Best practice model for outpatient psychiatric pharmacy practice, part 2: Confirmation of the attribute statements

Author:

Lee Kelly C.ORCID,Silvia Richard J.1ORCID,Payne Gregory H.2ORCID,Moore Tera D.3ORCID,Ansara Elayne D.4ORCID,Ross Clint A.5ORCID

Affiliation:

1. Professor of Pharmacy Practice, School of Pharmacy-Boston, Massachusetts College of Pharmacy and Health Sciences, Boston, Massachusetts

2. Director of Strategic Initiatives, American Association of Psychiatric Pharmacists, Lincoln, Nebraska

3. Pharmacy Benefits Management Services, Clinical Pharmacy Practice Office, US Department of Veterans Affairs, Washington, DC

4. Clinical Pharmacy Practitioner–Mental Health, Veteran Health Indiana, Indianapolis, Indiana

5. Pharmacy Coordinator, Institute of Psychiatry, MUSC Health, Charleston, South Carolina

Abstract

Abstract Introduction The American Association of Psychiatric Pharmacists (AAPP) used multiple modalities to develop and refine 28 attribute statements to describe a best practice model for outpatient psychiatric pharmacists. Before addressing implementation, assessment, and field testing, it was necessary to finalize and confirm the statements and their supporting narratives among stakeholders. The objective of this project was to confirm the attribute statements and supporting justifications for a best practice model for outpatient psychiatric pharmacists providing direct patient care. Methods The 4 phases that resulted in the 28 attribute statements and supporting narratives have been described and published elsewhere. As part of phase 5, the confirmation survey was distributed to pharmacists and resident members of AAPP in November 2021 for 3 weeks. Results The survey respondents (n = 74; 6.1%) were licensed pharmacists for an average of 15.6 years (SD = 12.0) and had been practicing as psychiatric pharmacists for an average of 11.3 years (SD = 10.4). Slightly more than half (54.2%) of the respondents reported practicing in the outpatient setting and three-fourths (74.3%) were Board Certified Psychiatric Pharmacists. For each of the 28 statements, more than 90% of respondents either agreed or agreed with minimal reservations. Discussion Given the high degree of agreement on the proposed practice model statements, they will be used as the basis for the outpatient psychiatric pharmacist best practice model. Next steps in developing this model include establishing implementation guidance, determining appropriate metrics for evaluation of these statements in practice, and establishing appropriate field-testing methods.

Publisher

College of Psychiatric and Neurologic Pharmacists (CPNP)

Subject

Pharmacology (medical),Neurology (clinical),General Pharmacology, Toxicology and Pharmaceutics,Neuropsychology and Physiological Psychology

Reference84 articles.

1. Silvia RJ, Lee KC, Bostwick JR, Cobb CD, Goldstone LW, Moore TD, et al. Assessment of the current practice of psychiatric pharmacists in the United States. Ment Health Clin [Internet]. 2020; 10(6): 346- 53. DOI: 10.9740/mhc.2020.11.346. PubMed PMID: 33224692; PubMed Central PMCID: PMC7653732.

2. Silvia RJ, Lee KC, Payne GH, Ho J, Cobb C, Ansara ED, et al. Best practice model for outpatient psychiatric pharmacy practice, part 1: development of initial attribute statements. Ment Health Clin [Internet]. 2022; 12(2): 57- 64. DOI: 10.9740/mhc.2022.04.057.

3. US Department of Veterans Affairs, Pharmacy Benefits Management, Clinical Pharmacy Practice Office [Internet]. Fact sheet--clinical pharmacist practitioner role in mental health; 2021 [cited 2022 Mar 30]. Available from: https://www.pbm.va.gov/PBM/CPPO/Documents/ExternalFactSheet_CPPRoleinMentalHealth_508.pdf

4. Stimmel GL. Psychiatric pharmacy manifesto; 2015 [cited 2022 Mar 30]. Available from: https://cpnp.org/_docs/about/manifesto/manifesto-2015.pdf

5. Stimmel GL. Psychiatric pharmacy manifesto. Ment Health Clin. [Internet]2011; 1(4): 61- 2. DOI: 10.9740/mhc.n84077.

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