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- 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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