Shared medication coordination in a social psychiatric residence: adaptation to meet local requirements

Tina Birkeskov Axelsen; Charlotte Arp Sørensen; Anders Lindelof; Mette Spliid Ludvigsen

doi:10.1186/s12888-025-06653-2

Shared medication coordination in a social psychiatric residence: adaptation to meet local requirements

Tina Birkeskov Axelsen^*, Charlotte Arp Sørensen, Anders Lindelof, Mette Spliid Ludvigsen

^*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Abstract

Background: Shared medication coordination (MedCo) is vital yet difficult to manage for residents living with severe mental disorders in residential care, where multidisciplinary teams provide support. A successful Shared MedCo model in one residence included three core components: "shared decision-making," "patient involvement” and "MedCo”. This model was effective but transfer to other residential settings needed implementation adaptation. The aim of this study was to meet local MedCo requirements by achieving a good fit between a Shared MedCo intervention core components and a social psychiatric residential context. Methods: The methodology was guided by a complex intervention adaptation framework involving co-creation with stakeholders to gather iterative feedback. The intervention was adapted through a systematic four-phase process and tested through shared consultations. Ten residents took part in the test, and the intervention’s feasibility and acceptability were assessed. Findings: The adaptation process ensured a good fit between the intervention’s core components and the new context. Stakeholder input provided crucial content and contextual insights, while planned adaptations laid the foundation for modulating the individual residence Shared MedCo model. Iterative adaptations during the test phase refined the intervention, leading to near-routine performance by the tenth consultation. Residents gained a stronger voice in their healthcare, and all ten had their medication coordinated and optimised. The intervention was found feasible and acceptable. Conclusion: For effective implementation, complex multidisciplinary Shared MedCo interventions require contextual adaptation and active stakeholder involvement. The shared MedCo intervention offers a guideline for achieving a good fit between the intervention core components and diverse residential contexts, ensuring successful medication coordination for residents living with severe mental disorders.

Original language	English
Article number	209
Journal	BMC Psychiatry
Volume	25
Issue	1
ISSN	1471-244X
DOIs	https://doi.org/10.1186/s12888-025-06653-2
Publication status	Published - Dec 2025

Keywords

Adaptation
Medication coordination
Mental health services
Patient involvement
Severe mental disorder
Shared decision-making
Social psychiatric residence

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10.1186/s12888-025-06653-2Licence: CC BY

Cite this

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title = "Shared medication coordination in a social psychiatric residence: adaptation to meet local requirements",

abstract = "Background: Shared medication coordination (MedCo) is vital yet difficult to manage for residents living with severe mental disorders in residential care, where multidisciplinary teams provide support. A successful Shared MedCo model in one residence included three core components: {"}shared decision-making,{"} {"}patient involvement” and {"}MedCo”. This model was effective but transfer to other residential settings needed implementation adaptation. The aim of this study was to meet local MedCo requirements by achieving a good fit between a Shared MedCo intervention core components and a social psychiatric residential context. Methods: The methodology was guided by a complex intervention adaptation framework involving co-creation with stakeholders to gather iterative feedback. The intervention was adapted through a systematic four-phase process and tested through shared consultations. Ten residents took part in the test, and the intervention{\textquoteright}s feasibility and acceptability were assessed. Findings: The adaptation process ensured a good fit between the intervention{\textquoteright}s core components and the new context. Stakeholder input provided crucial content and contextual insights, while planned adaptations laid the foundation for modulating the individual residence Shared MedCo model. Iterative adaptations during the test phase refined the intervention, leading to near-routine performance by the tenth consultation. Residents gained a stronger voice in their healthcare, and all ten had their medication coordinated and optimised. The intervention was found feasible and acceptable. Conclusion: For effective implementation, complex multidisciplinary Shared MedCo interventions require contextual adaptation and active stakeholder involvement. The shared MedCo intervention offers a guideline for achieving a good fit between the intervention core components and diverse residential contexts, ensuring successful medication coordination for residents living with severe mental disorders.",

keywords = "Adaptation, Medication coordination, Mental health services, Patient involvement, Severe mental disorder, Shared decision-making, Social psychiatric residence",

author = "Axelsen, {Tina Birkeskov} and S{\o}rensen, {Charlotte Arp} and Anders Lindelof and Ludvigsen, {Mette Spliid}",

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Shared medication coordination in a social psychiatric residence: adaptation to meet local requirements. / Axelsen, Tina Birkeskov; Sørensen, Charlotte Arp; Lindelof, Anders et al.
In: BMC Psychiatry, Vol. 25, No. 1, 209, 12.2025.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Shared medication coordination in a social psychiatric residence

T2 - adaptation to meet local requirements

AU - Axelsen, Tina Birkeskov

AU - Sørensen, Charlotte Arp

AU - Lindelof, Anders

AU - Ludvigsen, Mette Spliid

PY - 2025/12

Y1 - 2025/12

N2 - Background: Shared medication coordination (MedCo) is vital yet difficult to manage for residents living with severe mental disorders in residential care, where multidisciplinary teams provide support. A successful Shared MedCo model in one residence included three core components: "shared decision-making," "patient involvement” and "MedCo”. This model was effective but transfer to other residential settings needed implementation adaptation. The aim of this study was to meet local MedCo requirements by achieving a good fit between a Shared MedCo intervention core components and a social psychiatric residential context. Methods: The methodology was guided by a complex intervention adaptation framework involving co-creation with stakeholders to gather iterative feedback. The intervention was adapted through a systematic four-phase process and tested through shared consultations. Ten residents took part in the test, and the intervention’s feasibility and acceptability were assessed. Findings: The adaptation process ensured a good fit between the intervention’s core components and the new context. Stakeholder input provided crucial content and contextual insights, while planned adaptations laid the foundation for modulating the individual residence Shared MedCo model. Iterative adaptations during the test phase refined the intervention, leading to near-routine performance by the tenth consultation. Residents gained a stronger voice in their healthcare, and all ten had their medication coordinated and optimised. The intervention was found feasible and acceptable. Conclusion: For effective implementation, complex multidisciplinary Shared MedCo interventions require contextual adaptation and active stakeholder involvement. The shared MedCo intervention offers a guideline for achieving a good fit between the intervention core components and diverse residential contexts, ensuring successful medication coordination for residents living with severe mental disorders.

AB - Background: Shared medication coordination (MedCo) is vital yet difficult to manage for residents living with severe mental disorders in residential care, where multidisciplinary teams provide support. A successful Shared MedCo model in one residence included three core components: "shared decision-making," "patient involvement” and "MedCo”. This model was effective but transfer to other residential settings needed implementation adaptation. The aim of this study was to meet local MedCo requirements by achieving a good fit between a Shared MedCo intervention core components and a social psychiatric residential context. Methods: The methodology was guided by a complex intervention adaptation framework involving co-creation with stakeholders to gather iterative feedback. The intervention was adapted through a systematic four-phase process and tested through shared consultations. Ten residents took part in the test, and the intervention’s feasibility and acceptability were assessed. Findings: The adaptation process ensured a good fit between the intervention’s core components and the new context. Stakeholder input provided crucial content and contextual insights, while planned adaptations laid the foundation for modulating the individual residence Shared MedCo model. Iterative adaptations during the test phase refined the intervention, leading to near-routine performance by the tenth consultation. Residents gained a stronger voice in their healthcare, and all ten had their medication coordinated and optimised. The intervention was found feasible and acceptable. Conclusion: For effective implementation, complex multidisciplinary Shared MedCo interventions require contextual adaptation and active stakeholder involvement. The shared MedCo intervention offers a guideline for achieving a good fit between the intervention core components and diverse residential contexts, ensuring successful medication coordination for residents living with severe mental disorders.

KW - Adaptation

KW - Medication coordination

KW - Mental health services

KW - Patient involvement

KW - Severe mental disorder

KW - Shared decision-making

KW - Social psychiatric residence

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DO - 10.1186/s12888-025-06653-2

M3 - Journal article

C2 - 40050864

AN - SCOPUS:86000302225

SN - 1471-244X

VL - 25

JO - BMC Psychiatry

JF - BMC Psychiatry

IS - 1

M1 - 209

ER -

Shared medication coordination in a social psychiatric residence: adaptation to meet local requirements

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