The nurse manager of a mental health centre wants to improve medication adherence among the seriously mentally ill persons treated there. Which interventions are likely to help achieve this goal? Select all that apply.

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Trust in one's providers is a key factor in treatment adherence, and mentally ill people can sometimes take a very long time to develop such trust; therefore, interventions that stabilize staffing allow patients to have more time with staff to develop these bonds. Actively manage adverse effects to avert or minimize patient distress, which could result in nonadherence. Many patients with SMI have anosognosia and do not adhere to treatment because they believe they are not ill; telling them nonadherence will worsen an illness they do not believe they have is unlikely to be helpful. Increasing medication education is helpful only when the cause of nonadherence is a knowledge deficit. Other issues that reduce adherence, particularly anosognosia and adverse effects, are seldom helped by longer medication education. Requiring medication adherence to participate in other programs is coercive and unethical. Smaller, more frequent doses do not reduce adverse effects and make the regimen more difficult for the patient to remember.

The Nurse Manager of a Mental Health Centre Wants to Improve