Aspects of the Use of Psychoactive Medication Among People with Intellectual Disabilities Who Have Been Resettled from Long‐stay Hospitals into Dispersed Housing

Fleming, Ian N.; Caine, Amanda; Ahmed, Sheikh Salahuddin; Smith, Sharon

doi:10.1111/j.1468-3148.1996.tb00109.x

Cited by 29 publications

(34 citation statements)

References 11 publications

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“…Previous studies have identified aggression as an important factor relating to requests for psychotropic medication (Fleming et al, 1996;Stolker et al, 2001). Our findings are consistent with this; the most frequent indication in our study for PRN prescribing being agitation and aggression.…”

Section: Discussionsupporting

confidence: 95%

Use of PRN medication in people with intellectual disabilities

Delafon

Kiani

Barrett

et al. 2013

Advances in Mental Health and Intellectual Disabilities

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all are based at Leicestershire Partnership NHS Trust, Leicester, UK. AbstractPurpose -The purpose of this paper is to identify psychotropic medication being prescribed for people with intellectual disability "as and when required" (PRN); the indications, frequency of use, rate of poly-pharmacy and contribution of PRN medication towards this. The paper also aimed to identify individual and environmental factors associated with PRN medication prescribing. Design/methodology/approach -Data were collected from nursing and medical records for the 119 service users in the acute assessment and treatment unit and NHS residential care settings managed by specialist intellectual disability services covering Leicester, Leicestershire and Rutland over a month period. Data were analysed using descriptive statistics and logistic regression to calculate adjusted odds ratios for predictor variables. Findings -In total, 72 per cent of the service users were prescribed and 25 per cent were administered PRN medication over the study period. The most common indications for PRN prescribing were aggression and agitation. Lorazepam and chlorpromazine were the most frequently prescribed PRN medications. The rate of poly-pharmacy was 41 and 38 per cent of this was attributable to PRN medication. Male gender and history of challenging behaviour were found to be significant factors associated with PRN medication prescribing. Originality/value -PRN medications are commonly prescribed in people with intellectual disabilities and contribute to poly-pharmacy. Whilst PRN medication continues to remain an effective therapeutic option in situations where environmental and behavioural approaches are proving insufficient, their use should always be in conjunction with effective review mechanisms.

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Section: Discussionsupporting

confidence: 95%

Use of PRN medication in people with intellectual disabilities

Delafon

Kiani

Barrett

et al. 2013

Advances in Mental Health and Intellectual Disabilities

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“…1990; Branford 1994; Etherington et al. 1995; Fleming et al. 1996) and about 10% of people living with their natural or substitute families (Clarke et al.…”

Section: Introductionmentioning

confidence: 99%

Staff Knowledge of the Side Effects of Anti‐Psychotic Medication

Fretwell¹,

Felce

2007

Research Intellect Disabil

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Background Anti-psychotic medications are widely prescribed to people with intellectual disabilities and have a range of negative side effects. The aim was to identify the level of knowledge of anti-psychotic medications and their side effects among key carers or home managers of adults with intellectual disabilities living in residential group homes who are prescribed such medication. Method The sample was 25 of the 30 adults on the caseloads of community nurses in one community learning disability team who lived in residential services and who were prescribed anti-psychotic medication. Key carers (n ¼ 22) or home managers (n ¼ 3) were interviewed about their knowledge of these medications and their side effects, the source of their knowledge and their needs for training. Results Knowledge of potential side effects was somewhat limited. Only two were identified by the majority of respondents. Most respondents felt insufficiently informed and in need of further training. Conclusions There is a role for an informed professional, such as a community nurse, to ensure that carers receive good, verbal and written information about such medications and their side effects at the time of prescription.

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“…The two most frequent reasons that led to admission were challenging behaviours and mental health problems, and previous research verifies these as continuing needs of this population (Slevin 1995, Turkistani 2003, Slevin 2007). In addition, the study found that having challenging behaviour was significantly associated with longer stay in the unit and with use of antipsychotic medications, even though use of these medications for challenging behaviour has been questioned (Fleming et al. 1996, Reiss & Aman 1998, Ahmed et al.…”

Section: Discussionmentioning

confidence: 99%

People with learning disabilities admitted to an assessment and treatment unit: impact on challenging behaviours and mental health problems

Slevin

McConkey²,

Truesdale‐Kennedy³

et al. 2008

Psychiatric Ment Health Nurs

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This study describes the evaluation of an assessment and treatment unit for people with learning disabilities. Results showed the main reasons for admission for the 48 people admitted to the unit were because of challenging behaviours and mental health problems. Valid and reliable scales were used to measure the behaviours and mental health problems of those admitted across three-time periods: pre-admission, during admission and post-admission. The analysis found significant reductions in challenging behaviours and mental health problems following admission to the unit. The unit was staffed by a multidisciplinary team with nurses making up the largest group of staff. A number of issues of concern are discussed including access to mental health services for people with learning disabilities, the need for robust community services and areas that require further research. In conclusion, the study found evidence supporting the value of the unit and how it may lessen distress in learning disabled people who are behaviourally disturbed. It is suggested that nurses played a key role in the unit but they need to make the support and caring they provide more visible. Nurses need to harness and make explicit the caring they provide for people with learning disabilities.

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Aspects of the Use of Psychoactive Medication Among People with Intellectual Disabilities Who Have Been Resettled from Long‐stay Hospitals into Dispersed Housing

Cited by 29 publications

References 11 publications

Use of PRN medication in people with intellectual disabilities

Use of PRN medication in people with intellectual disabilities

Staff Knowledge of the Side Effects of Anti‐Psychotic Medication

People with learning disabilities admitted to an assessment and treatment unit: impact on challenging behaviours and mental health problems

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