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Discussion

long acting injectables

For pts on meds like invega sustenna, when the pt is discharged, do you give the script for this med directly to the patient, with instructions to take the med to their outpatient appointment to be administered there on the date it is due? Or do you have another system, such as faxing the script to the outpatient provider? just curious on how other people handle this, thanks

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    • Expert

    In my experience the prescription is either given to the pt or sent electronically to their pharmacy. The patient picks up the medication from their pharmacy and takes the kit to their outpatient provider or injection clinic. We do try to give them an injection as close to d/c date to have the maximum medication on board if possible before they go home.

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    Depends on the discharge plan and patient reliability.

    if you give them the script, will they follow through in a timely manner, or lose the Rx & forget to follow up?

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    • Expert

    If they're going into our outpatient programs, we fax it to the pharmacy for delivery to the program. If they are going to an outpatient provider that's not us, we'll forward the script to that provider for them to handle. Rarely do we give the script directly to the patient.

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    We fax the script to the pharmacy when Pts are discharged from out short term psych unit. We give the script to the out patient provider if they are discharged to a lower level of care, such as a board and care.

    And, as the OP said, we try to discharge them with enough long lasting injectables on board as possible.

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    In Australia, they will either be receiving their depot from a community mental health team (public) or a GP (private).

    Community MHT: Hand-over their last date/dose etc (enter on computer system and fax the depot chart which is basically a copy of the script and shows past doses). The CMHT have the meds on site so no script is given to the pt.

    GP: Prior to d/c, we make an appt with GP for less than 7 days time (from discharge) at which time the GP gives a script and a date to return (unless they have the meds onsite.). We then do a follow up call in 7 days from d/c. Some places might give a script on discharge to fill prior to the gp appt.

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