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Non-medical prescribing considerations in emergency mental health services

Douglas, Kathryn; MacVicar, Sonya


Kathryn Douglas


The emergency mental health practitioner's job involves providing immediate care to patients who are suffering a mental health crisis. Independent nurse prescribing supports this service through timely access to pharmacological and non-pharmacological measures or cognitive behavioural strategies. This case study involves a service user diagnosed with bipolar type II disorder who presents with suicidal ideation, and outlines the prescribing options available for short-term crises and long-term risk management. There is a complex balance of appraising physical and mental health including capacity, assessment of risk of self-harm and harm to others, and working in consultation to optimise adherence and concordance. The authors highlight the importance of using a person-centred approach, which includes family, carers and their wider support network, to develop a therapeutic relationship which promotes positive outcomes. This is further supported by utilising the most recent and up-to-date policy, guidelines and legislation, including local and national policies.

Journal Article Type Article
Acceptance Date Jun 6, 2022
Online Publication Date Jul 7, 2022
Publication Date Jul 2, 2022
Deposit Date Jul 13, 2022
Publicly Available Date Jan 3, 2023
Journal Journal of Prescribing Practice
Print ISSN 2631-8385
Electronic ISSN 2631-8393
Publisher Mark Allen Healthcare
Peer Reviewed Peer Reviewed
Volume 4
Issue 7
Pages 312-316
Keywords Bipolar type II disorder, non-medical prescribing, mental health prescribing, suicide ideation, quetiapine, lorazepam, lamotrigine
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Non-medical Prescribing Considerations In Emergency Mental Health Services (accepted version) (353 Kb)

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