Shaping Psychiatric Pharmacy Through Stewardship and Standardized Outcomes

Course Description

The American Association of Psychiatric Pharmacists (AAPP) seeks to ensure every patient with a mental health and substance use disorder have their medications reviewed, optimized, and/or managed by a psychiatric pharmacist. Psychotropic Stewardship Programs (PSPs) include a psychiatric pharmacist as part of the psychotropic stewardship team. The Board Certified Psychiatric Pharmacist (BCPP) credential is the gold standard for psychiatric pharmacists, and BCPPs must drive the development of psychotropic stewardship teams to promote the safe and effective use of psychotropic medications that can improve the lives of our patients. Implementation of PSPs play a key role in the advancement of psychiatric pharmacy practice.

The Core Outcome Set (COS) assists psychiatric pharmacists in the development, assessment, and dissemination of outcomes research. These outcomes can be used to generate meaningful data that demonstrates the value of the psychiatric pharmacist and their contribution on the patient care team. The tools outlined can be applied to a variety of practice settings and patient populations. Utilization of these tools will help guide BCPPs in their work to develop PSPs to implement core outcomes, document successes, and generate support to enhance patient care and impact regulatory standards across health-systems.

Learning Objectives

  1. Define the strategic goals linking a Core Outcome Set for psychiatric pharmacy and Psychotropic Stewardship.
  2. Explain the Core Outcome Set development process.
  3. Recognize the Core Outcome Set and appropriate outcome measures.
  4. Define psychotropic stewardship and its role in promoting improved patient outcomes.
  5. Describe strategies to develop and implement psychotropic stewardship programs.

Target Audience

If you are a pharmacist, nurse practitioner, or other health care professional involved in the comprehensive medication management of individuals living with mental health and/or substance use disorders, we invite you to participate in this online course.

Faculty

Robert Haight, PharmD, BCPP
Kristina Reinstatler, PharmD, MBA, BCPP
View biographical information

Robert Haight, PharmD, BCPP
Clinical Pharmacist | Forensic Services
Saint Peter Regional Treatment Center (SPRTC), Minnesota Department of Human Services
Saint Peter, MN

Dr. Robert Haight earned a Doctor of Pharmacy from the University of Minnesota, College of Pharmacy in 1998 and completed a residency in Psychopharmacology Research at Regions Hospital, Saint Paul, Minnesota in 1999. Dr. Haight worked at the University of Minnesota Medical Center (UMMC) in Minneapolis, Minnesota as a Clinical Pharmacy Specialist in Psychiatry from 2001 to 2020. In May 2020 he joined the Minnesota Department of Human Services and currently spends 75% of his time working with patients with intellectual and developmental disabilities at the Southern Cities Clinic, Faribault, MN and 25% in Forensic Services at Saint Peter Regional Treatment Center (SPRTC). Dr. Haight is the SPRTC residency coordinator for the Minnesota Direct Care and Treatment, PGY2 Psychiatric Pharmacy Residency Program. He is also a Clinical Assistant Professor at the University of Minnesota, College of Pharmacy. As an active member of AAPP he has served a number of roles including President, Treasurer, Program Committee Chair, and Resident and New Practitioner Committee Chair. His interests include the use of shared decision-making aids and psychotropic stewardship. He enjoys working with patients in all areas of behavioral health but finds the treatment of patients with schizophrenia, developmental disabilities, and dementia most rewarding.

Kristina Reinstatler, PharmD, MBA, BCPP
Clinical Pharmacy Specialist
UC Health University of Cincinnati Medical Center
UC Health UCMC Psychiatric Services
Cincinnati, OH

Krissy Reinstatler earned her doctorate of pharmacy from the University of Cincinnati and completed her pharmacy practice residency at the Chillicothe VA. Since 2011, she has worked as the Clinical Pharmacy Specialist for Psychiatry and Addiction Sciences at University of Cincinnati Medical Center. Dr. Reinstatler serves as an adjunct professor at UC’s colleges of pharmacy and nursing. Her research interests include agitation management, patient outcomes with long-acting injectable antipsychotics, and racial disparities in mental health treatment. Currently, Dr. Reinstatler is the chair of AAPP’s Core Outcome Set (COS) task force and will be joining the AAPP Board of Directors in 2023 as Member-At-Large.

Course Requirements

To receive ACPE credit for this session, you must:

  • Register for this course.
  • Review the full content of the activity and reflect upon its teachings.
  • Complete the evaluation at the end of the activity.
  • Provide the necessary details in your profile to ensure correct reporting by AAPP to CPE Monitor.

Continuing Education Credit and Disclosures

Activity Date: 04/18/2023
ACPE Contact Hours: 1
ACPE Number: 0284-0000-23-039-H99-P (Knowledge)
Nursing Credit Reminder: Note that ACPE credit is accepted for ANCC Certification Renewal and AANPCB advanced practice provider content. For specific questions related to your organization's acceptance of ACPE continuing education units, please contact your organization directly.

ACPEThe American Association of Psychiatric Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

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AAPP owns the copyright, is licensed or has received permissions for use of, or is otherwise permitted to use copyrighted materials within any CPE activity. Authors and speakers are required to obtain necessary copyright permissions for content in CPE activities. AAPP complies with copyright laws and regulations.

Questions? Contact AAPP.

View planning committee disclosures

2023 Program Committee and Recertification Editorial Board

Elayne D. Ansara, PharmD, BCPP, BCPS
Program Committee Chair
Clinical Pharmacy Specialist
Veteran Health Indiana
Indianapolis, IN
No Relevant Financial Relationships to Disclose
Jolene R. Bostwick, PharmD, BCPP, BCPS
Program Administrative Chair
Assistant Dean for Co-Curriculum and Professional Development & Clinical Professor
University of Michigan College of Pharmacy
Ann Arbor, MI
No Relevant Financial Relationships to Disclose

Bridget Bradley, PharmD, BCPP
Associate Professor
Pacific University School of Pharmacy
Hillsboro, OR
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: ACCP PSAP May 2021, Neurology and Psychiatry Book
Educational Grants, Research Grants or Contracts: NACDS Community Pharmacy Residency Grant

Austin R. Campbell, PharmD, BCPP
Clinical Assistant Professor
UMKC School of Pharmacy at MU
Columbia, MO
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Sunovion Pharmaceuticals Inc. Speakers Bureau
Financial Interests: Up To Date Contributor "Pharmacotherapy for schizophrenia: Long-acting injectable antipsychotic drugs"
Non-Financial Interests: Extension for Community Healthcare Outcomes, Show-Me ECHO Project

Chelsea N. Carr, PharmD, BCPP
Advanced Practice Pharmacist - Psychiatry
University of Maryland School of Pharmacy
Catonsville, MD
No Relevant Financial Relationships to Disclose
Dana Chiulli, PharmD, BCPP
Clinical Pharmacist - Mental Health
VISN 06 Mental Health Clinical Resource Hub
Savannah, GA
No Relevant Financial Relationships to Disclose
Jordan Cooler Haygood, PharmD, BCPP
Clinical Assistant Professor
University of South Carolina College of Pharmacy
Columbia, SC
No Relevant Financial Relationships to Disclose
Marissa Cullen, PharmD, BCPP
Clinical Pharmacist
UPMC Western Psychiatric Hospital
Pittsburgh, PA
No Relevant Financial Relationships to Disclose
Beth DeJongh, PharmD, BCPP, BCPS
Recertification Editorial Board Chair
Pharmacist
Concordia University Wisconsin
Mequon, WI
No Relevant Financial Relationships to Disclose

Bennett J. Doughty, PharmD, BCPP, BCPS
Clinical Assistant Professor
Binghamton University School of Pharmacy and Pharmaceutical Sciences
Binghamton, NY
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Achieve CE - CE provided for compensation, PsychU- Speaker's Bureau
Non-Financial Interests: New York State American College of Clinical Pharmacists Executive Board

Traci M. Dutton, PharmD, BCPP, BCPS
Clinical Pharmacy Specialist - Mental Health; Program Director - PGY2 Psychiatric Pharmacy Residency
VA Tennessee Valley Healthcare System
Murfreesboro, TN
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Member of VA PBM Educational Advisory Committee
which oversees Board Certification Study Groups

Megan J. Ehret, PharmD, BCPP, MS
BCPP Program Director
Professor
University of Maryland
Baltimore, MD
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Psych U Section Advisor, Lexi-Comp Consultant/Reviewer,
SMI Adviser; Pharmacist Consultant
Educational Grants, Research Grants or Contracts: FDA/University of Maryland CERSI, Maryland Behavioral Health Department, NIH

Kimberly Ehrhard, PharmD
Clinical Pharmacist, Psychiatry
The University of Kansas Health System
Kansas City , KS
No Relevant Financial Relationships to Disclose
Michelle L. Geier, PharmD, BCPP
Psychiatric Clinical Pharmacist Supervisor
San Francisco Department of Public Health
San Francisco, CA
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Weitzman Institute Project ECHO Faculty
Abigail Hampton, PharmD, BCPP
Psychiatric Clinical Pharmacist - Ambulatory
University of Kansas Health System
Kansas City, KS
No Relevant Financial Relationships to Disclose
Courtney A. Iuppa, PharmD, BCPP
Clinical Pharmacy Manager & Residency Program Director
Center for Behavioral Medicine
Kansas City, MO
No Relevant Financial Relationships to Disclose
Archana R. Jhawar, PharmD, BCPP
Clinical Pharmacist
Jesse Brown VAMC/ UIC College of Pharmacy
Chicago, IL
No Relevant Financial Relationships to Disclose
Kayla D. Johnson, PharmD, BCPP, BCPS
Vanderbilt University Medical Center
Thompsons Station, TN
No Relevant Financial Relationships to Disclose
Farah E. Khorassani, PharmD, BCPP
Associate Clinical Professor
St. John's University
Queens, NY
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Consultant- Alkermes (Sept 2021)
Dongmi Kim, PharmD, BCPP, BCPS
Assistant Clinical Professor
Fairleigh Dickinson University School of Pharmacy
Florham Park, NJ
No Relevant Financial Relationships to Disclose
Jamie C. Kneebusch, PharmD, BCPP, BCPS
Assistant Clinical Faculty
UC San Diego, Skaggs School of Pharmacy
La Jolla, CA
No Relevant Financial Relationships to Disclose
Erin D. Knox, PharmD, BCPP
Director of Experiential Education
UCI School of Pharmacy & Pharmaceutical Sciences
Irvine, CA
Non-Financial Interests: Santa Ana Community College, Pharmacy Technology Program, Advisory Committee
Lauren E. Leiby, PharmD, BCPP
Behavioral Health Patient Care Pharmacist
Nationwide Childrens Hospital
Columbus, OH
No Relevant Financial Relationships to Disclose
Amber R. Lemons, PharmD, BCPP
Behavioral Health Pharmacist
Denver Health Medical Center
Denver, CO
No Relevant Financial Relationships to Disclose
Linda D. Logan, PharmD, BCACP, BCPP, BCPS
Public Service Associate
University of Georgia
Athens, GA
Educational Grants, Research Grants or Contracts: HRSA Graduate Psychology Education Grant, CPNP Foundation Student Grant (Advisor),
UGA College Pharmacy Ansel Fund
Monica Mathys, PharmD, BCGP, BCPP
Professor
Texas Tech University School of Pharmacy
Dallas, TX
Non-Financial Interests: CPNP Foundation Board member

Lindsey N. Miller, PharmD, BCPP
Clinical Pharmacist and Associate Professor
Lipscomb University and Vanderbilt Psychiatric Hospital
Nashville, TN
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Social Security Administration- Board of Adjudication: Presentations on various disease states
Financial Interests: Pharmacy Times Panel Discussant- Payer Forum Sponsored by Alkermes (January 2020),
Pharmacy Times- CE Presentation Sponsored by Otsuka (August 2019)

Melissa Mitchell, PharmD, BCGP, BCPP, BCPS
Assistant Director of Pharmacy;Residency Program Director
RUHS Medical Center
Moreno Valley , CA
External Consultant Activities, Advisory Panels, Speakers Bureaus, etc.: Neurocrine Speakers Bureau - Ingrezza, Janssen Speakers Bureau - Spravato,
Otsuka - PsychU.org Speaker
Thea R. Moore, PharmD, BCPP
Associate Professor
University of South Florida
Tampa, FL
No Relevant Financial Relationships to Disclose
Jessica L. Mulhollan, PharmD, BCPP
Clinical Pharmacy Specialist, Substance Use Disorders and Mental Health Clinical Pharmacy Supervisor
Louis Stokes Cleveland VA Medical Center
Cleveland, OH
No Relevant Financial Relationships to Disclose
Kristen Neumeister, PharmD, BCPP
Clinical Pharmacist- Mental Health
John Peter Smith Hospital
Fort Worth, TX
No Relevant Financial Relationships to Disclose
Megan O'Connell, PharmD, BCPP
Advanced Practice Pharmacist - Psychiatry
University of Maryland - Clifton T. Perkins Hospital
jessup, MD
No Relevant Financial Relationships to Disclose
Melissa C. Palmer, PharmD, BCPP, BCPS
Clinical Pharmacy Specialist - Mental Health
Alaska VA Healthcare System
Anchorage, AK
No Relevant Financial Relationships to Disclose
Haley Pals, PharmD, BCPP
Substance Use Disorder/Psychiatric Clinical Pharmacist
Tomah VA Medical Center
Tomah, WI
No Relevant Financial Relationships to Disclose
Brittany L. Parmentier, PharmD, BCPS, BCPP
Clinical Assistant Professor
University of Texas at Tyler
Tyler, TX
No Relevant Financial Relationships to Disclose
Jake R. Peters, PharmD, BCPP, BCPS
Assistant Professor of Pharmacy Practice/Clinical Pharmacy Specialist - Psychiatry
Butler University College of Pharmacy/Indiana University Health
Indianapolis, IN
No Relevant Financial Relationships to Disclose
Lindsey Peters, PharmD, BCPS
Associate Professor of Pharmacy Practice
Ohio Northern University
Ada, OH
No Relevant Financial Relationships to Disclose
Sarah J. Popish, PharmD, BCPP
Academic Educator
Department of Veterans Affairs
Vallejo, CA
No Relevant Financial Relationships to Disclose
Nina Vadiei, PharmD, BCPP
Assistant Professor
University of Arizona Colleges of Pharmacy and Medicine
Tucson, AZ
No Relevant Financial Relationships to Disclose
Heidi J. Wehring, PharmD, BCPP
Adjunct Associate Professor of Psychiatry
Maryland Psychiatric Research Center, University of Maryland School of Medicine
Baltimore, MD
No Relevant Financial Relationships to Disclose
Kara R. Wong, PharmD, BCPP
Clinical Pharmacy Specialist, Mental Health; PGY2 Psychiatric Pharmacy Residency Program Director
Minneapolis VA Health Care System
Minneapolis, MN
No Relevant Financial Relationships to Disclose

All relevant relationships have been mitigated.

View disclaimer and disclosure of off-label use

Off-Label Use: This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA (see faculty information). The opinions expressed in the educational activity do not necessarily represent the views of AAPP and any educational partners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer: Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

View fair balance and integrity statement

It is the policy of AAPP to ensure independence, balance, objectivity, scientific rigor, and integrity in continuing education activities. Those involved in the development of this continuing education activity have made all reasonable efforts to ensure that information contained herein is accurate in accordance with the latest available scientific knowledge at the time of accreditation of this continuing education activity. Information regarding drugs (e.g., their administration, dosages, contraindications, adverse reactions, interactions, special warnings, and precautions) and drug delivery systems is subject to change, however, and the reader is advised to check the manufacturer’s package insert for information concerning recommended dosage and potential problems or cautions prior to dispensing or administering the drug or using the drug delivery systems.

Fair balance is achieved through ongoing and thorough review of all materials produced by faculty, and all educational and advertising materials produced by supporting organizations, prior to educational offerings. Approval of credit for this continuing education activity does not imply endorsement by AAPP for any product or manufacturer identified.