Happy new year everyone. Te Pou offices are now open for 2021. 

Happy new year everyone. Te Pou offices are now open for 2021. 

Equally Well prescribing toolkit

Resources to inform a shared approach for the prescribing of medication

Te Pou has collaborated with the Royal New Zealand College of General Practitioners and Wellbeing Wellington to develop this toolkit to assist the conversations between a prescribing health professional and a person accessing their service about wellbeing and physical health. This includes specific implications of the medication(s) they are, or may be, prescribed and information on what could be involved in discontinuing the medication.

The toolkit comprises:

  • a video of a person talking with their general practitioner (GP)
  • resources for GPs and GP educators to use for education and workforce development.  

Video resource addressing mental health for GPs and their patients

A video modelling a prescribing conversation between a patient and her GP and showing how primary care professionals can use wellbeing-focussed prescribing.


Clinical guidelines for management of psychosis

Galletly, C., Castle, D. and Dark, F. et al. (2016). Royal Australia and New Zealand College of Psychiatrists. Schizophrenia and related disorders: clinical practice guideline and associated resources.

Health Improvement Scotland. National Clinical Guidance. Scottish Intercollegiate Guidelines Network (2013). SIGN 131 Management of Schizophrenia. A national clinical guideline

Research articles: Prescribing anti-psychotic medication

Bond, C., Blenkinsopp, A. and Raynor, D. K. (2012). Prescribing and partnership with patients. British journal of clinical pharmacology. Oct 1;74(4):581-8. DOI: 10.1111/j.1365-2125.2012.04330.

Hughes, L. (2014). Shared decision making in antipsychotic prescribing. National Elf Service.

Morant, N., Azam, K., Johnson, S. and Moncrieff, J. (2017). The least worst option: user experiences of antipsychotic medication and lack of involvement in medication decisions in a UK community sample. Journal of Mental Health. Aug 30:1-7. DOI:10.1080/09638237.2017.1370637.

Morrison, A. P., Hutton, P., Shiers, D. and Turkington, D. (2012). Antipsychotics: is it time to introduce patient choice? The British Journal of Psychiatry.  August 201(2): 83-84. DOI: 10.1192/bjp.bp.112.112110

Murray, R. M., Quattrone, D., Natesan, S., van Os, J., Nordentoft, M., Howes, O., Di Forti, M. and Taylor D. Should psychiatrists be more cautious about the long-term prophylactic use of antipsychotics? The British Journal of Psychiatry.  Nov 1;209(5):361-5. DOI: 10.1192/bjp.bp.116.182683

National Association of State Mental Health Program Directors. Optimising Medication Management for Persons who experience first episode psychosis Substance. Cited January 2018. This brochure contains the link to: An Option Grid for medication choices for people who experience a first episode psychosis.

Ness, O., Borg, M., Semb, R. and Karlsson, B. (2014). Walking alongside: collaborative practices in mental health and substance use care. International journal of mental health systems. Dec 17;8(1):55

Younas, M., Bradley, E., Holmes, N., Sud, D. and Maidment, I. D. (2016). Mental health pharmacists’ views on shared decision-making for antipsychotics in serious mental illness. International journal of clinical pharmacy. Oct 1;38(5):1191-9. DOI: 10.1007/s11096-016-0352-z.

Clinical resources for people accessing services

Green, C. A., Yarborough, B. J., Leo, M. C., Yarborough, M. T., Stumbo, S. P., Janoff, S. L., Perrin, N. A., Nichols, G. A. and Stevens, V. J. (2014). The STRIDE weight loss and lifestyle intervention for individuals taking antipsychotic medications: a randomized trial. American Journal of Psychiatry [serial online]. 172(1):71-81. DOI: 10.1176/appi.ajp.2014.14020173.

The Royal Australian and New Zealand College of Psychiatrists. Antipsychotic medication. Cited 16 January, 2018.

The Royal Australian and New Zealand College of Psychiatrists. Physical health for people with mental illness. Cited 16 January, 2018

The Royal Australian and New Zealand College of Psychiatrists. Your first Appointment. Cited 16 January, 2018.

Pharmacological guidelines: Deprescribing 

Farrell, B., Pottie, K., Rojas-Fernandez, C. H., Bjerre, L. M., Thompson, W. and Welch, V. (2016). Methodology for developing deprescribing guidelines: using evidence and GRADE to guide recommendations for deprescribing. PloS one. 11(8):e0161248

Reeve, E., Shakib, S., Hendrix, I., Roberts, M. S. and Wiese, M. D. (2014). Review of deprescribing processes and development of an evidence‐based, patient‐centred deprescribing process. British journal of clinical pharmacology [serial online]. 78(4):738-47

Research articles: Discontinuation and withdrawal

Berman, B. D. (2011). Neuroleptic malignant syndrome: a review for neurohospitalists. The Neurohospitalist. January 2011;1(1):41-7. DOI: 10.1177/1941875210386491

Hall, W. (2012). Harm Reduction Guide for Coming off Psychiatric Drugs. The Icarus Project and Freedom Centre

Larsen-Barr, M. (2016). Experiencing Antipsychotic Medication: From First Prescriptions to Attempted Discontinuation. Auckland: University of Auckland

Mind. (2016). Antipsychotics

Ostrow, L. Psychiatric Medication Discontinuation Study Results. Live & Learn creative data driven solutions for a liveable, learning society.

Research articles: Hearing voices – service users’ experiences and support

Council for Evidence-Based Psychiatry. Rachel’s Story

Everything Matters Beyond Meds. (2014). Open Dialogue: Alternative healing for psychosis

Hall, W. Open Dialogue. A collection of resources on Open Dialogue and Open Dialogue practices.

Hearing Voices Network Aotearoa NZ - Te Reo Orooro.  

Longden, E. (2013). The voices in my head

Longden, E., Read, J. and Dillon, J. (2016). Improving Community Mental Health Services: The Need for a Paradigm Shift. Isr J Psychiatry Sci . 53(1): 22 -30.

NiaNia, W., Bush, A. and Epston, D. (2017). Collaborative and Indigenous Mental Health Therapy. Taitaihono- Stories of Maori Healing and Psychiatry. New York: Routledge.

The International Hearing Voices Network. A practical guide to coping with hearing voices

The Institute for Dialogic Practice. About Open Dialogue. Cited 15 February, 2018

Research articles: Physical health

Erlangsen, A., Andersen, P. K., Toender, A., Laursen, T. M., Nordentoft, M. and Canudas-Romo, V. (2017). Cause-specific life-years lost in people with mental disorders: a nationwide, register-based cohort study. The Lancet Psychiatry. 4(12):937-45.  

Firth, J., Carney, R., Stubbs, B., Teasdale, S. B., Vancampfort, D., Ward, P. B., Berk, M. and Sarris, J. (2017). Nutritional Deficiencies and Clinical Correlates in First-Episode Psychosis: A Systematic Review and Meta-analysis. Schizophrenia bulletin

International Physical Health in Youth working group. (2013). Healthy Active Lives Consensus statement.

Merrick, J. and Merrick, E. (2007). Equal Treatment: Closing the Gap. A Formal Investigation into Physical Health Inequalities Experienced by People with Learning Disabilities and/or Mental Health Problems. Journal of Policy and Practice in Intellectual Disabilities. 4: 73-73. doi:10.1111/j.1741-1130.2006.00100.x.
National Institute for Health and Care Excellence (2015). Quality statement 6: Assessing physical health

Royal College of Psychiatrists. Right from the start. Keeping your body in mind. A guide for people experiencing psychosis for the first time and the people who care for them. Cited 16 January, 2018.

Te Pou o te Whakaaro Nui. (2017). The physical health of people with mental health conditions and/or addiction Summary evidence update.

Te Pou o te Whakaaro Nui. (2017). The physical health of people with mental health conditions and/or addiction Evidence update.

The Royal Australian and New Zealand College of Psychiatrists. (2015). Keeping Body and Mind together. Improving the physical health and life expectancy of people with serious mental illness