Section 4.4

Algorithms and Practice Guidelines

Interest in and development of practice guidelines and medication treatment algorithms have increased in recent years. While it is clear that treatment must be adapted and tailored to each individual, such guidelines, when based on scientific evidence and expert consensus processes, can offer information to promote safe and effective treatment.

The attachment included here discusses potential benefits and risks associated with algorithms. It is excerpted from Rush, A. John et al, Medication Treatment for the Severely and Persistently Mentally Ill: The Texas Medication Algorithm Project. The Journal of Clinical Psychiatry 60; 5:284-291, May 1999.

Additional resources the practitioner may wish to review include, but are not limited to:

  • American Psychiatric Association Practice Guideline Series (Internet Access: psych.org, select "Clinical Resource," then select "Practice Guidelines.")
  • Hirschfeld, Robert M.A. et al, Practice Guideline for the Treatment of Patients with Bipolar Disorder. The American Journal of Psychiatry 151:12, December 1994 Supplement.
  • Fogel, Barry S. et al, Practice Guideline for Psychiatric Evaluation of Adults. American Journal of Psychiatry 152:11, November 1995 Supplement.
  • Mirin, Steven M. et al, Practice Guideline for the Treatments of Patients with Substance Use Disorders: Alcohol, Cocaine, Opioids. The American Journal of Psychiatry 152:11, November 1995 Supplement.
  • Hughes, John R. et al, Practice Guideline for the Treatment of Patients with Nicotine Dependence. The American Journal of Psychiatry 153:10, October 1996 Supplement.
  • Liberman, Robert P. et al, Practice Guideline for the Treatment of Patients with Schizophrenia. The American Journal of Psychiatry 154:4, April 1997 Supplement.
  • Rabins, Peter et al, Practice Guideline for the Treatment of Patients with Alzheimer?s Disease and Other Dementias of Late Life. The American Journal of Psychiatry 154:5, May 1997 Supplement.
  • Gorman, Jack et al, Practice Guideline for the Treatment of Patients with Panic Disorder. The American Journal of Psychiatry 155:5, May 1998 Supplement.
  • Yager, Joel et al, Practice Guideline for the Treatment of Patients with Eating Disorders (Revision). The American Journal of Psychiatry 157:1, January 2000 Supplement.
  • Karasu, T. Byram et al, Practice Guideline for Major Depressive Disorder in Adults (Revision). The American Journal of Psychiatry 157:4, April 2000 Supplement.
  • The Expert Consensus Guideline Series, Journal of Clinical Psychiatry (Internet access: www.psychiatrist.com)
  • Kahn, David A. et al, Treatment of Bipolar Disorder. The Journal of Clinical Psychiatry 57, Supplement 12A, 1996.
  • March, John S. et al, Treatment of Obsessive-Compulsive Disorder. The Journal of Clinical Psychiatry 58, Supplement 4, 1997.
  • McEvoy, Joseph P. et al, Treatment of Schizophrenia 1999. The Journal of Clinical Psychiatry 60, Supplement 11, 1999.
  • Foa, Edna B. et al, Treatment of Posttraumatic Stress Disorder. The Journal of Clinical Psychiatry 60, Supplement 16, 1999.
  • The Texas Medication Algorithm Project
    (Internet Access: mhmr.state.tx.us)
  • Gilbert, Don A. et al, The Texas Medication Algorithm Project: Definitions, Rationale, and Methods to Develop Medication Algorithms. The Journal of Clinical Psychiatry 59:7, July 1998.
  • Chiles, John A. et al, The Texas Medication Algorithm Project: Development and Implementation of the Schizophrenia Algorithm. Psychiatric Services 50:1, 69-74 January 1999.
  • Crismon, M. Lynn et al, The Texas Medication Algorithm Project: Report of the Texas Consensus Conference Panel on Medication Treatment of Major Depressive Disorder. The Journal of Clinical Psychiatry 60:3, 142-156 March 1999.