A structured programme to withdraw antipsychotics among adults with intellectual disabilities: The Cornwall experience.
J Appl Res Intellect Disabil
; 32(6): 1389-1400, 2019 Nov.
Article
em En
| MEDLINE
| ID: mdl-31192534
ABSTRACT
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Antipsicóticos
/
Desprescrições
/
Comportamento Problema
/
Uso Excessivo dos Serviços de Saúde
/
Deficiência Intelectual
Tipo de estudo:
Diagnostic_studies
/
Evaluation_studies
/
Guideline
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
J Appl Res Intellect Disabil
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Reino Unido