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Psychiatric Bulletin (2007) 31: 329-332. doi: 10.1192/pb.bp.106.012880
© 2007 The Royal College of Psychiatrists
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Antipsychotic prescribing patterns in care homes and relationship with dementia

David P. Alldred, Research Clinical Pharmacist

Pharmacy Practice and Medicines Management Group, School of Healthcare, Baines Wing, University of Leeds, Leeds LS2 9UT, email: d.p.alldred{at}leeds.ac.uk

Duncan R. Petty, Lecturer Practitioner in Pharmacy Practice

Pharmacy Practice and Medicines Management Group, University of Leeds

Peter Bowie, Consultant in Old Age Psychiatry

Older People’s Mental Health Department, Longley Centre, Norwood Grange, Sheffield

Arnold G. Zermansky, Honorary Senior Research Fellow

University of Leeds

David K. Raynor, Professor of Pharmacy Practice

Pharmacy Practice and Medicines Management Group, University of Leeds

Declaration of interest

P.B. has given talks for and received hospitality from Jansenn-Cilag.

AIMS AND METHOD

To determine the prescribing patterns for antipsychotics in care homes for the elderly, a cross-sectional study was carried out using data from the intervention group of a randomised controlled trial of medication review in care homes.

RESULTS

Of 331 residents studied, 67 (20%) were prescribed an antipsychotic (70% atypical); 57 of these (85%) did not have a diagnosis of a psychotic disorder. The antipsychotic prescribing rate was 32% (46 out of 146) for those with dementia and 10% (17 out of 174) for those without dementia. A quarter (82 out of 331) had received a medication review by the general practitioner in the preceding 12 months.

CLINICAL IMPLICATIONS

One-fifth of residents were prescribed an antipsychotic with little evidence of review. Systems should ensure residents’ treatment is reviewed regularly.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
British Journal of Psychiatry Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 2007 The Royal College of Psychiatrists.