For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Mental health waitlists: Feeling ignored amid escalating symptoms
Mental health waitlists: Feeling ignored amid escalating symptoms

This article looks at ways you can help minimise harms while patients wait to be seen by specialist mental health services
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
Not a subscriber? Unlock this article by subscribing here.
1. Sutcliffe K, Ball J, Clark TC, et al. Rapid and unequal decline in adolescent mental health and well-being 2012-2019: Findings from New Zealand cross-sectional surveys. Aust N Z J Psychiatry 2023;57(2):264–82.
2. New Zealand Mental Health and Wellbeing Commission. Te Huringa: Change and Transformation. Mental Health Service and Addiction Service Monitoring Report 2022. Wellington, NZ; 2022.
3. McGorry PD, Mei C. Early intervention in youth mental health: progress and future directions. BMJ Ment Health 2018;21(4):182–84.
4. New Zealand Government. He Ara Oranga: Report of the Government Inquiry into Mental Health and Addiction. Wellington, NZ; 2018.