Patient adherence to antipsychotic medications

Patients with schizophrenia often require medication—such as antipsychotics—to control the symptoms of their disease. However, adherence to these medications has been poor. Valenstein et al. (2004) estimate that 40% of patients are non-compliant with therapy [i.e., mediation possession ratio (MPR)<0.8]. Why are schizophrenia patients likely to be non-complient to antipsychotic therapy? One key reason is…

Coordinating Federal Efforts for Patients with Serious Mental Illness

Following up a December 2014 Government Accountability Office (GAO) report, testimony last week Linda T. Kohn, Director of Health Care at the GAO describes how fragmented the federal government provides very fragmented support services care for individuals with serious mental illness.  Coordinate across agencies is lacking and few agencies have conducted evaluations of their programs. Agencies identified 112 federal programs…

Does poor mental health decrease your job prospects?

Conventional wisdom holds that individuals with serious mental illenesses will have more difficulty acquiring and retaining a job.  Measuring the magnitude of the effect of any mental illness on employment empirically is difficult because of a dual-causality problem.  People with mental illnesses may have difficulty gaining employment, but losing employment also has an adverse effect on…

Can you inherit a mental illness?

According to this JHE study by Johnston, Schurer and Shileds, the answer is ‘yes’. Importantly, we estimate an intergenerational correlation coefficient in mental health of 0.190, which means that a one-standard-deviation decrease in maternal mental health (measured when the cohort member was a child) is associated with a 0.19 standard deviation decrease in the child’s…