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Autor/inn/enShankar, Rohit; Wilcock, Mike; Deb, Shoumitro; Goodey, Rebecca; Corson, Eve; Pretorius, Charlotte; Praed, Georgina; Pell, Amanda; Vujkovic, Dee; Wilkinson, Ellen; Laugharne, Richard; Axby, Sharon; Sheehan, Rory; Alexander, Regi
TitelA Structured Programme to Withdraw Antipsychotics among Adults with Intellectual Disabilities: The Cornwall Experience
QuelleIn: Journal of Applied Research in Intellectual Disabilities, 32 (2019) 6, S.1389-1400 (12 Seiten)Infoseite zur Zeitschrift
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ZusatzinformationORCID (Shankar, Rohit)
ORCID (Goodey, Rebecca)
Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN1360-2322
DOI10.1111/jar.12635
SchlagwörterDrug Therapy; Adults; Intellectual Disability; Behavior Modification; Behavior Problems; Teamwork; Caregivers; Health Personnel; Foreign Countries; United Kingdom (England)
AbstractBackground: 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. (As Provided).
AnmerkungenWiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2020/1/01
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