Psychosocial interventions for reducing antipsychotic medication in care home residents

Abstract

Psychosocial interventions for reducing antipsychotic medication in care home residents.

Alzheimer’s Disease And Nursing Homes

“…11 However, care planning that involves a variety of available pharmacological and nonpharmacological approaches can meet the needs of people with Alzheimer’s and improve their quality of life once they are in a nursing home. 1,12,13 …”

Behavioural and psychological symptoms of dementia: Are there any effective alternative-to-antipsychotics strategies?

“…first approved and have been used to treat schizophrenia and bipolar disorders since the 1970s; they are also regularly prescribed in residential care facilities as pharmacological interventions to control BPSD, followed by the prescription of atypical agents in the 1990s 6 . This is so, despite their moderate efficacy, the availability of non-pharmacological alternatives 5 , and serious adverse events (e.g., falls, increased risk of mortality) associated with their use 7,8 . Evidence indicates that the use of atypical antipsychotics was increased by about 35% in Ontario 9 associated with about 750% substantial increase in cost between 1993 and 2002.…”

Interventions to Improve Medicines Management for People with Dementia: A Systematic Review

“…This review found evidence to suggest that interventions incorporating medication review aimed at PWD can successfully reduce psychotropic drug prescribing [22,23]. Whilst previous reviews have identified interventions to reduce psychotropic drug use and manage BPSD [27][28][29], to the best of the authors' knowledge, this is the first systematic review to consider medicines management interventions holistically in this patient population.…”