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This is a non-randomized, single-case design of pharmacogenetic implementation in a mental health patient population of subjects taking antipsychotics and/or antidepressants.
This is a non-randomized, single-case design of pharmacogenetic implementation in a mental health patient population of subjects taking antipsychotics and/or antidepressants. Retrospective and prospective data will be collected on all subjects before and after pharmacogenetic recommendations have been made. Retrospective data will be collected for the previous 12 months before pharmacogenetic recommendations are made and prospective data will be collected for 12 months after pharmacogenomic recommendations have been made.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Care Coordination Group | Patients participating in the Avera Care Coordination Program for Intervention 'Pharmacogenetic testing' |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pharmacogenetic testing | Genetic | Psychotropic genotyping panel |
|
| Measure | Description | Time Frame |
|---|---|---|
| Depression scores | Compare depression scores at baseline and following pharmacogenetic-guided medication recommendation | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Economic impact of pharmacogenetic testing | Data from patients' insurance provider will be compared pre- and post-pharmacogenetic testing. Such data may include hospitalizations, clinic visits, ER visits, medication expenses, etc. | 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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Participants must be enrolled in the Avera Care Coordination Program and have insurance coverage through the Avera Health Plans
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| Name | Affiliation | Role |
|---|---|---|
| Matthew Stanely, MD | Avera McKennan Hospital & University Health Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Avera Institute for Human Genetics | Sioux Falls | South Dakota | 57108 | United States |
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| ID | Term |
|---|---|
| C563919 | Major Depressive Disorder 1 |
| D003863 | Depression |
| D003865 | Depressive Disorder, Major |
| D000092862 | Psychological Well-Being |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
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| ID | Term |
|---|---|
| D000071185 | Pharmacogenomic Testing |
| ID | Term |
|---|---|
| D005820 | Genetic Testing |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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serum
| D001523 |
| Mental Disorders |
| D010549 | Personal Satisfaction |
| D008919 | Investigative Techniques |
| D005821 | Genetic Techniques |
| D033142 | Genetic Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D003954 | Diagnostic Services |
| D011314 | Preventive Health Services |