Clinical Pharmacy in Psychiatry: Towards Promoting Clinical Expertise in Psychopharmacology
Hervé Javelot,
Clara Gitahy Falcao Faria,
Frederik Vandenberghe,
Sophie Dizet,
Bastien Langrée,
Mathilde Le Maout,
Céline Straczek,
Adeline Egron,
Alexis Erb,
Guillaume Sujol,
Antoine Yrondi,
Sébastien Weibel,
Philippe D. Vincent,
Guillaume Meyer,
Coraline Hingray
Affiliations
Hervé Javelot
Etablissement Public de Santé Alsace Nord, 67170 Brumath, France
Clara Gitahy Falcao Faria
Institute of Psychiatry, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro 20211, Brazil
Frederik Vandenberghe
Unit of Pharmacogenetics and Clinical Psychopharmacology, Center for Psychiatric Neurosciences, Lausanne University Hospital, University of Lausanne, 1008 Prilly-Lausanne, Switzerland
Sophie Dizet
Centre de Ressources et d’Expertise en Psychopharmacologie (CREPP) Bourgogne Franche-Comté, 71100 Chalon sur Saône, France
Bastien Langrée
Service Pharmacie, Centre Hospitalier Guillaume Régnier, 35700 Rennes, France
Mathilde Le Maout
Département de Pharmacie, CHU Henri Mondor, Université Paris Est Créteil (UPEC), AP-HP, 94000 Créteil, France
Céline Straczek
Département de Pharmacie, CHU Henri Mondor, Université Paris Est Créteil (UPEC), AP-HP, 94000 Créteil, France
Adeline Egron
Service Pharmacie, Centre Hospitalier de Cadillac, 33410 Cadillac, France
Alexis Erb
APF2R, Rouffach Centre Hospitalier, Pôle 8/9, 68250 Rouffach, France
Guillaume Sujol
Service Pharmacie, Centre Hospitalier Léon Jean Grégory, 66301 Thuir, France
Antoine Yrondi
Service de Psychiatrie et de Psychologie Médicale, CHU de Toulouse, Hôpital Purpan, 31059 Toulouse, France
Sébastien Weibel
Service de Psychiatrie 2, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France
Philippe D. Vincent
Department of Pharmacy, Institut Universitaire en Santé Mentale de Montréal (IUSMM), 7401 Hochelaga, Montreal, QC H1N 3M5, Canada
Guillaume Meyer
Etablissement Public de Santé Alsace Nord, 67170 Brumath, France
Coraline Hingray
Pôle Hospitalo-Universitaire de Psychiatrie d’Adultes du Grand Nancy, Centre Psychothérapique de Nancy, 54520 Laxou, France
Although clinical pharmacy is a discipline that emerged in the 1960s, the question of precisely how pharmacists can play a role in therapeutic optimization remains unanswered. In the field of mental health, psychiatric pharmacists are increasingly involved in medication reconciliation and therapeutic patient education (or psychoeducation) to improve medication management and enhance medication adherence, respectively. However, psychiatric pharmacists must now assume a growing role in team-based models of care and engage in shared expertise in psychopharmacology in order to truly invest in therapeutic optimization of psychotropics. The increased skills in psychopharmacology and expertise in psychotherapeutic drug monitoring can contribute to future strengthening of the partnership between psychiatrists and psychiatric pharmacists. We propose a narrative review of the literature in order to show the relevance of a clinical pharmacist specializing in psychiatry. With this in mind, herein we will address: (i) briefly, the areas considered the basis of the deployment of clinical pharmacy in mental health, with medication reconciliation, therapeutic education of the patient, as well as the growing involvement of clinical pharmacists in the multidisciplinary reflection on pharmacotherapeutic decisions; (ii) in more depth, we present data concerning the use of therapeutic drug monitoring and shared expertise in psychopharmacology between psychiatric pharmacists and psychiatrists. These last two points are currently in full development in France through the deployment of Resource and Expertise Centers in PsychoPharmacology (CREPP in French).
