Blagden Sarah, Beenstock Jane, Auld Natalie, Noblett Steve, Limmer Mark
Lancashire and South Cumbria NHS Foundation Trust, UK.
Health Education North West, UK.
BJPsych Bull. 2021 Jun;45(3):134-140. doi: 10.1192/bjb.2020.100.
To explore the beliefs and understanding of staff and patients at a secure mental health unit regarding clozapine monitoring, and to identify barriers to and facilitators of monitoring. Qualitative semi-structured interviews and focus groups were conducted with 17 staff members and six patients.
Six key themes were identified. The key facilitator of effective monitoring was the motivation of staff to help patients to become independent and facilitate recovery. An important barrier was a lack of clarity around the roles of different staff groups in monitoring. Staff and patients widely supported the establishment of an in-patient clozapine clinic and perceived that it would prepare patients for discharge.
An in-patient clozapine clinic is a robust mechanism for clozapine monitoring in secure settings. The barriers and facilitators identified here could be applied to other secure units to guide their systems of clozapine monitoring.
探讨一家安全型精神卫生机构的工作人员和患者对氯氮平监测的看法与理解，并确定监测的障碍因素和促进因素。对17名工作人员和6名患者进行了定性半结构式访谈和焦点小组讨论。
确定了六个关键主题。有效监测的关键促进因素是工作人员帮助患者实现独立并促进康复的积极性。一个重要障碍是不同工作人员群体在监测中的角色不够明确。工作人员和患者广泛支持设立住院氯氮平诊所，并认为这将帮助患者为出院做好准备。
住院氯氮平诊所在安全环境中是氯氮平监测的有力机制。这里确定的障碍因素和促进因素可应用于其他安全型机构，以指导其氯氮平监测系统。
