Developing iSWITCHED (Implementing SWITCHing EDucational Intervention): A Co-Designed Intervention to Support Safer Antipsychotic Switching in Severe Mental Illness
Aims: Individuals with severe mental illness (SMI) face two–three times higher-risk of early death; over 60% are deaths linked to preventable physical health issues. Commonly prescribed antipsychotics (APs) like olanzapine, quetiapine, and risperidone effectively manage mental health (MH) symptoms...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-06-01
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| Series: | BJPsych Open |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472425101579/type/journal_article |
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| _version_ | 1849708892912615424 |
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| author | Prachi Kaistha Megan Beddow Tom Kingstone Ian Maidment Saeed Farooq |
| author_facet | Prachi Kaistha Megan Beddow Tom Kingstone Ian Maidment Saeed Farooq |
| author_sort | Prachi Kaistha |
| collection | DOAJ |
| description | Aims:
Individuals with severe mental illness (SMI) face two–three times higher-risk of early death; over 60% are deaths linked to preventable physical health issues. Commonly prescribed antipsychotics (APs) like olanzapine, quetiapine, and risperidone effectively manage mental health (MH) symptoms but carry serious cardiometabolic risks. Although lower-risk APs have been available for nearly a decade, most patients remain on higher-risk APs as switching to improve cardio-metabolic side-effects is rarely implemented due to clinician uncertainty and relapse concerns. We aimed to co-design an educational intervention to support clinicians in evidence-based AP switching, incorporating input from clinicians, patients and caregivers. |
| format | Article |
| id | doaj-art-14848a455e4f42ab8a6ed233ccdb5246 |
| institution | DOAJ |
| issn | 2056-4724 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj-art-14848a455e4f42ab8a6ed233ccdb52462025-08-20T03:15:29ZengCambridge University PressBJPsych Open2056-47242025-06-0111S48S4910.1192/bjo.2025.10157Developing iSWITCHED (Implementing SWITCHing EDucational Intervention): A Co-Designed Intervention to Support Safer Antipsychotic Switching in Severe Mental IllnessPrachi Kaistha0Megan Beddow1Tom Kingstone2Ian Maidment3Saeed Farooq4Keele University, Keele, United KingdomKeele University, Keele, United KingdomKeele University, Keele, United KingdomAston University, Birmingham, United KingdomKeele University, Keele, United KingdomAims: Individuals with severe mental illness (SMI) face two–three times higher-risk of early death; over 60% are deaths linked to preventable physical health issues. Commonly prescribed antipsychotics (APs) like olanzapine, quetiapine, and risperidone effectively manage mental health (MH) symptoms but carry serious cardiometabolic risks. Although lower-risk APs have been available for nearly a decade, most patients remain on higher-risk APs as switching to improve cardio-metabolic side-effects is rarely implemented due to clinician uncertainty and relapse concerns. We aimed to co-design an educational intervention to support clinicians in evidence-based AP switching, incorporating input from clinicians, patients and caregivers.https://www.cambridge.org/core/product/identifier/S2056472425101579/type/journal_article |
| spellingShingle | Prachi Kaistha Megan Beddow Tom Kingstone Ian Maidment Saeed Farooq Developing iSWITCHED (Implementing SWITCHing EDucational Intervention): A Co-Designed Intervention to Support Safer Antipsychotic Switching in Severe Mental Illness BJPsych Open |
| title | Developing iSWITCHED (Implementing SWITCHing EDucational Intervention): A Co-Designed Intervention to Support Safer Antipsychotic Switching in Severe Mental Illness |
| title_full | Developing iSWITCHED (Implementing SWITCHing EDucational Intervention): A Co-Designed Intervention to Support Safer Antipsychotic Switching in Severe Mental Illness |
| title_fullStr | Developing iSWITCHED (Implementing SWITCHing EDucational Intervention): A Co-Designed Intervention to Support Safer Antipsychotic Switching in Severe Mental Illness |
| title_full_unstemmed | Developing iSWITCHED (Implementing SWITCHing EDucational Intervention): A Co-Designed Intervention to Support Safer Antipsychotic Switching in Severe Mental Illness |
| title_short | Developing iSWITCHED (Implementing SWITCHing EDucational Intervention): A Co-Designed Intervention to Support Safer Antipsychotic Switching in Severe Mental Illness |
| title_sort | developing iswitched implementing switching educational intervention a co designed intervention to support safer antipsychotic switching in severe mental illness |
| url | https://www.cambridge.org/core/product/identifier/S2056472425101579/type/journal_article |
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