Antipsychotic prescribing in care homes before and after launch of a national dementia strategy

An observational study (2015) in English institutions over a 4-year period | BMJ Open PDF

Strengths and limitations of this study

  • To our knowledge, this is the first UK study to examine long-term impact of a national policy initiative on antipsychotic prescribing in carehomes. The samples studied are many times those of other UK antipsychotic usage studies.
  • Prescribing rates, antipsychotic agent type (including unlicensed antipsychotics) and length of treatment were unchanged.
  • The factors preventing sustained change in anti-psychotic prescribing and regional variations observed remain unclear.
  • One limitation of this observational study is the lack of comparable national data to demonstrate representativeness of the study sample.
  • A further limitation of this study is the lack of clinical and staffing data to complement the detailed prescription data.

Published by Residential Forum

The Residential Forum is to promote the achievement of high standards of care and support for children and adults living in residential care and nursing homes, supported housing, residential schools and colleges, hospices and hostels. It contributes to improving the quality of service to the public. Members of the Forum are people of standing and experience drawn from the public, private and voluntary sectors, as well as some who can speak for service users and carers.

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