A health screening and promotion clinic to improve metabolic monitoring for patients prescribed antipsychotic medication

ObjectivesWe sought to determine whether the introduction of a health screening and promotion clinic might serve as a useful addition to existing services for patients prescribed antipsychotic medication. In particular, we wished to assess whether such a clinic might improve adherence to best practice guidelines. We also wished to determine the level of patient interest in such a clinic and how readily this service might be provided within the constraints of existing clinical resources.MethodsWe conducted an audit of outpatient records before and following the introduction of a health screening and promotion clinic.ResultsOf the eligible patients, 73% attended the clinic. The proportion of patients who had fasting blood tests within the previous 12 months increased from 45% at baseline to 85% at follow-up (?2= 14.1, p< 0.001). The proportion of patients with appropriate physical observations completed increased from 5% at baseline to 80% at follow-up (?2= 46.0, p< 0.001).ConclusionsWe found that the introduction of a health screening and promotion clinic improved adherence to best practice guidelines. This service was well received and readily provided within the constraints of existing resources. Ultimately, the structure of services to screen and advise patients prescribed antipsychotic medication will be determined by local resource considerations and configuration of services.