Enforcing treatment with clozapine: Survey of views and practice

Abstract

Aim and method. The aim of the study was to survey strategies for dealing with patients who refuse clozapine blood tests or tablets. One hundred and twenty-five psychiatric intensive care unit consultants were sent a questionnaire. Results. Thirty-nine (31%) questionnaires were returned. Opinions and practices were diverse ranging from uncertainty around the legal right to enforce venepuncture, to the practice of slipping clozapine into a patient's drink without their knowledge. Clinical implications. There is need for an open debate of the relevant legal and ethical issues.