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National Report Ranks Oklahoma as a Top State for Mental Health Services
Date:7/21/2009

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  • 72 percent decrease in the number of patients who were prescribed the same mental health medications from multiple doctors;
  • 61 percent decrease in the number of patients who were on two or more antipsychotics for 45 or more days; and
  • 52 percent decrease in the number of multiple prescribers of any psychotropic for 45 or more days.

The same analysis showed that, between August 2004 and December 2007, Oklahoma may have avoided $12.3 million in behavioral health pharmacy costs that would have been incurred had the state not intervened.(2)

"OHCA is pleased that the SoonerPSYCH collaboration with ODMHSAS was specifically cited in the NAMI report card. Our ongoing partnership continues to result in positive outcomes for our members," said Dr. Lynn Mitchell, Oklahoma Medicaid director.

How the Program Works

First launched in 2004, the SoonerPSYCH program evaluates Medicaid pharmacy claims on more than 400 mental health medications. It identifies prescribing patterns that are inconsistent with national, evidence-based best practice guidelines, including those published in peer-reviewed medical journals. When there is an inconsistency with what is considered best prescribing practice, SoonerPSYCH sends an educational mailing that highlights the research and best practice information in a concise document for the physician's review and consideration at the next visit with the patient.

Some of the inconsistent patterns the program has identified include premature discontinuation of a medication, rapid switching from one medication to another, prescribing above or below recommended dosing levels, and prescribing multiple medications from the same therapeutic class.

SoonerPSYCH also alerts physicians when patients receive the same medication from two different doctors, and informs physicia
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SOURCE Eli Lilly and Company
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