Lecture 1 Flashcards
What are the 3 levels of education/training realted to drugs defined by the APA task force?
– Level 1: basic psychopharmacology education
– Level 2: postdoctoral training for those wanting to
participate in medication consultation
– Level 3: postdoctoral training in preparation for independent prescriptive authority
What are the main arguement for prescriptive privileges?
Increase access to care:
Most common treatment setting for people with mental disorders is primary care
Prescribing psychologists likely to use meds less than non-specialized physicians
- Single provider of care (assessment, diagnosis, treatment planning, medication if warranted, outcome monitoring) = benefit to the patient
- Closer monitoring of medically relevant events
- Increase status of clinical psychology
What are some arguments against prescriptive privileges?
• Loss of identity of psychologists
• Safety for patients and adequacy of training
– Only a medical school curriculum is sufficient
– PDP may have worked but training was more rigorous
than civilian programs
– Inaccurate diagnosis of medical conditions
• Family physicians can do it instead
• Decline in use of psychotherapy means we should increase use and efficacy of psychosocial instead
What are the 4 phases of drug development?
– Initial drug discovery
– Pre-clinical testing
– Human trials
– Post-marketing
What is guideline 1?
Consider their competence in pharmacotherapy
-> seek consultation as appropriate before offering recommendations about medications.
What is guideline 2?
Evaluate own feelings and attitudes about medication and how they might affect communication with patients
What is guideline 4?
Psychologists should have an appropriate level of pharmacology knowledge for their area of practice and maintain it through continuing education
What is guideline 5?
Bd sensitive to the potential for adverse effects of meds
What is guideline 9?
Explore issues about adherence and feelings about med with patients
What is guideline 10?
Develop relationships that will allow clients to be comfortable exploring issues about meds
What is guideline 17?
Maintain appropriate relationships with providers of meds
odds ratio is
Odds of improvement in the treatment group divided by odds of improvement in control group (declining in popularity); 1 = no effect
risk ratio is
Probability of improvement in the treatment group divided by probability of improvement in control group; 1 = no effect
Number needed to treat is
The number of cases needed to be treated to have one more positive outcome.
what are Schedule I drugs?
opiates, cocaine, ketamine,
amphetamines, GHB, etc.
