. An important barrier was a lack of clarity around the roles of different staff groups in monitoring. Staff and patients widely supported the establishment of an in-patient clozapine clinic and perceived that it would prepare patients for discharge. Clinical implications An in-patient clozapine clinic is a robust mechanism for clozapine monitoring in secure settings. The barriers and facilitators identified here could be applied to other secure units to guide their systems of clozapine monitoring.

AB - Aims and method To explore the beliefs and understanding of staff and patients at a secure mental health unit regarding clozapine monitoring, and to identify barriers to and facilitators of monitoring. Qualitative semi-structured interviews and focus groups were conducted with 17 staff members and six patients. Results Six key themes were identified. The key facilitator of effective monitoring was the motivation of staff to help patients to become independent and facilitate recovery. An important barrier was a lack of clarity around the roles of different staff groups in monitoring. Staff and patients widely supported the establishment of an in-patient clozapine clinic and perceived that it would prepare patients for discharge. Clinical implications An in-patient clozapine clinic is a robust mechanism for clozapine monitoring in secure settings. The barriers and facilitators identified here could be applied to other secure units to guide their systems of clozapine monitoring.

KW - antipsychotics

KW - clozapine

KW - Forensic mental health services

KW - qualitative research

U2 - 10.1192/bjb.2020.100

DO - 10.1192/bjb.2020.100

M3 - Journal article

VL - 45

SP - 134

EP - 140

JO - BJPsych Bulletin

JF - BJPsych Bulletin

SN - 2056-4694

IS - 3

ER -