Adherence According to Mary Poppins: Strategies to Make the Medicine Go Down |
| |
| Authors: | Suzanne M. Hardeman MRC MSN LPC PMHNP-BC Meera Narasimhan MD |
| |
| Affiliation: | Suzanne M. Hardeman, MRC, MSN, LPC, PMHNP-BC, is a Sub-investigator, and Meera Narasimhan, MD, is Director and Principal Investigator, Division of Biological Research and Department of Neuropsychiatry and Behavioral Science, University of South Carolina School of Medicine, Columbia, SC, USA. |
| |
| Abstract: | PURPOSE. This article reviews the prevalence, risk factors, and burden of nonadherence in mood and psychotic disorders, and presents evidence-based, disease-specific strategies shown to improve adherence. CONCLUSION. A comprehensive approach based on the goal of remission, designed around the patient's individual needs, facilitates adherence, leads to improved quality of life, and reduces disease burden. PRACTICE IMPLICATIONS. Adherence in mood and psychotic disorders can be improved when providers take time to build trusting relationships; identify risk factors; anticipate nonadherence; individualize treatment; and educate patients, families, and other healthcare providers. |
| |
| Keywords: | Adherence adherence behavior mood disorders nonadherence psychotic disorders |
|
|
