{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T23:43:14Z","timestamp":1769125394614,"version":"3.49.0"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,11,6]],"date-time":"2014-11-06T00:00:00Z","timestamp":1415232000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000401","name":"Pharmacy Practice Research Trust","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000401","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To compare sole nurse and doctor\u2010led multidisciplinary team delivery of community clozapine services for people with treatment\u2010resistant schizophrenia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Around 20% of people with schizophrenia are treatment resistant and fail to respond to front line medications. Clozapine, a second\u2010line treatment, has potentially serious side effects requiring regular monitoring. Different models of community clozapine services are emerging in the British National Health Service, but there is little evidence about which is best.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Questionnaire survey of service users.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients on the lists of seven clozapine clinics (four sole nurse, three multidisciplinary team) in one trust were invited to participate, 2009\u20132010. Forward stepwise regression was used to investigate associations between patient well\u2010being, functioning, self\u2010efficacy and satisfaction, and clinic model attended, controlling for socio\u2010demographic and health characteristics and processes of care. Use (and costs) of other health and social services accessed was compared between models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010six service users (35% participation rate) responded. Well\u2010being and functioning were associated with patient characteristics and processes of care, not clinic model. Patients managed by sole nurses reported, over 3\u00a0months: more community psychiatric nurse visits and hospital psychiatrist appointments. Clinic list size affects costs per patient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Multidisciplinary team delivery may reduce use of other services. Although multidisciplinary team delivery is regarded as best practice, sole nurses can effectively provide clozapine services and may be warranted in areas of low population density.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.12527","type":"journal-article","created":{"date-parts":[[2014,11,7]],"date-time":"2014-11-07T02:35:19Z","timestamp":1415327719000},"page":"547-558","source":"Crossref","is-referenced-by-count":10,"title":["Comparison of sole nurse and team\u2010delivered community clozapine services for people with treatment\u2010resistant schizophrenia"],"prefix":"10.1111","volume":"71","author":[{"given":"Heather","family":"Gage","sequence":"first","affiliation":[{"name":"School of Economics University of Surrey Guildford Surrey UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Family","sequence":"additional","affiliation":[{"name":"Department of Pharmacy and Pharmacology University of Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fenella","family":"Murphy","sequence":"additional","affiliation":[{"name":"School of Economics University of Surrey Guildford Surrey UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Mathematics University of Surrey Guildford Surrey UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Sutton","sequence":"additional","affiliation":[{"name":"Department of Pharmacy and Pharmacology University of Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Pharmacy and Pharmacology University of Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,11,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.171.2.125"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0083539"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/17522430903505966"},{"key":"e_1_2_11_5_1","first-page":"63","volume-title":"International Outcome Measures in Mental Health: Quality of Life, Needs, Service Satisfaction, Costs and Impact on Carers","author":"Chisholm D.","year":"2006"},{"key":"e_1_2_11_6_1","unstructured":"CurtisL.(2009)Unit costs of health and social care 2009. 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