Skip to main content

Implementation of the Texas Medication Algorithm Project patient and family education program.

Publication ,  Journal Article
Toprac, MG; Dennehy, EB; Carmody, TJ; Crismon, ML; Miller, AL; Trivedi, MH; Suppes, T; Rush, AJ
Published in: J Clin Psychiatry
September 2006

OBJECTIVE: This article describes the implementation and utilization of the patient and family education program (PFEP) component of the Texas Medication Algorithm Project (TMAP). The extent of participation, types of psychoeducation received, and predictors of receiving at least a minimum level of education are presented. METHOD: TMAP included medication guidelines, a dedicated clinical coordinator, standardized assessments of symptoms and side effects, uniform documentation, and a PFEP. The PFEP includes phased, multimodal, disorder-specific educational materials for patients and families. Participants were adult outpatients of 1 of 7 community mental health centers in Texas that were implementing the TMAP disease management package. Patients had DSM-IV clinical diagnoses of major depressive disorder, with or without psychotic features; bipolar I disorder or schizoaffective disorder, bipolar type; or schizophrenia or schizoaffective disorder. Assessments were administered by independent research coordinators. Study data were collected between March 1998 and March 2000, and patients participated for at least 1 year. RESULTS: Of the 487 participants, nearly all (95.1%) had at least 1 educational encounter, but only 53.6% of participants met criteria for "minimum exposure" to individual education interventions. Furthermore, only 31.0% participated in group education, and 42.5% had a family member involved in at least 1 encounter. Participants with schizophrenia were less involved in the PFEP across multiple indicators of utilization. Diagnosis, intensity of symptoms, age, and receipt of public assistance were related to the likelihood of exposure to minimum levels of individual education. CONCLUSION: Despite adequate resources and infrastructure to provide PFEP, utilization was less than anticipated. Although implementation guidelines were uniform across diagnoses, participants with schizophrenia experienced less exposure to psychoeducation. Recommendations for improving program implementation and modification of materials are discussed.

Duke Scholars

Published In

J Clin Psychiatry

DOI

ISSN

0160-6689

Publication Date

September 2006

Volume

67

Issue

9

Start / End Page

1362 / 1372

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Texas
  • Schizophrenia
  • Psychotropic Drugs
  • Psychotic Disorders
  • Psychiatry
  • Program Evaluation
  • Practice Guidelines as Topic
  • Patient Education as Topic
  • Mental Disorders
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Toprac, M. G., Dennehy, E. B., Carmody, T. J., Crismon, M. L., Miller, A. L., Trivedi, M. H., … Rush, A. J. (2006). Implementation of the Texas Medication Algorithm Project patient and family education program. J Clin Psychiatry, 67(9), 1362–1372. https://doi.org/10.4088/jcp.v67n0906
Toprac, Marcia G., Ellen B. Dennehy, Thomas J. Carmody, M Lynn Crismon, Alexander L. Miller, Madhukar H. Trivedi, Trisha Suppes, and A John Rush. “Implementation of the Texas Medication Algorithm Project patient and family education program.J Clin Psychiatry 67, no. 9 (September 2006): 1362–72. https://doi.org/10.4088/jcp.v67n0906.
Toprac MG, Dennehy EB, Carmody TJ, Crismon ML, Miller AL, Trivedi MH, et al. Implementation of the Texas Medication Algorithm Project patient and family education program. J Clin Psychiatry. 2006 Sep;67(9):1362–72.
Toprac, Marcia G., et al. “Implementation of the Texas Medication Algorithm Project patient and family education program.J Clin Psychiatry, vol. 67, no. 9, Sept. 2006, pp. 1362–72. Pubmed, doi:10.4088/jcp.v67n0906.
Toprac MG, Dennehy EB, Carmody TJ, Crismon ML, Miller AL, Trivedi MH, Suppes T, Rush AJ. Implementation of the Texas Medication Algorithm Project patient and family education program. J Clin Psychiatry. 2006 Sep;67(9):1362–1372.

Published In

J Clin Psychiatry

DOI

ISSN

0160-6689

Publication Date

September 2006

Volume

67

Issue

9

Start / End Page

1362 / 1372

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Texas
  • Schizophrenia
  • Psychotropic Drugs
  • Psychotic Disorders
  • Psychiatry
  • Program Evaluation
  • Practice Guidelines as Topic
  • Patient Education as Topic
  • Mental Disorders