A structured programme to withdraw antipsychotics among adults with intellectual disabilities: the Cornwall experience
Journal of Applied Research in Intellectual Disabilities, 2019•Wiley Online Library
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 …
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 …
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.
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