Report of the Texas Consensus Conference Panel on medication treatment of bipolar disorder 2000

Trisha Suppes, Ellen B. Dennehy, Alan C. Swann, Charles L. Bowden, Joseph R. Calabrese, Robert M A Hirschfeld, Paul E. Keck, Gary S. Sachs, M. Lynn Crismon, Marcia G. Toprac, Steven P. Shon

Research output: Contribution to journalArticle

101 Citations (Scopus)

Abstract

Background: The process and outcome of a consensus conference to develop revised algorithms for treatment of bipolar disorder to be implemented in the public mental health system of Texas are described. These medication algorithms for bipolar disorder are an update of those developed for the Texas Medication Algorithm Project, a research study that tested the clinical and economic impact of treatment guidelines for major psychiatric illnesses treated in the Texas public mental health system (Texas Department of Mental Health and Mental Retardation [TDMHMR]). Method: Academic clinicians and researchers, practicing clinicians in the TDMHMR system, administrators, advocates, and consumers participated in a consensus conference in August 2000. Participants attended presentations reviewing new evidence in the pharmacologic treatment of bipolar disorder and discussed the needs of consumers in the TDMHMR system. Principles were enumerated, including balancing of evidence for efficacy, tolerability, and safety in medication choices. A set of 7 distinct algorithms was drafted. In the following months, a subcommittee condensed this product into 2 primary algorithms. Results: The panel agreed to 2 primary algorithms: treatment of mania/hypomania, including 3 pathways for treatment of euphoric symptoms, mixed or dysphoric symptoms, and psychotic symptoms; and treatment of depressive symptoms. General principles to guide algorithm implementation were discussed and drafted. Conclusion: The revised algorithms are currently being disseminated and implemented within the Texas public mental health system. The goals of the Texas initiative include increasing the consistency of appropriate treatment of bipolar disorder, encouraging systematic and optimal use of available pharmacotherapies, and improving the outcomes of patients with bipolar disorder.

Original languageEnglish (US)
Pages (from-to)288-299
Number of pages12
JournalJournal of Clinical Psychiatry
Volume63
Issue number4
StatePublished - 2002

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Bipolar Disorder
Consensus
Mental Health
Intellectual Disability
Public Health
Therapeutics
Administrative Personnel
Psychiatry
Economics
Research Personnel
Guidelines
Depression
Safety
Drug Therapy
Research

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Suppes, T., Dennehy, E. B., Swann, A. C., Bowden, C. L., Calabrese, J. R., Hirschfeld, R. M. A., ... Shon, S. P. (2002). Report of the Texas Consensus Conference Panel on medication treatment of bipolar disorder 2000. Journal of Clinical Psychiatry, 63(4), 288-299.

Report of the Texas Consensus Conference Panel on medication treatment of bipolar disorder 2000. / Suppes, Trisha; Dennehy, Ellen B.; Swann, Alan C.; Bowden, Charles L.; Calabrese, Joseph R.; Hirschfeld, Robert M A; Keck, Paul E.; Sachs, Gary S.; Lynn Crismon, M.; Toprac, Marcia G.; Shon, Steven P.

In: Journal of Clinical Psychiatry, Vol. 63, No. 4, 2002, p. 288-299.

Research output: Contribution to journalArticle

Suppes, T, Dennehy, EB, Swann, AC, Bowden, CL, Calabrese, JR, Hirschfeld, RMA, Keck, PE, Sachs, GS, Lynn Crismon, M, Toprac, MG & Shon, SP 2002, 'Report of the Texas Consensus Conference Panel on medication treatment of bipolar disorder 2000', Journal of Clinical Psychiatry, vol. 63, no. 4, pp. 288-299.
Suppes T, Dennehy EB, Swann AC, Bowden CL, Calabrese JR, Hirschfeld RMA et al. Report of the Texas Consensus Conference Panel on medication treatment of bipolar disorder 2000. Journal of Clinical Psychiatry. 2002;63(4):288-299.
Suppes, Trisha ; Dennehy, Ellen B. ; Swann, Alan C. ; Bowden, Charles L. ; Calabrese, Joseph R. ; Hirschfeld, Robert M A ; Keck, Paul E. ; Sachs, Gary S. ; Lynn Crismon, M. ; Toprac, Marcia G. ; Shon, Steven P. / Report of the Texas Consensus Conference Panel on medication treatment of bipolar disorder 2000. In: Journal of Clinical Psychiatry. 2002 ; Vol. 63, No. 4. pp. 288-299.
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