• Psychiatr Serv · Apr 2007

    Best practices: A systematic approach to the management of patients who refuse medications in an assertive community treatment team setting.

    • Christopher Tam and Samuel Law.
    • Department of Psychiatry, St. Michael's Hospital, Toronto, Ontario, Canada.
    • Psychiatr Serv. 2007 Apr 1; 58 (4): 457-9.

    AbstractA significant proportion of patients of assertive community treatment (ACT) teams will adamantly refuse medication. Whether the team should continue to encourage medication or put a hold on advocating for medication is a clinical and ethical dilemma. On the basis of their clinical experiences, the authors propose best-practices criteria that ACT teams can consider in deciding whether medications may be temporarily discontinued when a patient refuses them. The authors suggest that in some circumstances stopping medications in such a case may help in the development or repair of a therapeutic alliance over the long term.

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