Personalized Medicine: Using Psychogenomic Testing in Your Practice - - PDF document

APNA 30th Annual Conference Session 2045: October 20, 2016 LaCoursiere 1

Personalized Medicine: Using Psychogenomic Testing in Your Practice

Sheryl LaCoursiere, PhD, PMHNP‐BC, FNP‐BC, APRN University of Massachusetts Boston College of Nursing and Health Sciences

Disclosure

• The presenter has no conflicts of interest to disclose.

Objectives

• Participants will describe three common methods of

selecting psychiatric medications in practice.

• Learners will identify three studies related to

psychogenomic testing.

• Learners will discuss three disadvantages of psychogenomic

testing.

APNA 30th Annual Conference Session 2045: October 20, 2016 LaCoursiere 2

Methods of Selecting Psychiatric Medications

• Drug Class
• Patient History
• Family History
• Psychogenomic Testing

Studies on Pharmacogenomic Testing

• Altar et al., 2015
• Winner et al., 2015
• Hall‐Flavinet et al., 2013
• Winner et al., 2013

Results‐ GeneSight

APNA 30th Annual Conference Session 2045: October 20, 2016 LaCoursiere 3

Results‐ Genomind Ways to Use Pharmacogenomics in Your Practice

Determine if testing is a right fit for the patient

• Insurance coverage
• Cost/benefit analysis
• Patient psychiatric drug naivete

Ways to Use Pharmacogenomics in Your Practice (cont’d)

• Use of testing to rule out/rule in potentially efficacious medications
• Determining a "short list" of medications to try
• Offering the patient hope
• Implications for the future

APNA 30th Annual Conference Session 2045: October 20, 2016 LaCoursiere 4

Ques Questions? tions?

sheryl.lacoursiere@umb.edu