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Study on covert administration of medications practices among persons with severe mental illness: A cross-sectional study

Author

Listed:
  • Prakyath R Hegde
  • Guru S Gowda
  • Bhavika Vajawat
  • Vinay Basavaraju
  • Sydney Moirangthem
  • Channaveerachari Naveen Kumar
  • Suresh Bada Math

Abstract

Background: Covert administration of medication (CoAdM) by caregivers to persons with severe mental illness (SMI) is a commonly observed medication delivery practice in India. Aims: This study aims to examine different medication delivery practices adopted by caregivers to provide care to SMI at times of medication refusal. Method: This study was conducted at the outpatient department between April 2019 and November 2019. A semi-structured questionnaire was used to interview the caregivers of persons with SMI to assess medication delivery practices. Results: A total of 300 caregivers were interviewed. CoAdM was practiced in 96 (32.0%) persons with SMI at least once during their lifetime, and other strategies used were pleading ( n  = 105, 35.0%), lying ( n  = 10, 3.3%), and threatening ( n  = 154, 51.4%). Logistic regression showed that male gender (OR 4.75; CI 1.37–16.46), absent insight (OR 10.0; CI 2.01–47.56), and poor adherence to medication (OR 4.75; CI 1.31–16.92) were significantly associated with CoAdM in the last 1 year. Caregivers perceived significant improvement in self-care ( Z  = −4.37, p  

Suggested Citation

  • Prakyath R Hegde & Guru S Gowda & Bhavika Vajawat & Vinay Basavaraju & Sydney Moirangthem & Channaveerachari Naveen Kumar & Suresh Bada Math, 2023. "Study on covert administration of medications practices among persons with severe mental illness: A cross-sectional study," International Journal of Social Psychiatry, , vol. 69(1), pages 28-37, February.
    • Handle: RePEc:sae:socpsy:v:69:y:2023:i:1:p:28-37
    DOI: 10.1177/00207640211065675
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