Log in with your email address username.

×

Attention doctorportal newsletter subscribers,

After December 2018, we will be moving elements from the doctorportal newsletter to MJA InSight newsletter and rebranding it to Insight+. If you’d like to continue to receive a newsletter covering the latest on research and perspectives in the medical industry, please subscribe to the Insight+ newsletter here.

As of January 2019, we will no longer be sending out the doctorportal email newsletter. The final issue of this newsletter will be distributed on 13 December 2018. Articles from this issue will be available to view online until 31 December 2018.

Reducing off-label prescribing in psychiatry

- Featured Image

Practitioners need to consider the evidence for pharmacological options before prescribing medications off label

There are few more controversial topics in mental health than what constitutes evidence-based prescribing. Medications not indicated for common conditions like anxiety or depression, or particular age groups such as the young or old, are often prescribed for these conditions or age groups. Consequently, strident calls for clamping down on such “off-label” prescribing are common. Three drivers are behind these public and professional concerns.

First, precision in diagnostic and therapeutic practice is hard to achieve because of low reliability and questionable validity of the major diagnostic groupings.13

Second, a wide gap persists between the number of people affected by mental disorders and the number who demand and receive care.4 In Australia, the continuing growth in demand for clinical services extends across all age groups for psychological as well as pharmacological interventions.5,

email