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

Blagden, S. and Beenstock, J. and Auld, N. and Noblett, S. and Limmer, M. (2021) A qualitative exploration of the barriers to and facilitators of clozapine monitoring in a secure psychiatric setting. BJ Psych Bulletin, 45 (3). pp. 134-140. ISSN 2056-4694

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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.

Item Type:
Journal Article
Journal or Publication Title:
BJ Psych Bulletin
Subjects:
ID Code:
155997
Deposited By:
Deposited On:
11 Jun 2021 08:55
Refereed?:
Yes
Published?:
Published
Last Modified:
06 Oct 2021 08:17