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The following is a summary of “Shared medication coordination in a social psychiatric residence: adaptation to meet local requirements,” published in the March 2025 issue of BMC Psychiatry by Axelsen et al. 

Shared medication coordination (MedCo) is crucial yet challenging in residential care for individuals with severe mental disorders. Effective implementation requires adaptation to different settings.  

Researchers conducted a retrospective study to adapt Shared MedCo core components to a social psychiatric residential context.  

They used a complex intervention adaptation framework with stakeholder co-creation for iterative feedback and adapted the intervention through a 4-phase process and tested it in shared consultations with 10 residents, assessing feasibility and acceptability.  

The results showed the adaptation ensured a good fit between core components and the new context. Stakeholder input shaped content, and planned changes refined the Shared MedCo model. By the tenth consultation, the intervention neared routine use. All 10 residents had their medication coordinated and optimized, gaining a stronger voice in their healthcare. The intervention was feasible and acceptable. 

They found that effective implementation required contextual adaptation and stakeholder involvement. The Shared MedCo intervention provided a guideline for aligning core components with diverse residential contexts.  

Source: bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-025-06653-2