Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Apr 14;12(2):65-76.
doi: 10.9740/mhc.2022.04.065. eCollection 2022 Apr.

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

Affiliations

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

Kelly C Lee et al. Ment Health Clin. .

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.

Keywords: attributes; best practice; consensus; outpatient; psychiatric pharmacy.

PubMed Disclaimer

Figures

FIGURE 1
FIGURE 1
(a) Percent agreement of outpatient respondents for each statement; (b) percent agreement of nonoutpatient respondents for each statement
FIGURE 2
FIGURE 2
Characterization of current outpatient practice and likelihood of future implementation of each statement in practice (mean score for current characterization represents average ratings of respondents to the question, “How much does this statement currently characterize your outpatient practice” using the scale from 0 [not at all] to 10 [completely]; mean score for future implementation represents average ratings of respondents to the question, “How likely would you be able to implement this statement in your practice” using the scale from 0 [extremely unlikely] to 10 [extremely likely])

References

    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. 10.9740/mhc.2020.11.346 PubMed PMID: 33224692 PubMed Central PMCID: PMC7653732. - DOI - PMC - PubMed
    1. 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. - DOI - PMC - PubMed
    1. 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_CPPRoleinMen....
    1. Stimmel GL. Psychiatric pharmacy manifesto; 2015. [cited 2022 Mar 30]. Available from: https://cpnp.org/_docs/about/manifesto/manifesto-2015.pdf.
    1. Stimmel GL. Psychiatric pharmacy manifesto. Ment Health Clin [Internet] 2011;1(4):61–2. doi: 10.9740/mhc.n84077. - DOI