Journal Article

At Issue: Management of Medication Noncompliance in Schizophrenia by Families in India

Tirupati N. Srinivasan and Rangaswamy Thara

in Schizophrenia Bulletin

Published on behalf of Maryland Psychiatric Research Center

Volume 28, issue 3, pages 531-535
Published in print January 2002 | ISSN: 0586-7614
Published online January 2002 | e-ISSN: 1745-1701 | DOI:
At Issue: Management of Medication Noncompliance in Schizophrenia by Families in India

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Noncompliance with medication during a symptomatic phase is a common problem in the treatment of schizophrenia patients. In India, a majority of patients live with their families and those families supervise patients' medication intake. In a study of patients attending an urban outpatient care center in India, it was noted that when the patients were acutely ill and refused to take medication, the families administered medication to them without patients' knowledge, under the supervision of the psychiatrist. This method had been practiced by families in half the cases of patient noncompliance. Many families felt that there was no other viable alternative under the circumstances. Only a minority of patients was aware of having received medication through this method, and many of them reacted negatively to it. However, the patients were subsequently taking treatment voluntarily following the reduction in the severity of the behavioral disorder with the involuntary treatment. The issues involved in this form of treatment are discussed with regard to the social and health care environment in the country.

Keywords: Medication compliance; involuntary treatment; outpatient; schizophrenia; India

Journal Article.  0 words. 

Subjects: Child and Adolescent Psychiatry

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