People of Snowy Mountain, People of the River: A Multi-Agency Ethnographic Overview and Compendium Relating to Tribes Associated with Clark County, Nevada

The current document has been undertaken to assist agencies in meeting their obligations for federally mandated compliance and consultation with Indian tribes that have historical associations with Clark County. The document has been designed in part to provide an overview of the territorial associations of various tribes with ties to this area. This is accomplished using ethnohistorical documentation as well key legal documents, such as treaty language and Indian Claims Commission findings, that establish parameters for agency consultation responsibilities. Managers of Clark County’s federal lands have been eager to identify those tribes that are tied to the area in various ways – from those tribes who have long resided on these lands, to those who value this place but seldom if ever visit. Cumulatively, this research suggests ties between particular tribes and particular agency lands that may serve as a background reference for tribal and agency staff alike as they seek to understand Clark County’s tribal history and to protect cultural resources of mutual concern

Psychotropic Polypharmacy in Outpatients with Schizophrenia: Comparison of Oral Psychotropic Adherence Rates, Duplication of Therapy, Psychiatric Hospitalizations, Cost of Services, and Concomitant Medications

Class of 2007 AbstractObjectives: A prescription claims database from COPE Behavioral Services in Tucson, Arizona was used to retrospectively assess the differences between patients receiving 4 psychotropic medications over a 12-month period in adult patients with schizophrenia. Methods: Medication groups (i.e., 4 concomitant psychotropic agents) were compared for differences in gender, age, duplication of antipsychotic therapy, adherence rates, court order treatment status, psychiatric hospitalization rates and length of stay, cost of services provided, and concomitant psychotropic medications. Results: A total of 506 adult patients with schizophrenia (F=214 and M=292) met the inclusion criteria for receiving psychotropic medications during the 12-month study. Of those, 388 patients (76.7%) were found to have an average of 4 medications. Duplication of antipsychotic therapy was more common in the > 4 group (29.7%) compared to the 4 group based on month’s supply of prescriptions. Demographic differences between groups included: increased age, more women, fewer court order status, and higher cost of care in the > 4 compared to the < 4 medication group. No differences in hospitalizations, length of stay, and hospital costs were found between groups. Conclusions: Our findings suggest that patients with schizophrenia with increased rates of polypharmacy have higher adherence rates, more duplication of antipsychotics, and a higher cost of care (i.e., case management, laboratory, other services, total prescription costs) compared to patients receiving < 4 psychotropic medications.This item is part of the Pharmacy Student Research Projects collection, made available by the College of Pharmacy and the University Libraries at the University of Arizona. For more information about items in this collection, please contact Jennifer Martin, Librarian and Clinical Instructor, Pharmacy Practice and Science, [email protected]