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
The power of peers: Mental health service Piki wins Australasian award
The power of peers: Mental health service Piki wins Australasian award

The team behind Wellington youth service Piki, pictured from left to right: Mark Pope, senior counsellor, Massey University, Mordecai Taderera, Wellington service lead & Piki practitioner, Tū Ora Compass, Stephen McVey, Wellington North service lead & Piki practitioner, Tū Ora Compass, Jocelyn Malcolm, service manager, Mental Health Tū Ora Compass, Kristy Haslam, team lead, Victoria University Student Counselling, Nimesh Patel, Piki programme lead, Tū Ora Compass, Rachel Moriarty, Piki clinical psychologist, Explore, Emma Williams, peer support, Mind and Body, Alex Walker, peer support, Mind and Body, Tessa Sefton, operations coordinator, Tū Ora Compass, Isobel Freeman, senior advisor Ministry of Health, Melissa Simpson, general manager, Clinical Service Tū Ora Compass, Justine Thorpe, chief executive, Tū Ora Compass
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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