A structured programme to withdraw antipsychotics among adults with intellectual disabilities: The Cornwall experience

Autor:	Charlotte Pretorius, Michael Wilcock, Richard Laugharne, Sharon Axby, Eve Corson, Amanda Pell, Regi Alexander, Georgina Praed, Rebecca Goodey, Dee Vujkovic, Ellen Wilkinson, Rory Sheehan, Rohit Shankar, Shoumitro Deb
Rok vydání:	2019
Předmět:	030506 rehabilitation medicine.medical_specialty Challenging behaviour Learning community media_common.quotation_subject Medical Overuse Education 03 medical and health sciences Pharmacotherapy Deprescriptions General Practitioners Stakeholder Participation Intellectual Disability Intellectual disability Developmental and Educational Psychology Medicine Humans 0501 psychology and cognitive sciences Program Development Psychiatry media_common Patient Care Team Problem Behavior Teamwork business.industry 05 social sciences medicine.disease Nice guideline England Practice Guidelines as Topic Antipsychotic Medications Dose reduction 0305 other medical science business 050104 developmental & child psychology Antipsychotic Agents Program Evaluation
Zdroj:	Journal of applied research in intellectual disabilities : JARIDREFERENCES. 32(6)
ISSN:	1468-3148
Popis:	Background Antipsychotic medications are used among 19%-58% of adults with intellectual disabilities to manage challenging behaviour against the NICE guideline recommendations. Studies show that it is possible to completely withdraw antipsychotics in about one third of adults with intellectual disabilities and a dose reduction of 50% or more in another third. Method In Cornwall, over three years the present authors developed a structured pathway to withdraw antipsychotics among adults with intellectual disabilities which involved people with intellectual disabilities and their carers, GPs, community learning disability team members and pharmacists. Results The present authors managed to withdraw antipsychotics totally among 46.5% (33/71) and reduced over 50% of dosage in another 11.3% (8/71) of adults with intellectual disabilities. At three months follow-up no one required hospital admission or change in placement. Conclusion It is possible to withdraw/reduce antipsychotics in a high proportion of adults with intellectual disabilities if a concerted effort is made involving all stakeholders from the outset.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f59fc5cfec5eca781391c3ca6ed138da https://pubmed.ncbi.nlm.nih.gov/31192534 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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