Clinicians' adherence to an algorithm for pharmacotherapy of depression in the Texas public mental health sector

Tawny L. Bettinger, M. Lynn Crismon, Madhukar H. Trivedi, Bruce Grannemann, Steven P. Shon

Research output: Contribution to journalArticle

6 Scopus citations


This study evaluated clinicians' adherence to the major depressive disorder algorithm of the Texas Implementation of Medication Algorithms (TIMA) as a component of usual care in the Texas public mental health system. Data were collected from two Texas Department of Mental Health and Mental Retardation centers between April and December 2000. Clinician adherence measures included documentation of outcome measures, prescribing patterns (correct medications, therapeutic dosing, dosage increases, and appropriate medication changes), and visit frequency. Clinicians had consistently high adherence to appropriate drug regimens, at appropriate dosages. Variability in attempts to increase dosages when warranted, visit frequency, and documentation of patient outcome measures between clinicians were seen. The results suggest that implementation of medication algorithms is possible in the public mental health sector.

Original languageEnglish (US)
Pages (from-to)703-705
Number of pages3
JournalPsychiatric Services
Issue number6
Publication statusPublished - Jun 2004


ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

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